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 |
|---|---|---|---|---|
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,228.54 | $2,318.00 | $910.05 – $910.05 | 1 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $2,341.54 | $4,418.00 | $1,430.27 – $1,430.27 | 1 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $28,989.41 | $54,697.00 | $3,336.93 – $55,400.00 | 2 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $6,991.76 | $13,192.00 | $645.77 – $645.77 | 1 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $6,991.76 | $13,192.00 | $1,378.91 – $1,378.91 | 1 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $18,221.93 | $34,381.00 | $18,632.58 – $18,632.58 | 1 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $3,447.12 | $6,504.00 | $4,256.86 – $4,256.86 | 1 |
| Insertion ureth cath CPT 51045 | not published | not published | $1,768.62 – $1,768.62 | 1 |
| Insert lens prosthesis CPT 66985 | not published | not published | $2,798.43 – $2,798.43 | 1 |
| Insert major vessel graft CPT 33330 | not published | not published | $5,168.25 – $5,168.25 | 1 |
| Insert major vessel graft with bypass 33335 CPT 33335 | not published | not published | $6,767.04 – $6,767.04 | 1 |
| Insert multi-comp penis pros CPT 54405 | not published | not published | $2,967.29 – $2,967.29 | 1 |
| Insert nasal septal button CPT 30220 | not published | not published | $1,106.65 – $1,106.65 | 1 |
| Insert ocular implant CPT 65130 | not published | not published | $2,665.87 – $2,665.87 | 1 |
| Insert ocular implant CPT 65135 | not published | not published | $2,704.18 – $2,704.18 | 1 |
| Insert pelv fixation device CPT 22848 | not published | not published | $1,283.90 – $1,283.90 | 1 |
| Insert pessary/other device CPT 57160 | not published | not published | $195.34 – $275.83 | 4 |
| Insert picvad cath CPT 36570 | not published | not published | $4,210.09 – $4,210.09 | 1 |
| Insert pm/icd lead dual CPT 33217 | $6,991.76 | $13,192.00 | $1,352.46 – $1,352.46 | 1 |
| Insert prost urethral stent CPT 53855 | not published | not published | $2,791.64 – $2,791.64 | 1 |
| Insert/repl sq defib w/eltrd CPT 33270 | $28,989.41 | $54,697.00 | $2,129.64 – $55,400.00 | 2 |
| Insert self-contd prosthesis CPT 54401 | not published | not published | $2,404.84 – $2,404.84 | 1 |
| Insert semi-rigid prosthesis CPT 54400 | not published | not published | $1,942.99 – $1,942.99 | 1 |
| Insert spine fixation device CPT 22843 | not published | not published | $2,898.10 – $2,898.10 | 1 |
| Insert spine fixation device CPT 22841 | not published | not published | $1,403.60 – $1,403.60 | 1 |
| Insert spine fixation device CPT 22844 | not published | not published | $3,526.19 – $3,526.19 | 1 |
| Insert spine fixation device CPT 22847 | not published | not published | $2,942.82 – $2,942.82 | 1 |
| Insert spine infusion device 62360 CPT 62360 | not published | not published | $1,140.30 – $1,140.30 | 1 |
| Insert sq defib electrode CPT 33271 | $6,991.76 | $13,192.00 | $1,794.43 – $55,400.00 | 2 |
| Insert swan-ganz cath CPT 93503 | $2,580.04 | $4,868.00 | $441.52 – $441.52 | 1 |
| Insert tandem cuff CPT 53444 | not published | not published | $2,909.21 – $2,909.21 | 1 |
| Insert tissue expander(s) CPT 11960 | not published | not published | $3,447.53 – $3,447.53 | 1 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | not published | not published | $3,514.11 – $3,514.11 | 1 |
| Insert tunneled cv cath CPT 36560 | not published | not published | $4,857.62 – $4,857.62 | 1 |
| Insert tunneled cv cath CPT 36563 | not published | not published | $4,809.57 – $4,809.57 | 1 |
| Insert ureteral support CPT 50605 | not published | not published | $3,534.81 – $3,534.81 | 1 |
| Insert uro/ves nck sphincter CPT 53445 | not published | not published | $2,759.72 – $2,759.72 | 1 |
| Insert uteri tandem/ovoids CPT 57155 | not published | not published | $1,569.66 – $1,569.66 | 1 |
| Insert vad art access left hrt arterial access CPT 33990 | $3,010.93 | $5,681.00 | $1,583.01 – $1,583.01 | 1 |
| Insert vad art access left hrt art & vein access CPT 33991 | not published | not published | $2,306.33 – $2,306.33 | 1 |
| Ins icd gen exist mlt leads CPT 33231 | $29,097.53 | $54,901.00 | $1,487.49 – $55,400.00 | 2 |
| Ins icd gen exist sgl lead CPT 33240 | $20,779.18 | $39,206.00 | $1,361.34 – $55,400.00 | 2 |
| Insitu hybridization auto CPT 88367 | $484.42 | $914.00 | $31.42 – $489.02 | 12 |
| Insitu hybridization (fish) CPT 88366 | not published | not published | $58.06 – $510.28 | 12 |
| Insitu hybridization manual CPT 88368 | $190.80 | $360.00 | $39.92 – $489.02 | 12 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $175.43 | $331.00 | $32.01 – $242.00 | 9 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $175.43 | $331.00 | $40.55 – $313.33 | 12 |
| Insj biomechanical device CPT 22859 | not published | not published | $1,203.78 – $1,203.78 | 1 |
| Insj biomechanical device 22853 CPT 22853 | not published | not published | $929.93 – $929.93 | 1 |
