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 |
|---|---|---|---|---|
| Arterial blood draw/perc 36620 CPT 36620 | $350.33 | $661.00 | $191.87 – $191.87 | 1 |
| Artery by graft; iliofemoral 35565 CPT 35565 | not published | not published | $4,855.79 – $4,855.79 | 1 |
| Artery to vein shunt CPT 36835 | not published | not published | $1,802.63 – $1,802.63 | 1 |
| Artery transpose/endovas taa CPT 33889 | not published | not published | $2,869.90 – $2,869.90 | 1 |
| Artery-vein nonautograft CPT 36830 | not published | not published | $2,441.55 – $2,441.55 | 1 |
| Artery xray each vessel 7577426 CPT 75774 | $845.35 | $1,595.00 | $59.58 – $204.00 | 2 |
| Artery xray of abdomen 75726-26 CPT 75726 | $2,145.44 | $4,048.00 | $188.99 – $10,733.33 | 3 |
| Artery x-rays adrenal gland CPT 75731 | not published | not published | $195.86 – $6,438.74 | 3 |
| Artery x-rays adrenals CPT 75733 | not published | not published | $204.00 – $6,438.74 | 3 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $1,176.60 | $2,220.00 | $188.96 – $6,438.74 | 3 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $1,358.39 | $2,563.00 | $204.00 – $6,438.74 | 3 |
| Artery x-rays chest CPT 75756 | not published | not published | $188.47 – $6,438.74 | 3 |
| Artery x-rays lung CPT 75741 | $1,690.70 | $3,190.00 | $204.00 – $6,438.74 | 3 |
| Artery x-rays lung CPT 75746 | not published | not published | $191.85 – $6,438.74 | 3 |
| Artery x-rays lungs CPT 75743 | $1,739.46 | $3,282.00 | $204.00 – $6,438.74 | 3 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $2,913.94 | $5,498.00 | $186.85 – $10,733.33 | 3 |
| Artery x-rays spine CPT 75705 | $2,913.94 | $5,498.00 | $204.00 – $10,733.33 | 3 |
| Art expos/graft artery perfusion 33987 CPT 33987 | not published | not published | $756.78 – $756.78 | 1 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | $4,467.35 – $4,467.35 | 1 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | not published | not published | $5,550.31 – $27,040.00 | 2 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $6,102.73 – $27,040.00 | 2 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $6,617.17 – $6,617.17 | 1 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | not published | not published | $3,449.21 – $3,449.21 | 1 |
| Arthrd elbow jt autog graft CPT 24802 | not published | not published | $3,559.05 – $3,559.05 | 1 |
| Arthrd glenohumeral jt w/grf CPT 23802 | not published | not published | $4,603.60 – $4,603.60 | 1 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | not published | not published | $5,576.09 – $5,576.09 | 1 |
| Arthrd si jt perq/min nvas CPT 27279 | not published | not published | $2,495.44 – $2,495.44 | 1 |
| Arthrd si jt prq wo tfxj dev CPT 27278 | not published | not published | $42,590.18 – $42,590.18 | 1 |
| Arthrd wrist complete wo grf CPT 25800 | not published | not published | $2,664.67 – $2,664.67 | 1 |
| Arthrd wrist lmtd without b1 grf CPT 25820 | not published | not published | $2,240.28 – $2,240.28 | 1 |
| Arthrd wrist with autograft CPT 25825 | not published | not published | $2,765.12 – $2,765.12 | 1 |
| Arthrd wrist w/sliding graft CPT 25805 | not published | not published | $3,060.80 – $3,060.80 | 1 |
| Arthrd wrst iliac/oth agrft CPT 25810 | not published | not published | $3,163.23 – $3,163.23 | 1 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $320.12 | $604.00 | $182.43 – $401.30 | 4 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $444.67 | $839.00 | $290.75 – $941.43 | 4 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $634.41 | $1,197.00 | $286.64 – $401.30 | 4 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $275.07 | $519.00 | $173.89 – $401.30 | 4 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $542.72 | $1,024.00 | $218.02 – $401.30 | 4 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $433.54 | $818.00 | $263.08 – $401.30 | 4 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | not published | not published | $1,397.71 – $27,040.00 | 2 |
| Arthrodesis big toe joint 28760 CPT 28760 | not published | not published | $2,920.25 – $2,920.25 | 1 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | not published | not published | $1,168.83 – $1,168.83 | 1 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | not published | not published | $1,744.89 – $1,744.89 | 1 |
| Arthrodesis elbw joint local CPT 24800 | not published | not published | $3,005.34 – $3,005.34 | 1 |
| Arthrodesis glenohumeral jt CPT 23800 | not published | not published | $3,717.62 – $3,717.62 | 1 |
| Arthrodesis pantalar CPT 28705 | not published | not published | $4,578.54 – $4,578.54 | 1 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | not published | not published | $1,124.60 – $1,124.60 | 1 |
| Arthrodesis presacral intrbod with instr l5-s1 22586 CPT 22586 | not published | not published | $6,590.05 – $6,590.05 | 1 |
| Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 | not published | not published | $4,594.32 – $4,594.32 | 1 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | not published | not published | $1,382.82 – $1,382.82 | 1 |
