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 |
|---|---|---|---|---|
| Internal nerve revision 64727 CPT 64727 | not published | not published | $670.21 – $670.21 | 1 |
| Interrogate subq defib CPT 93261 | $365.17 | $689.00 | $36.21 – $71.64 | 4 |
| Interrogation vad in person CPT 93750 | not published | not published | $89.13 – $184.11 | 4 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $30.94 – $50.69 | 4 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $23.78 – $47.23 | 4 |
| Interrog device eval heart CPT 93289 | not published | not published | $36.21 – $63.51 | 4 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $36.21 – $50.73 | 4 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $89.13 – $277.71 | 4 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $291.22 – $502.52 | 4 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $89.13 – $164.42 | 4 |
| Interstitial brachy inter CPT 77799 | not published | not published | $106.33 – $148.86 | 3 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $5,042.06 – $5,042.06 | 1 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $3,884.27 – $3,884.27 | 1 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $1,118.37 – $1,118.37 | 1 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $1,134.89 – $1,134.89 | 1 |
| Intra-atrial pacing CPT 93610 | not published | not published | $180.03 – $13,407.00 | 2 |
| Intra-atrial recording CPT 93602 | not published | not published | $149.09 – $13,407.00 | 2 |
| Intracard echo interv w/s&i CPT 93662 | $3,519.20 | $6,640.00 | $153.75 – $153.75 | 1 |
| Intracran angioplsty w/stent CPT 61635 | $8,007.24 | $15,108.00 | $5,151.65 – $5,151.65 | 1 |
| Intracranial angioplasty CPT 61630 | $8,966.54 | $16,918.00 | $4,780.18 – $4,780.18 | 1 |
| Intracranial complete study CPT 93886 | not published | not published | $158.71 – $328.59 | 4 |
| Intracranial limited study CPT 93888 | $795.53 | $1,501.00 | $85.78 – $144.56 | 4 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $7,946.84 – $7,946.84 | 1 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $14,729.99 – $14,729.99 | 1 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $10,134.04 – $10,134.04 | 1 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $15,920.83 – $15,920.83 | 1 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $7,721.36 – $7,721.36 | 1 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $12,947.54 – $12,947.54 | 1 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $514.48 – $514.48 | 1 |
| Intranasal reconstruction CPT 30620 | not published | not published | $2,275.97 – $2,275.97 | 1 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $607.13 – $607.13 | 1 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $440.03 – $13,407.00 | 2 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $1,061.55 – $1,061.55 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $494.49 – $692.29 | 4 |
| Intrapul surf admin endo tube CPT 94610 | $170.13 | $321.00 | $197.50 – $276.50 | 4 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $424.51 – $1,267.75 | 4 |
| Intraventricular pacing CPT 93612 | not published | not published | $209.78 – $13,407.00 | 2 |
| Intrinsic factor antibody CPT 86340 | $51.41 | $97.00 | $15.08 – $47.71 | 17 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $125.14 – $282.34 | 4 |
| Intro cath dialysis circuit CPT 36901 | $1,394.43 | $2,631.00 | $2,057.51 – $2,057.51 | 1 |
| Intro cath dialysis circuit w/pta CPT 36902 | $9,838.92 | $18,564.00 | $4,380.66 – $4,380.66 | 1 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $19,882.42 | $37,514.00 | $20,124.39 – $20,124.39 | 1 |
| Intro catheter aorta CPT 36200 | not published | not published | $2,247.66 – $2,247.66 | 1 |
| Intro cath svc/ivc CPT 36010 | not published | not published | $1,797.90 – $1,797.90 | 1 |
| Intro long gi tube CPT 44500 | $599.96 | $1,132.00 | $91.50 – $1,274.55 | 4 |
| Intro long gi tube w/mult fluo CPT 74340 | $169.60 | $320.00 | $92.46 – $204.00 | 2 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $4,499.09 – $4,499.09 | 1 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $2,902.81 | $5,477.00 | $5,056.72 – $5,056.72 | 1 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $1,451.14 | $2,738.00 | $778.94 – $778.94 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | not published | not published | $225.49 – $404.03 | 4 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $149.91 – $149.91 | 1 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $57.68 – $104.45 | 4 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $36.21 – $172.62 | 4 |
