Midwest Orthopedic Specialty Hospital
10101 S. 27th St, Franklin, WI · Ascension · · NPI 1861635971
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $655.08 | $1,236.00 | $291.87 – $941.43 | 4 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $930.68 | $1,756.00 | $805.87 – $1,210.29 | 4 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $663.56 | $1,252.00 | $345.10 – $345.10 | 1 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,423.05 | $2,685.00 | $699.45 – $1,210.29 | 4 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $643.42 | $1,214.00 | $319.10 – $319.10 | 1 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,453.79 | $2,743.00 | $634.88 – $1,210.29 | 4 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,487.71 | $2,807.00 | $672.45 – $941.43 | 4 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,053.64 | $1,988.00 | $672.45 – $941.43 | 4 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $657.20 | $1,240.00 | $214.25 – $401.30 | 4 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $260.23 | $491.00 | $200.71 – $401.30 | 4 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $384.25 | $725.00 | $231.33 – $401.30 | 4 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $148.93 | $281.00 | $44.80 – $73.37 | 4 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $109.18 | $206.00 | $47.46 – $47.46 | 1 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $395.91 | $747.00 | $185.23 – $286.41 | 4 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $342.38 | $646.00 | $69.11 – $96.75 | 4 |
| Injection treatment of eye CPT 66020 | not published | not published | $677.48 – $677.48 | 1 |
| Injection treatment of eye CPT 66030 | not published | not published | $601.16 – $601.16 | 1 |
| Injection treatment of nerve CPT 64605 | not published | not published | $2,673.74 – $2,673.74 | 1 |
| Injection treatment of nerve CPT 64610 | not published | not published | $2,658.07 – $2,658.07 | 1 |
| Injection treatment of nerve CPT 64681 | not published | not published | $864.49 – $1,302.52 | 4 |
| Injection treatment of nose CPT 30200 | not published | not published | $413.77 – $692.29 | 4 |
| Inject sacroiliac joint CPT 27096 | $1,336.66 | $2,522.00 | $591.76 – $591.76 | 1 |
| Inject/treat eye socket CPT 67500 | not published | not published | $290.08 – $406.38 | 4 |
| Inject/treat eye socket CPT 67505 | not published | not published | $290.27 – $406.38 | 4 |
| Inject/treat eye socket CPT 67515 | not published | not published | $290.27 – $406.38 | 4 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,034.56 | $1,952.00 | $605.60 – $941.43 | 4 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,005.41 | $1,897.00 | $565.36 – $1,210.29 | 4 |
| Inj for ext venography CPT 36005 | $743.06 | $1,402.00 | $1,182.78 – $1,182.78 | 1 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $597.92 – $597.92 | 1 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $495.55 | $935.00 | $501.87 – $501.87 | 1 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $192.75 – $192.75 | 1 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $200.94 – $200.94 | 1 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $151.37 – $151.37 | 1 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $510.39 | $963.00 | $558.76 – $558.76 | 1 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $864.49 – $1,210.29 | 4 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $491.84 | $928.00 | $192.94 – $270.12 | 4 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $192.94 – $270.12 | 4 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | not published | not published | $398.85 – $398.85 | 1 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $913.19 | $1,723.00 | $587.21 – $907.38 | 4 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $6,003.06 – $6,003.06 | 1 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $5,747.59 – $5,747.59 | 1 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $170.13 – $170.13 | 1 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $596.32 – $596.32 | 1 |
| Inj proc elbow arthro CPT 24220 | not published | not published | $583.07 – $583.07 | 1 |
| Inj proc for lymphang CPT 38790 | $913.19 | $1,723.00 | $303.88 – $303.88 | 1 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $1,225.60 – $1,225.60 | 1 |
| Inj proc myelogram lumbar CPT 62284 | $721.33 | $1,361.00 | $663.31 – $663.31 | 1 |
| Inj proc sialogram CPT 42550 | $288.32 | $544.00 | $493.14 – $493.14 | 1 |
| Inj retro urethrocysto CPT 51610 | not published | not published | $387.81 – $387.81 | 1 |
| Inj scleros sol mult veins CPT 36471 | $422.94 | $798.00 | $387.95 – $629.89 | 4 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $387.95 – $543.13 | 4 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $387.95 – $543.13 | 3 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | not published | not published | $487.73 – $487.73 | 1 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | not published | not published | $422.12 – $422.12 | 1 |