| Arthrodesis subtalar CPT 28725 | not published | not published | $2,837.04 – $2,837.04 | 1 |
| Arthrodesis triple CPT 28715 | not published | not published | $3,418.55 – $3,418.55 | 1 |
| Arthroplasty finger joint 26535 CPT 26535 | not published | not published | $1,540.71 – $1,540.71 | 1 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $2,437.11 – $2,437.11 | 1 |
| Arthrotomy carpometacarpal joint 26070 CPT 26070 | not published | not published | $1,129.85 – $1,129.85 | 1 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | not published | not published | $1,729.53 – $1,729.53 | 1 |
| Arthrotomy glenhumrl jt w/bx CPT 23100 | not published | not published | $1,804.20 – $1,804.20 | 1 |
| Arthrotomy glenohumeral jt CPT 23105 | not published | not published | $2,305.10 – $2,305.10 | 1 |
| Arthrotomy strnclav joint CPT 23106 | not published | not published | $1,781.30 – $1,781.30 | 1 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | not published | not published | $3,017.83 – $3,017.83 | 1 |
| Arthrp ntrcrpl/crp/mtcrp ssp CPT 25448 | not published | not published | $3,005.30 – $3,005.30 | 1 |
| Arthrp prostc dstl scph crpl CPT 25443 | not published | not published | $2,828.65 – $2,828.65 | 1 |
| Arthrp w/prostc dstl rds CPT 25441 | not published | not published | $3,449.24 – $3,449.24 | 1 |
| Arthrp w/prostc dstl ulna CPT 25442 | not published | not published | $2,943.72 – $2,943.72 | 1 |
| Arthrp w/prostc dst rds&crps CPT 25446 | not published | not published | $4,271.67 – $4,271.67 | 1 |
| Arthrp w/prostc lunate CPT 25444 | not published | not published | $2,992.09 – $2,992.09 | 1 |
| Arthrp w/prostc trapezium CPT 25445 | not published | not published | $2,624.91 – $2,624.91 | 1 |
| Arthrs kne srg drlg ost diss CPT 29885 | not published | not published | $2,731.67 – $2,731.67 | 1 |
| Arthrt acrmclv/strnclav jt CPT 23101 | not published | not published | $1,642.10 – $1,642.10 | 1 |
| Arthrt ac sc jt exp/rmvl fb CPT 23044 | not published | not published | $2,050.42 – $2,050.42 | 1 |
| Arthrt elbow w/synovectomy CPT 24102 | not published | not published | $2,237.96 – $2,237.96 | 1 |
| Arthrt elbw capsl exc rls CPT 24006 | not published | not published | $2,566.99 – $2,566.99 | 1 |
| Arthrt elbw jt expl bx rmvl CPT 24101 | not published | not published | $1,815.58 – $1,815.58 | 1 |
| Arthrt elbw synovial bx only CPT 24100 | not published | not published | $1,514.01 – $1,514.01 | 1 |
| Arthrt gh jt expl/drg/rmv fb CPT 23040 | not published | not published | $2,606.75 – $2,606.75 | 1 |
| Arthrt glenhumrl jt w/expl CPT 23107 | not published | not published | $2,387.80 – $2,387.80 | 1 |
| Arthrt hip expl/rmv loose/fb CPT 27033 | not published | not published | $3,520.45 – $3,520.45 | 1 |
| Arthrt rdcrpl/midcarpl jt CPT 25040 | not published | not published | $2,046.20 – $2,046.20 | 1 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $633.47 – $633.47 | 1 |
| Artificial insemination CPT 58321 | not published | not published | $278.03 – $413.52 | 4 |
| Artific inseminationintrauterine 58322 CPT 58322 | not published | not published | $195.34 – $310.00 | 4 |
| Artiss fibrin sealant HCPCS C9250 | $1,773.82 | $3,346.83 | $555.40 – $555.40 | 1 |
| Art pressure waveform analys CPT 93050 | not published | not published | $23.78 – $33.29 | 4 |
| Art trnsposj subclav carotid 35694 CPT 35694 | not published | not published | $3,623.43 – $3,623.43 | 1 |
| Asc aort gft/cp/root rem/cor recon 33864 CPT 33864 | not published | not published | $11,632.19 – $11,632.19 | 1 |
| Ascend aorta graft oth dissect 33859 CPT 33859 | not published | not published | $8,766.17 – $8,766.17 | 1 |
| Ascend aorta graft w/aortic dissection 33858 CPT 33858 | not published | not published | $12,204.63 – $12,204.63 | 1 |
| Asd repair/cp bypass w without patch 33641 CPT 33641 | not published | not published | $5,952.60 – $5,952.60 | 1 |
| Aspa gene CPT 81200 | not published | not published | $47.25 – $154.64 | 14 |
| Asp core fat pad CPT 17999 | not published | not published | $192.94 – $270.12 | 3 |
| Asp & inj bone cyst CPT 20615 | not published | not published | $683.20 – $956.48 | 4 |
| Asp & inj w/heparin pleurx cath CPT 32999 | not published | not published | $600.34 – $840.48 | 3 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $2,325.64 | $4,388.00 | $824.33 – $824.33 | 1 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | not published | not published | $220.33 – $401.30 | 4 |
| Aspirate pleura without imaging 32554 CPT 32554 | $565.51 | $1,067.00 | $600.34 – $840.48 | 4 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,208.93 | $2,281.00 | $127.14 – $956.48 | 5 |
| Aspiration orbital contents CPT 67415 | not published | not published | $383.63 – $383.63 | 1 |
| Aspiration peritonsillar abscess CPT 42999 | not published | not published | $225.49 – $315.69 | 3 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | not published | not published | $430.22 – $956.48 | 4 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | not published | not published | $864.49 – $1,210.29 | 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.