| Ionm in operatng room 15 min CPT 95940 | $213.59 | $403.00 | $109.11 – $109.11 | 1 |
| Io radiation tx management CPT 77469 | not published | not published | $1,086.72 – $1,086.72 | 1 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $308.83 – $308.83 | 1 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $449.39 – $449.39 | 1 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $541.01 – $541.01 | 1 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $201.01 – $201.01 | 1 |
| Iron CPT 83540 | $25.97 | $49.00 | $6.47 – $29.50 | 17 |
| Iron binding capacity CPT 83550 | $33.92 | $64.00 | $8.74 – $38.95 | 17 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $29.50 | 17 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $1.13 | $2.12 | $0.26 – $0.70 | 10 |
| Irradiation of blood product each unit reference CPT 86945 | $49.29 | $93.00 | $21.83 – $93.25 | 11 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $136.21 | $257.00 | $57.68 – $81.19 | 4 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $705.83 – $705.83 | 1 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $57.68 – $163.56 | 4 |
| Island pedicle flap graft CPT 15740 | not published | not published | $3,702.17 – $3,702.17 | 1 |
| Ivc venogram s&i CPT 75825 | $1,691.23 | $3,191.00 | $190.13 – $6,438.74 | 3 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $202.46 | $382.00 | $69.11 – $100.13 | 4 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $202.46 | $382.00 | $67.93 – $67.93 | 1 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $197.16 | $372.00 | $44.80 – $62.72 | 4 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $321.18 | $606.00 | $204.58 – $286.41 | 4 |
| IV inj ra drug dx study CPT 78808 | $1,319.70 | $2,490.00 | $154.18 – $848.52 | 5 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $387.48 – $542.47 | 4 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $83.90 – $401.74 | 6 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $83.90 – $401.74 | 6 |
| Jak2 targeted sequence analysis CPT 81279 | $622.22 | $1,174.00 | $185.20 – $638.94 | 14 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $1,859.93 – $1,859.93 | 1 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $2,360.08 – $2,360.08 | 1 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $915.68 – $915.68 | 1 |
| John cunningham antibody CPT 86711 | $27.03 | $51.00 | $16.89 – $64.93 | 17 |
| J-tube placement CPT 44015 | not published | not published | $512.43 – $512.43 | 1 |
| Kafo fem fx cast molded to p HCPCS L2128 | $4,095.31 | $7,727.00 | $2,399.76 – $2,399.76 | 1 |
| Keratomileusis CPT 65760 | not published | not published | $4,161.15 – $4,161.15 | 1 |
| Keratophakia CPT 65765 | not published | not published | $6,033.65 – $6,033.65 | 1 |
| Keratoprosthesis CPT 65770 | not published | not published | $5,133.00 – $5,133.00 | 1 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $31.52 – $81.45 | 6 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $63.76 | 17 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $42.93 | $81.00 | $8.17 – $36.60 | 17 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $3.48 | $6.56 | $0.68 – $2.52 | 10 |
| Kidney endoscopy CPT 50551 | not published | not published | $1,314.64 – $1,314.64 | 1 |
| Kidney endoscopy CPT 50553 | not published | not published | $1,397.63 – $1,397.63 | 1 |
| Kidney endoscopy CPT 50570 | not published | not published | $1,809.61 – $1,809.61 | 1 |
| Kidney endoscopy CPT 50575 | not published | not published | $2,630.13 – $2,630.13 | 1 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $1,500.84 – $1,500.84 | 1 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $2,081.97 – $2,081.97 | 1 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $1,533.51 – $1,533.51 | 1 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $1,739.11 – $1,739.11 | 1 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $2,078.95 – $2,078.95 | 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.