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 |
|---|---|---|---|---|
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $170.92 – $170.92 | 1 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $57.68 – $81.50 | 4 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $827.86 | $1,562.00 | $485.22 – $485.22 | 1 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $2,305.50 | $4,350.00 | $1,350.83 – $1,350.83 | 1 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $107.24 – $276.50 | 4 |
| Osmolality blood CPT 83930 | $35.51 | $67.00 | $6.61 – $29.50 | 17 |
| Osmolality urine CPT 83935 | $35.51 | $67.00 | $6.82 – $30.71 | 17 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $1,821.25 – $1,821.25 | 1 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $2,053.89 – $2,053.89 | 1 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $2,593.06 – $2,593.06 | 1 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $4,975.86 – $4,975.86 | 1 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $3,550.29 – $3,550.29 | 1 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $4,397.45 – $4,397.45 | 1 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $24.57 – $197.17 | 4 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $24.57 – $242.28 | 4 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $24.57 – $289.71 | 4 |
| Osteoplasty humerus CPT 24420 | not published | not published | $3,567.07 – $3,567.07 | 1 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $5,735.14 – $5,735.14 | 1 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $1,282.37 – $1,282.37 | 1 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $5,690.82 – $5,690.82 | 1 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $5,657.10 – $5,657.10 | 1 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $2,958.56 – $2,958.56 | 1 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $4,000.57 – $4,000.57 | 1 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $2,425.17 – $2,425.17 | 1 |
| Ot evaluation high complexity patient/family CPT 97167 | not published | not published | $97.60 – $258.94 | 4 |
| Ot evaluation low complexity patient/family CPT 97165 | not published | not published | $97.60 – $258.94 | 4 |
| Ot evaluation moderate complexity patient/family CPT 97166 | not published | not published | $97.60 – $258.94 | 4 |
| Other bone graft microvasc CPT 20962 | not published | not published | $7,854.78 – $7,854.78 | 1 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $23.13 – $62.96 | 17 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | not published | not published | $48.45 – $161.06 | 4 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | not published | not published | $44.45 – $126.00 | 4 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $77.38 | $146.00 | $26.40 – $99.62 | 4 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $99.38 – $99.38 | 1 |
| Otoplasty 69300 CPT 69300 | not published | not published | $2,691.16 – $2,691.16 | 1 |
| Ot re-evaluation patient/family CPT 97168 | not published | not published | $67.28 – $171.12 | 4 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | not published | not published | $33.53 – $115.94 | 4 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | not published | not published | $20.28 – $77.32 | 4 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | not published | not published | $21.23 – $80.89 | 4 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $72.61 | $137.00 | $27.97 – $107.37 | 4 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $71.55 | $135.00 | $31.14 – $112.03 | 4 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $73.67 | $139.00 | $31.07 – $116.69 | 4 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $5,672.25 – $5,672.25 | 1 |
| Out of office emerg med serv CPT 99060 | not published | not published | $82.38 – $82.38 | 1 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $2,687.24 – $2,687.24 | 1 |
| Ovulation tests CPT 84830 | not published | not published | $12.70 – $44.85 | 17 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $137.00 – $448.57 | 14 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $353.60 – $1,589.78 | 14 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $301.35 – $979.77 | 14 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $719.87 – $6,219.38 | 5 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $11,327.90 – $11,327.90 | 1 |
| Pancreatectomy CPT 48146 | not published | not published | $6,759.43 – $6,759.43 | 1 |
| Pancreatectomy CPT 48152 | not published | not published | $10,332.29 – $10,332.29 | 1 |
| Pancreatectomy CPT 48154 | not published | not published | $10,444.37 – $10,444.37 | 1 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $11,145.76 – $11,145.76 | 1 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $5,632.30 – $5,632.30 | 1 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $4,801.07 – $4,801.07 | 1 |
| Papaverin hcl injection HCPCS J2440 | $89.43 | $168.74 | $116.66 – $116.66 | 1 |
| Parathormone (pth) intact CPT 83970 | $132.50 | $250.00 | $41.28 – $185.33 | 17 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $5,029.87 – $5,029.87 | 1 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $262.86 – $1,101.15 | 5 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $879.68 – $879.68 | 1 |
| Parathyroid planar imaging CPT 78070 | $1,166.00 | $2,200.00 | $133.55 – $848.52 | 5 |
| Parathyroid planar img w/tomo spect CPT 78071 | not published | not published | $199.76 – $848.52 | 5 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $2,953.08 – $2,953.08 | 1 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $3,220.56 – $3,220.56 | 1 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | not published | not published | $173.37 – $270.12 | 4 |
| Parotid duct diversion CPT 42507 | not published | not published | $1,905.32 – $1,905.32 | 1 |
| Parotid duct diversion CPT 42509 | not published | not published | $3,125.96 – $3,125.96 | 1 |
| Parotid duct diversion CPT 42510 | not published | not published | $2,380.71 – $2,380.71 | 1 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $3,072.36 – $3,072.36 | 1 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $675.06 – $675.06 | 1 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $4,642.88 – $4,642.88 | 1 |
| Partial exc bone humerus CPT 24140 | not published | not published | $2,542.33 – $2,542.33 | 1 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $2,213.72 – $2,213.72 | 1 |
| Partial excision of lip CPT 40500 | not published | not published | $1,860.93 – $1,860.93 | 1 |
| Partial hip replacement CPT 27125 | not published | not published | $4,113.26 – $4,113.26 | 1 |
| Partial hysterectomy CPT 58180 | not published | not published | $3,479.49 – $3,479.49 | 1 |
| Partial proctectomy CPT 45113 | not published | not published | $6,956.86 – $6,956.86 | 1 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $4,084.69 – $4,084.69 | 1 |
| Partial removal donor liver CPT 47140 | not published | not published | $12,852.20 – $12,852.20 | 1 |
| Partial removal donor liver CPT 47141 | not published | not published | $15,358.28 – $15,358.28 | 1 |
| Partial removal donor liver CPT 47142 | not published | not published | $16,928.79 – $16,928.79 | 1 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,801.52 – $1,801.52 | 1 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,610.32 – $1,610.32 | 1 |
| Partial removal foot fascia CPT 28060 | not published | not published | $1,914.20 – $1,914.20 | 1 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $3,082.81 – $3,082.81 | 1 |
| Partial removal of bladder CPT 51550 | not published | not published | $3,512.95 – $3,512.95 | 1 |
| Partial removal of esophagus CPT 43116 | not published | not published | $18,746.01 – $18,746.01 | 1 |
| Partial removal of esophagus CPT 43118 | not published | not published | $13,356.27 – $13,356.27 | 1 |
| Partial removal of esophagus CPT 43121 | not published | not published | $10,395.03 – $10,395.03 | 1 |
| Partial removal of esophagus CPT 43123 | not published | not published | $17,078.51 – $17,078.51 | 1 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $8,923.91 – $8,923.91 | 1 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $9,282.25 – $9,282.25 | 1 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $1,723.22 – $1,723.22 | 1 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $1,980.85 – $1,980.85 | 1 |
| Partial removal of fibula CPT 27641 | not published | not published | $2,435.28 – $2,435.28 | 1 |
| Partial removal of foot bone CPT 28288 | not published | not published | $2,228.97 – $2,228.97 | 1 |
| Partial removal of hand bone CPT 26230 | not published | not published | $1,819.20 – $1,819.20 | 1 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $7,237.99 – $7,237.99 | 1 |
| Partial removal of larynx CPT 31367 | not published | not published | $8,217.75 – $8,217.75 | 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.