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 |
|---|---|---|---|---|
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $3,453.08 – $3,453.08 | 1 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $1,957.65 – $1,957.65 | 1 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $2,912.94 – $2,912.94 | 1 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $2,910.97 – $2,910.97 | 1 |
| Ophthalmic biometry CPT 92136 | not published | not published | $106.01 – $175.22 | 4 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $331.37 – $331.37 | 1 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $38.11 – $61.13 | 4 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $125.16 – $519.00 | 6 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $103.26 – $519.00 | 6 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $103.26 – $519.00 | 6 |
| Opioids & opiate analogs 3/4 CPT 80363 | not published | not published | not published | 0 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $4,468.47 – $4,468.47 | 1 |
| Opn ax/subcla art expos CPT 34715 | $2,736.39 | $5,163.00 | $1,097.12 – $1,097.12 | 1 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | $7,572.61 – $7,572.61 | 1 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | not published | not published | $6,516.24 – $6,516.24 | 1 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | not published | not published | $9,343.91 – $9,343.91 | 1 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | not published | not published | $5,451.10 – $5,451.10 | 1 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | $4,302.85 – $4,302.85 | 1 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | $2,736.39 | $5,163.00 | $979.88 – $979.88 | 1 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $2,223.49 – $2,223.49 | 1 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $2,348.63 – $2,348.63 | 1 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $1,086.85 – $1,086.85 | 1 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $1,165.96 – $1,165.96 | 1 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $2,430.51 – $2,430.51 | 1 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $3,209.59 – $3,209.59 | 1 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $4,089.12 – $4,089.12 | 1 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $4,232.84 – $4,232.84 | 1 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $4,440.15 – $4,440.15 | 1 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $1,841.09 – $1,841.09 | 1 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $4,194.31 – $4,194.31 | 1 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $3,336.30 – $3,336.30 | 1 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $4,440.98 – $4,440.98 | 1 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $2,611.11 – $2,611.11 | 1 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $2,555.16 – $2,555.16 | 1 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $2,503.35 – $2,503.35 | 1 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $3,222.57 – $3,222.57 | 1 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $2,374.52 – $2,374.52 | 1 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $1,902.56 – $1,902.56 | 1 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $2,923.13 – $2,923.13 | 1 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $3,688.71 – $3,688.71 | 1 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $53.31 – $80.75 | 4 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $57.68 – $83.84 | 4 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $18.58 – $167.91 | 8 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $66.33 – $66.33 | 1 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $2,370.90 – $2,370.90 | 1 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $2,036.84 – $2,036.84 | 1 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $2,103.53 – $2,103.53 | 1 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $2,623.53 – $2,623.53 | 1 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $2,608.76 – $2,608.76 | 1 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $4,440.45 – $4,440.45 | 1 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $6,382.81 – $6,382.81 | 1 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $2,404.66 – $2,404.66 | 1 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $7,516.55 – $7,516.55 | 1 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $4,628.30 – $4,628.30 | 1 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $2,052.77 – $2,052.77 | 1 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $2,833.87 – $2,833.87 | 1 |
| Optx lunate dislocation CPT 25695 | not published | not published | $2,292.64 – $2,292.64 | 1 |
| Optx medial ankle fx CPT 27766 | not published | not published | $2,215.10 – $2,215.10 | 1 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $3,541.78 – $3,541.78 | 1 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $7,938.93 – $7,938.93 | 1 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $2,195.07 – $2,195.07 | 1 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $2,846.92 – $2,846.92 | 1 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $2,480.86 – $2,480.86 | 1 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $3,020.33 – $3,020.33 | 1 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $3,930.90 – $3,930.90 | 1 |
| Optx post ankle fx CPT 27769 | not published | not published | $2,658.48 – $2,658.48 | 1 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $3,206.94 – $3,206.94 | 1 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $4,502.26 – $4,502.26 | 1 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $2,426.14 – $2,426.14 | 1 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $2,267.02 – $2,267.02 | 1 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $2,192.94 – $2,192.94 | 1 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $2,848.34 – $2,848.34 | 1 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $3,453.35 – $3,453.35 | 1 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $3,267.11 – $3,267.11 | 1 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $2,437.11 – $2,437.11 | 1 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $3,556.18 – $3,556.18 | 1 |
| Optx sho dislc fx CPT 23670 | not published | not published | $3,171.58 – $3,171.58 | 1 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $3,365.58 – $3,365.58 | 1 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $2,258.33 – $2,258.33 | 1 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $1,991.93 – $1,991.93 | 1 |
| Optx thigh fx CPT 27269 | not published | not published | $4,497.60 – $4,497.60 | 1 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $3,370.28 – $3,370.28 | 1 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $2,657.96 – $2,657.96 | 1 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $2,260.57 – $2,260.57 | 1 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $2,266.12 – $2,266.12 | 1 |
| Oral aprepitant HCPCS J8501 | $5.38 | $10.16 | $3.51 – $9.22 | 11 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $10,174.25 – $10,174.25 | 1 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $11,482.39 – $11,482.39 | 1 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $11,274.00 – $11,274.00 | 1 |
| Orchiectomy partial CPT 54522 | not published | not published | $2,247.29 – $2,247.29 | 1 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $2,606.60 – $2,606.60 | 1 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $1,752.39 – $1,752.39 | 1 |
| Organic acids total quant ea spec CPT 83918 | $110.77 | $209.00 | $23.60 – $74.38 | 17 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $584.83 – $584.83 | 1 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $671.51 | $1,267.00 | $393.33 – $393.33 | 1 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $2,980.72 | $5,624.00 | $1,746.63 – $1,746.63 | 1 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $1,739.46 | $3,282.00 | $1,019.37 – $1,019.37 | 1 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $629.64 | $1,188.00 | $368.92 – $368.92 | 1 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $746.77 | $1,409.00 | $437.54 – $437.54 | 1 |
| Orthopantogram CPT 70355 | not published | not published | $30.22 – $204.00 | 6 |
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.