| Insj perq vad r hrt venous CPT 33995 | $3,010.93 | $5,681.00 | $1,232.39 – $1,232.39 | 1 |
| Insj phrnc nrv stim sys CPT 33276 | not published | not published | $1,877.61 – $1,877.61 | 1 |
| Insj phrnc nrv stim transvns CPT 33277 | not published | not published | $975.54 – $975.54 | 1 |
| Insj rx elut implt lac canal CPT 68841 | not published | not published | $142.52 – $142.52 | 1 |
| Insj stablj dev w/dcmprn CPT 22867 | not published | not published | $3,502.88 – $3,502.88 | 1 |
| Insj stablj dev w/dcmprn CPT 22868 | not published | not published | $871.89 – $871.89 | 1 |
| Insj stablj dev without dcmprn CPT 22869 | not published | not published | $1,944.08 – $1,944.08 | 1 |
| Insj stablj dev without dcmprn CPT 22870 | not published | not published | $509.11 – $509.11 | 1 |
| Ins left heart vent thor inscn ecmo CPT 33988 | not published | not published | $2,821.48 – $2,821.48 | 1 |
| Ins lv lead exist pm/icd CPT 33224 | $9,206.10 | $17,370.00 | $1,852.39 – $22,160.00 | 2 |
| Ins mark abd/pel for right perq CPT 49411 | not published | not published | $1,992.42 – $1,992.42 | 1 |
| Ins mark thor for right perq CPT 32553 | not published | not published | $2,149.26 – $2,149.26 | 1 |
| Ins picad w subq port 5yr> CPT 36571 | $3,128.59 | $5,903.00 | $4,729.75 – $4,729.75 | 1 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $1,198.86 | $2,262.00 | $600.34 – $1,521.36 | 4 |
| Ins pm gen exist dual lead CPT 33230 | $27,604.52 | $52,084.00 | $1,428.48 – $55,400.00 | 2 |
| Ins pm gen w/exist mlt leads CPT 33221 | $16,526.46 | $31,182.00 | $1,343.28 – $22,160.00 | 2 |
| Ins pq tunnld ip cath w/img CPT 49418 | $4,104.32 | $7,744.00 | $5,199.84 – $5,199.84 | 1 |
| Ins/rplcm prq eltrd ra pn ea CPT 64597 | not published | not published | $1,987.08 – $1,987.08 | 1 |
| Ins/rplcmt prq eltrd ra pn 1 CPT 64596 | not published | not published | $6,624.59 – $6,624.59 | 1 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | $1,331.42 – $1,331.42 | 1 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $37,786.88 | $71,296.00 | $1,766.34 – $1,766.34 | 1 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $9,206.10 | $17,370.00 | $1,253.39 – $22,160.00 | 2 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $6,991.76 | $13,192.00 | $1,201.28 – $22,160.00 | 2 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $9,284.54 | $17,518.00 | $1,663.17 – $22,160.00 | 2 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $959.62 – $959.62 | 1 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $72,205.61 | $136,237.00 | $1,183.23 – $1,183.23 | 1 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $1,847.77 – $1,847.77 | 1 |
| Ins sk-mnt crnl nstm pg/rcvr CPT 61889 | not published | not published | $4,340.41 – $4,340.41 | 1 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $430.63 – $430.63 | 1 |
| Install spinal shunt CPT 63740 | not published | not published | $3,361.25 – $3,361.25 | 1 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | $2,419.39 – $2,419.39 | 1 |
| Inst fibrinolysis agent ini day CPT 32561 | $1,802.53 | $3,401.00 | $338.24 – $840.48 | 4 |
| Inst fibrinolysis agent sbsq d CPT 32562 | not published | not published | $303.66 – $840.48 | 4 |
| Instillation anticarcinogenic agent bladder CPT 51720 | not published | not published | $395.04 – $907.38 | 4 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $236.16 – $445.51 | 4 |
| Ins trurl ablt trnsdc thr Ultrasound CPT 51721 | not published | not published | $1,852.21 – $1,852.21 | 1 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $19,799.18 – $19,799.18 | 1 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | not published | not published | $3,636.15 – $3,636.15 | 1 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $2,389.77 | $4,509.00 | $2,834.95 – $2,834.95 | 1 |
| Ins tun intraperit dia cath CPT 49421 | $2,341.01 | $4,417.00 | $831.27 – $831.27 | 1 |
| Inst via cath agent pleurds CPT 32560 | $770.09 | $1,453.00 | $600.34 – $883.79 | 4 |
| Insulin suppression panel CPT 80432 | not published | not published | $94.57 – $692.93 | 17 |
| Insulin tolerance panel CPT 80434 | not published | not published | $167.42 – $669.82 | 17 |
| Insulin tolerance panel CPT 80435 | not published | not published | $103.00 – $461.54 | 17 |
| Insulin total CPT 83525 | $41.87 | $79.00 | $11.43 – $50.75 | 17 |
| Ins vag brachytx device CPT 57156 | not published | not published | $295.37 – $721.76 | 4 |
| Intercalary algrft compl CPT 20934 | not published | not published | $2,591.75 – $2,591.75 | 1 |
| Interdental fixation CPT 21110 | not published | not published | $2,970.91 – $2,970.91 | 1 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $2,728.98 – $2,728.98 | 1 |
| Interdiscal perq aspir dx CPT 62267 | $1,186.14 | $2,238.00 | $683.20 – $956.48 | 4 |
| Intermediate visual field xm CPT 92082 | not published | not published | $57.68 – $80.75 | 4 |
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.