| Inj w/fluor eval cv device CPT 36598 | $246.45 | $465.00 | $204.58 – $401.53 | 4 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $14,245.69 – $14,245.69 | 1 |
| Ins cath ren art 1st bi CPT 36252 | not published | not published | $5,573.33 – $5,573.33 | 1 |
| Ins cath ren art 1st uni CPT 36251 | not published | not published | $5,151.20 – $5,151.20 | 1 |
| Ins cath ren art 2nd+ bi CPT 36254 | not published | not published | $7,950.57 – $7,950.57 | 1 |
| Ins cath ren art 2nd+ uni CPT 36253 | not published | not published | $8,206.34 – $8,206.34 | 1 |
| Ins cerv dilator (sep proc) CPT 59200 | not published | not published | $257.78 – $413.52 | 4 |
| Ins device for right guide open CPT 49412 | not published | not published | $297.36 – $297.36 | 1 |
| Insemination of oocytes CPT 89268 | not published | not published | $82.47 – $232.95 | 6 |
| Insert abdomen-venous drain CPT 49425 | not published | not published | $2,648.15 – $2,648.15 | 1 |
| Insert and remove bone pin CPT 20650 | not published | not published | $758.23 – $758.23 | 1 |
| Insert ant drainage device CPT 66183 | not published | not published | $3,762.71 – $3,762.71 | 1 |
| Insert balloon device CPT 33973 | not published | not published | $1,861.72 – $1,861.72 | 1 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $1,810.47 – $1,810.47 | 1 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $528.99 – $528.99 | 1 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | not published | not published | $452.78 – $452.78 | 1 |
| Insert cath pleura with image CPT 32557 | $1,228.54 | $2,318.00 | $1,873.39 – $1,873.39 | 1 |
| Insert cath pleura without image CPT 32556 | $1,172.36 | $2,212.00 | $1,960.30 – $1,960.30 | 1 |
| Insert drug delivery implant CPT 11981 | not published | not published | $125.16 – $505.90 | 4 |
| Insert electrodes for eeg CPT 95830 | not published | not published | $808.86 – $808.86 | 1 |
| Insert epicard eltrd endo 33203 CPT 33203 | not published | not published | $2,909.55 – $2,909.55 | 1 |
| Insert epicardial lead open 33202 CPT 33202 | not published | not published | $2,805.30 – $2,805.30 | 1 |
| Insert eye socket implant CPT 67550 | not published | not published | $3,517.32 – $3,517.32 | 1 |
| Insert hepatic shunt (tips) CPT 37182 | $4,970.87 | $9,379.00 | $3,115.89 – $3,115.89 | 1 |
| Insert heyman uteri capsule CPT 58346 | not published | not published | $1,638.22 – $1,638.22 | 1 |
| Insert intervert bimech device 22854 CPT 22854 | not published | not published | $1,203.78 – $1,203.78 | 1 |
| Insert intracorporeal device CPT 33979 | not published | not published | $7,057.98 – $7,057.98 | 1 |
| Insert intrauterine device iud CPT 58300 | not published | not published | $261.70 – $261.70 | 1 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | not published | not published | $440.77 – $440.77 | 1 |
| Insertion catheter bladder non indwelling CPT 51701 | not published | not published | $125.16 – $197.69 | 4 |
| Insertion catheter bladder temporary simple CPT 51702 | $147.34 | $278.00 | $125.16 – $255.13 | 4 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $2,991.85 | $5,645.00 | $2,834.54 – $2,834.54 | 1 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $4,032.77 | $7,609.00 | $937.01 – $937.01 | 1 |
| Insertion intra-aortic circulation dev 33970 CPT 33970 | not published | not published | $1,285.73 – $1,285.73 | 1 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | not published | not published | $9,542.57 – $9,542.57 | 1 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $1,738.93 | $3,281.00 | $857.60 – $857.60 | 1 |
| Insertion of cannula CPT 36810 | not published | not published | $794.49 – $794.49 | 1 |
| Insertion of cannula(s) CPT 36823 | not published | not published | $4,884.66 – $4,884.66 | 1 |
| Insertion of catheter vein CPT 36481 | not published | not published | $7,396.59 – $7,396.59 | 1 |
| Insertion of catheter vein CPT 36500 | not published | not published | $668.12 – $668.12 | 1 |
| Insertion of heart electrode 33211 CPT 33211 | not published | not published | $659.31 – $659.31 | 1 |
| Insertion of infusion pump CPT 36260 | not published | not published | $2,276.75 – $2,276.75 | 1 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $9,284.54 | $17,518.00 | $1,918.19 – $22,160.00 | 2 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $9,284.54 | $17,518.00 | $1,771.34 – $22,160.00 | 2 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $5,318.02 | $10,034.00 | $1,682.60 – $22,160.00 | 2 |
| Insertion palate prosthesis CPT 42281 | not published | not published | $758.76 – $758.76 | 1 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.