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 |
|---|---|---|---|---|
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $710.79 – $710.79 | 1 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,518.30 – $1,518.30 | 1 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,423.82 – $1,423.82 | 1 |
| Mnt subs tx for change dx HCPCS G0270 | $31.27 | $59.00 | $46.36 – $46.36 | 1 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $436.41 – $436.41 | 1 |
| Modification of contact lens CPT 92325 | not published | not published | $125.16 – $175.22 | 4 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $4,966.61 – $4,966.61 | 1 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $2,112.63 – $2,112.63 | 1 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $13.98 – $52.82 | 11 |
| Mopath procedure level 1 CPT 81400 | $262.88 | $496.00 | $63.96 – $210.12 | 15 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $150.33 – $493.42 | 14 |
| Mopath procedure level 5 CPT 81404 | $354.57 | $669.00 | $274.83 – $900.68 | 15 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $301.35 – $988.03 | 14 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $282.88 – $927.83 | 14 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $2,775.21 | 14 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $2,100.00 – $6,558.52 | 11 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $6.20 | $11.70 | $2.25 – $7.56 | 8 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $68.31 | $128.88 | $6.39 – $35.23 | 10 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $801.36 | $1,512.00 | $39.99 – $682.30 | 12 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $181.79 | $343.00 | $41.29 – $489.02 | 12 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $128.79 | $243.00 | $39.24 – $232.95 | 12 |
| Motion analysis video/3d CPT 96000 | not published | not published | $318.27 – $721.31 | 4 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $355.03 – $1,383.07 | 4 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $9.11 – $542.47 | 4 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $1,435.71 – $1,435.71 | 1 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $467.46 | $882.00 | $24.09 – $104.27 | 9 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $347.15 | $655.00 | $60.73 – $796.09 | 12 |
| M/phmtrc alysishquant/semiq CPT 88369 | $832.63 | $1,571.00 | $31.69 – $189.48 | 9 |
| M/phmtrc alys skeletal musc CPT 88355 | $559.15 | $1,055.00 | $53.33 – $243.88 | 11 |
| Mpl gene analysis common variants CPT 81338 | $541.13 | $1,021.00 | $150.33 – $518.64 | 14 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $89.70 | 17 |
| M.pneumon dna quant CPT 87582 | not published | not published | $69.10 – $711.16 | 17 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $137.16 – $420.75 | 3 |
| MRA abdomen post contrast CPT 74185 | $1,426.76 | $2,692.00 | $306.22 – $836.00 | 3 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $1,366.34 | $2,578.00 | $306.74 – $836.00 | 3 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $1,362.10 | $2,570.00 | $307.50 – $836.00 | 3 |
| MRA pelvis CPT 72198 | $1,366.34 | $2,578.00 | $305.05 – $836.00 | 3 |
| MRA spinal canal CPT 72159 | $645.54 | $1,218.00 | $308.57 – $836.00 | 3 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,366.34 | $2,578.00 | $292.84 – $836.00 | 3 |
| Mr elastography CPT 76391 | not published | not published | $189.75 – $836.00 | 6 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $3,705.53 – $3,705.53 | 1 |
| MRI brain w/dye CPT 70558 | not published | not published | $172.86 – $836.00 | 6 |
| MRI brain without dye CPT 70557 | not published | not published | $499.01 – $1,086.50 | 6 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $172.86 – $836.00 | 6 |
| MRI breast c- unilateral CPT 77046 | $633.88 | $1,196.00 | $65.28 – $836.00 | 7 |
| MRI breast c-+ w/cad uni CPT 77048 | $939.16 | $1,772.00 | $94.69 – $836.00 | 4 |
| MRI breast without cont bi CPT 77047 | $649.78 | $1,226.00 | $71.98 – $836.00 | 7 |
| MRI breast w IV cont bi CPT 77049 | $1,506.26 | $2,842.00 | $103.69 – $836.00 | 4 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,341.96 | $2,532.00 | $234.71 – $836.00 | 6 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $346.78 – $836.00 | 6 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $501.98 – $1,609.16 | 6 |
