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 |
|---|---|---|---|---|
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $1,622.44 – $1,622.44 | 1 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $2,257.25 – $2,257.25 | 1 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | not published | not published | $8,502.09 – $8,502.09 | 1 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | not published | not published | $8,759.23 – $8,759.23 | 1 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $1,622.11 – $1,622.11 | 1 |
| Ntraop hipec px ea add 30min CPT 96548 | not published | not published | $487.56 – $487.56 | 1 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $207.31 – $715.22 | 14 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $207.31 – $715.22 | 14 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $207.31 – $715.22 | 14 |
| Ntrk translocation analysis CPT 81194 | $824.15 | $1,555.00 | $518.28 – $1,788.07 | 14 |
| Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 | not published | not published | $98.69 – $98.69 | 1 |
| Ntrprof ph1/ntrnet/ehr rfrl CPT 99452 | not published | not published | $98.69 – $98.69 | 1 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | not published | not published | $561.71 – $1,143.09 | 4 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | not published | not published | $561.71 – $1,141.02 | 4 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $91.22 – $848.52 | 5 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $21.78 – $72.00 | 17 |
| Nuclear rx intra-arterial CPT 79445 | not published | not published | $217.63 – $561.65 | 5 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $167.15 – $561.65 | 5 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $193.82 – $561.65 | 5 |
| Nuclear rx IV admin CPT 79101 | not published | not published | $158.87 – $561.65 | 5 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,420.20 | $8,340.00 | $270.07 – $2,938.37 | 2 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $174.40 – $561.65 | 5 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $291.36 – $952.61 | 14 |
| Nursing fac care supervision CPT 99379 | not published | not published | $187.80 – $187.80 | 1 |
| Nursing fac care supervision CPT 99380 | not published | not published | $280.38 – $280.38 | 1 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | not published | not published | $282.80 – $282.80 | 1 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | not published | not published | $194.79 – $194.79 | 1 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $5,810.33 – $5,810.33 | 1 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | not published | not published | $582.17 – $582.17 | 1 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | not published | not published | $356.17 – $356.17 | 1 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | not published | not published | $451.77 – $451.77 | 1 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $3,720.30 – $3,720.30 | 1 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $74.86 – $336.41 | 17 |
| Obstetrics panel CPT 80055 | $191.86 | $362.00 | $47.81 – $214.83 | 17 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $103.26 – $519.00 | 6 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $99.84 – $519.00 | 2 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $877.82 – $877.82 | 1 |
| Ocular function screen CPT 99172 | not published | not published | $10.64 – $10.64 | 1 |
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $45.08 – $45.08 | 1 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $532.70 – $1,045.33 | 4 |
| Ocular reconst transplant CPT 65780 | not published | not published | $2,613.20 – $2,613.20 | 1 |
| Ocular reconst transplant CPT 65781 | not published | not published | $4,873.84 – $4,873.84 | 1 |
| Ocular reconst transplant CPT 65782 | not published | not published | $4,203.78 – $4,203.78 | 1 |
| Office emergency care CPT 99058 | not published | not published | $74.12 – $74.12 | 1 |
| Off/op cnsltj new/est low 30 CPT 99243 | not published | not published | $327.54 – $327.54 | 1 |
| Off/op cnsltj new/est mod 40 CPT 99244 | not published | not published | $490.21 – $490.21 | 1 |
| Off/op consltj new/est hi 55 CPT 99245 | not published | not published | $597.95 – $597.95 | 1 |
| Off/op consltj new/est sf 20 CPT 99242 | not published | not published | $239.12 – $239.12 | 1 |
| Ol dig e/m svc 11-20 min CPT 99422 | not published | not published | $80.91 – $80.91 | 1 |
| Ol dig e/m svc 21+ min CPT 99423 | not published | not published | $130.78 – $130.78 | 1 |
| Ol dig e/m svc 5-10 min CPT 99421 | not published | not published | $40.66 – $40.66 | 1 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $5,216.82 – $5,216.82 | 1 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $1,275.73 – $1,275.73 | 1 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $4,066.65 – $12,587.29 | 11 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,635.72 – $10,150.59 | 11 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $4,066.65 – $12,699.17 | 11 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $4,066.65 – $12,668.47 | 11 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $4,066.65 – $12,693.96 | 8 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $7,552.65 – $24,815.85 | 11 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,271.80 – $10,281.62 | 12 |
| Oncology colorectal scr CPT 81528 | not published | not published | $508.87 – $1,259.18 | 17 |
| Oncology gynecologic CPT 81535 | not published | not published | $427.74 – $1,361.73 | 17 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $585.50 | 17 |
| Oncology lung CPT 81538 | not published | not published | $2,565.75 – $6,995.29 | 12 |
| Oncology prostate prob score CPT 81539 | not published | not published | $726.37 – $2,077.25 | 16 |
| Oncology thyroid CPT 81545 | not published | not published | $3,887.50 – $5,112.00 | 2 |
| Oncology tissue of origin CPT 81504 | not published | not published | $520.00 – $1,704.55 | 14 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,523.05 – $9,605.25 | 12 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $897.00 – $2,941.66 | 14 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $260.50 – $854.64 | 14 |
| Oncoprotein dcp CPT 83951 | not published | not published | $64.41 – $289.21 | 17 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $64.41 – $289.21 | 17 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $2,131.50 – $6,639.97 | 11 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $4,066.65 – $13,361.85 | 10 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $4,066.65 – $12,699.17 | 11 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,780.00 – $12,420.00 | 11 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $8,164.80 – $26,827.20 | 11 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $2.96 | $5.59 | $0.01 – $2.25 | 11 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $0.47 | $0.89 | $0.11 – $0.37 | 9 |
| Oocyte identification CPT 89254 | not published | not published | $82.47 – $232.95 | 6 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $4,221.91 – $4,221.91 | 1 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $4,967.17 – $4,967.17 | 1 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $5,206.82 – $5,206.82 | 1 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $6,455.70 – $6,455.70 | 1 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $6,909.56 – $6,909.56 | 1 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $6,938.17 – $6,938.17 | 1 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $1,583.09 – $1,583.09 | 1 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $2,762.36 – $2,762.36 | 1 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $824.55 – $824.55 | 1 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $2,828.38 – $2,828.38 | 1 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $2,652.37 – $2,652.37 | 1 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $2,513.20 – $2,513.20 | 1 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $7,381.11 – $7,381.11 | 1 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $1,593.12 – $1,593.12 | 1 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $2,260.42 – $2,260.42 | 1 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $5,115.84 – $5,115.84 | 1 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $2,081.82 – $2,081.82 | 1 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $2,669.26 – $2,669.26 | 1 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $2,199.21 – $2,199.21 | 1 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $2,636.21 – $2,636.21 | 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.