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 |
|---|---|---|---|---|
| Mayo pregnenolone CPT 84140 | $69.96 | $132.00 | $20.67 – $93.25 | 17 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $53.53 | $101.00 | $16.59 – $74.38 | 17 |
| Mayo proinsulin CPT 84206 | not published | not published | $26.69 – $80.28 | 17 |
| Mayo psaft prostate specific antigen free CPT 84154 | $60.42 | $114.00 | $18.39 – $82.63 | 17 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $2,908.64 | $5,488.00 | $18.40 – $60.20 | 17 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $13.36 – $60.20 | 17 |
| Mayo receptor assay transferrin soluble CPT 84238 | $118.72 | $224.00 | $36.57 – $164.08 | 17 |
| Mayo renin CPT 84244 | $70.49 | $133.00 | $21.99 – $99.15 | 17 |
| Mayo repu protein electrophoresis urine CPT 84166 | $62.54 | $118.00 | $17.83 – $62.96 | 17 |
| Mayo selenium CPT 84255 | $59.89 | $113.00 | $25.53 – $114.51 | 17 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $75.26 | $142.00 | $15.50 – $69.66 | 17 |
| Mayo serotonin CPT 84260 | $100.70 | $190.00 | $30.98 – $139.28 | 17 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $64.13 | $121.00 | $19.35 – $87.35 | 17 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $69.96 | $132.00 | $13.73 – $61.38 | 17 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | not published | not published | not published | 0 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $23.32 | $44.00 | $4.27 – $18.87 | 17 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | not published | 0 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $208.92 – $937.26 | 17 |
| Mayo tgrp testosterone free CPT 84402 | $82.68 | $156.00 | $25.47 – $114.51 | 17 |
| Mayo tgrp testosterone total CPT 84403 | $87.98 | $166.00 | $25.81 – $115.68 | 17 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $22.17 – $73.52 | 6 |
| Mayo thyroglobulin CPT 84432 | $51.41 | $97.00 | $16.06 – $72.00 | 17 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $48.76 | $92.00 | $9.63 – $27.32 | 17 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $43.99 | $83.00 | $9.63 – $29.12 | 17 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $34.98 | $66.00 | $31.52 – $81.45 | 6 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $81.62 | $154.00 | $51.28 – $238.46 | 16 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $96.99 | $183.00 | $14.16 – $47.23 | 17 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $13.54 – $61.38 | 17 |
| Mayo vasoactive intestinal peptide CPT 84586 | $95.93 | $181.00 | $21.10 – $83.03 | 17 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $151.05 | $285.00 | $20.24 – $90.91 | 17 |
| Mayo vitamin b3 (niacin) CPT 84591 | not published | not published | $17.06 – $51.92 | 17 |
| Mayo vitamin k CPT 84597 | not published | not published | $13.72 – $61.38 | 17 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $159.00 | $300.00 | $13.25 – $59.03 | 17 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $3,058.23 – $3,058.23 | 1 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $128.67 | 14 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $1,686.59 – $1,686.59 | 1 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $1,935.09 – $1,935.09 | 1 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $2,077.09 – $2,077.09 | 1 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $72.25 – $72.25 | 1 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $5,632.67 – $5,632.67 | 1 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $112.40 – $721.31 | 4 |
| Measure kidney pressure CPT 50396 | not published | not published | $437.12 – $907.38 | 4 |
| Measurement post void urine by ultrasound CPT 51798 | $179.67 | $339.00 | $57.68 – $80.75 | 4 |
| Measure ureter pressure CPT 50686 | not published | not published | $151.93 – $524.77 | 4 |
| #mec-opiates CPT 80356 | $73.14 | $138.00 | $32.60 – $81.45 | 6 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $150.00 – $492.24 | 14 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $527.87 – $1,730.52 | 14 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $120.00 – $393.09 | 14 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | not published | not published | $160.38 – $160.38 | 1 |
| Medial canthopexy CPT 21280 | not published | not published | $2,083.69 – $2,083.69 | 1 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $1,468.05 – $1,468.05 | 1 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $1,126.01 – $1,126.01 | 1 |
| Medical services after hrs CPT 99050 | not published | not published | $61.64 – $61.64 | 1 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $285.46 – $2,714.74 | 5 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $59.26 – $59.26 | 1 |
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $59.26 – $59.26 | 1 |
| Meg evoked each addl CPT 95967 | not published | not published | $623.22 – $623.22 | 1 |
| Meg evoked single CPT 95966 | not published | not published | $715.26 – $1,383.07 | 4 |
| Meg spontaneous CPT 95965 | not published | not published | $987.91 – $1,411.75 | 4 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $455.40 – $788.24 | 2 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $5,842.08 – $5,842.08 | 1 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $5.46 | $10.30 | $0.68 – $8.56 | 2 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $4.39 | $8.29 | $0.48 – $3.17 | 10 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $931.38 – $931.38 | 1 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $4,704.77 | $8,876.93 | $56.09 – $56.09 | 1 |
| Metabolic Blood Panel (Basic) CPT 80048 | $50.88 | $96.00 | $8.46 – $37.78 | 17 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $65.72 | $124.00 | $10.56 – $47.23 | 17 |
| Metabolic panel ionized ca CPT 80047 | $56.71 | $107.00 | $13.73 – $37.78 | 17 |
| Methadone injection HCPCS J1230 | $10.50 | $19.81 | $8.32 – $18.49 | 2 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $1.53 | $2.89 | $0.22 – $1.21 | 11 |
| Methotrexate therapeutic drug level CPT 80204 | $121.90 | $230.00 | $38.57 – $90.64 | 13 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $2.55 | $4.81 | $4.15 – $4.15 | 1 |
| Methylphenidate CPT 80360 | $181.79 | $343.00 | $31.52 – $81.45 | 6 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $0.80 | $1.50 | $0.14 – $0.63 | 6 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $3.73 | $7.04 | $0.03 – $2.89 | 6 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $448.57 | 17 |
| Mgmt promoter methylation analysis CPT 81287 | $2,423.69 | $4,573.00 | $100.94 – $292.90 | 17 |
| Microalbumin urine screen CPT 82044 | not published | not published | $5.02 – $14.64 | 17 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $17.16 – $94.40 | 17 |
| Microdissection laser CPT 88380 | not published | not published | $98.66 – $198.48 | 8 |
| Microdissection manual CPT 88381 | $800.30 | $1,510.00 | $87.46 – $396.44 | 8 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $74.38 | 17 |
| Microsatellite instability CPT 81301 | $285.67 | $539.00 | $348.56 – $1,299.65 | 17 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $767.22 – $767.22 | 1 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $123.69 – $212.70 | 4 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $0.91 | $1.71 | $0.16 – $0.52 | 10 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $103.26 – $519.00 | 6 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,490.20 – $10,899.00 | 11 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $10,120.09 – $10,120.09 | 1 |
| Mlh1 gene CPT 81288 | $1,413.51 | $2,667.00 | $192.32 – $526.47 | 17 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $626.83 | 17 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $2,125.96 | 17 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $314.24 – $852.29 | 17 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $22.68 – $74.32 | 4 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.74 – $19.18 | 4 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $3,831.90 – $3,831.90 | 1 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $85.50 – $182.03 | 5 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $306.38 – $306.38 | 1 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $530.52 – $530.52 | 1 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $509.29 – $509.29 | 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.