| MRI chest without contrast CPT 71550 | $1,337.19 | $2,523.00 | $234.71 – $836.00 | 6 |
| MRI chest without & w/contrast CPT 71552 | $1,426.76 | $2,692.00 | $346.78 – $836.00 | 6 |
| MRI chest w IV cont CPT 71551 | not published | not published | $295.22 – $1,609.16 | 6 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $304.91 – $836.00 | 2 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $234.71 – $836.00 | 6 |
| MRI guid ndl plc s&i CPT 77021 | $1,082.26 | $2,042.00 | $255.44 – $836.00 | 2 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $724.05 – $836.00 | 2 |
| MRI loex nonjt w IV cont CPT 73719 | $1,387.01 | $2,617.00 | $277.38 – $836.00 | 6 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,355.21 | $2,557.00 | $231.50 – $836.00 | 6 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,441.07 | $2,719.00 | $346.78 – $836.00 | 6 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,381.18 | $2,606.00 | $230.32 – $836.00 | 6 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $1,441.07 | $2,719.00 | $346.78 – $836.00 | 6 |
| MRI orbit fac&nck w IV cont CPT 70542 | not published | not published | $277.38 – $836.00 | 6 |
| MRI tmj CPT 70336 | not published | not published | $234.71 – $836.00 | 6 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,368.46 | $2,582.00 | $231.50 – $836.00 | 6 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,484.00 | $2,800.00 | $346.78 – $836.00 | 6 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $277.38 – $836.00 | 6 |
| Mr safety determination physician/other qhp CPT 76016 | $163.24 | $308.00 | $85.50 – $198.11 | 5 |
| Mr safety implant elec prepj CPT 76018 | $170.13 | $321.00 | $89.13 – $206.53 | 5 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $166.32 – $166.32 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | $110.24 | $208.00 | $57.68 – $133.65 | 5 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $45.58 | $86.00 | $23.78 – $55.10 | 5 |
| Mr sfty med physics xm cstmz CPT 76017 | $448.38 | $846.00 | $113.85 – $543.87 | 5 |
| Mr spectroscopy CPT 76390 | $1,033.50 | $1,950.00 | $85.50 – $836.00 | 6 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $184.02 – $501.25 | 17 |
| Msh2 gene full seq CPT 81295 | not published | not published | $184.02 – $897.00 | 17 |
| Msh2 gene known variants CPT 81296 | not published | not published | $157.13 – $793.67 | 17 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $196.12 – $559.30 | 17 |
| Msh6 gene full seq CPT 81298 | not published | not published | $349.14 – $1,508.35 | 17 |
| Msh6 gene known variants CPT 81299 | not published | not published | $195.59 – $723.80 | 17 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $9,033.31 – $9,033.31 | 1 |
| Mthfr gene analy common variants CPT 81291 | $131.97 | $249.00 | $65.34 – $195.96 | 17 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $89.70 | 17 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $192.41 | 17 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $25.98 | 17 |
| Mucopolysaccharides CPT 83864 | $54.59 | $103.00 | $28.50 – $89.70 | 17 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.00 – $59.03 | 17 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $28.93 – $94.59 | 4 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $113.49 – $218.41 | 4 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $112.23 – $212.70 | 4 |
| Multiple sleep latency test CPT 95805 | not published | not published | $199.65 – $721.31 | 4 |
| Mumps antibody igg CPT 86735 | $50.35 | $95.00 | $13.05 – $59.03 | 17 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $4,805.02 – $4,805.02 | 1 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $5,089.59 – $5,089.59 | 1 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $5,440.47 – $5,440.47 | 1 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $140.86 – $423.33 | 4 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $151.93 – $215.90 | 4 |
| Muscle test larynx CPT 95865 | $400.15 | $755.00 | $125.16 – $193.80 | 4 |
| Muscle test one fiber CPT 95872 | not published | not published | $136.82 – $212.70 | 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.