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 |
|---|---|---|---|---|
| Partial removal of larynx CPT 31368 | not published | not published | $9,167.78 – $9,167.78 | 1 |
| Partial removal of larynx CPT 31370 | not published | not published | $7,740.35 – $7,740.35 | 1 |
| Partial removal of larynx CPT 31375 | not published | not published | $7,304.38 – $7,304.38 | 1 |
| Partial removal of larynx CPT 31380 | not published | not published | $7,235.19 – $7,235.19 | 1 |
| Partial removal of larynx CPT 31382 | not published | not published | $7,969.56 – $7,969.56 | 1 |
| Partial removal of lip CPT 40530 | not published | not published | $1,987.16 – $1,987.16 | 1 |
| Partial removal of liver CPT 47125 | not published | not published | $11,062.92 – $11,062.92 | 1 |
| Partial removal of liver CPT 47130 | not published | not published | $11,886.65 – $11,886.65 | 1 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $5,337.67 – $5,337.67 | 1 |
| Partial removal of nose CPT 30150 | not published | not published | $2,801.98 – $2,801.98 | 1 |
| Partial removal of pancreas CPT 48145 | not published | not published | $5,855.39 – $5,855.39 | 1 |
| Partial removal of pancreas CPT 48150 | not published | not published | $11,211.00 – $11,211.00 | 1 |
| Partial removal of penis CPT 54120 | not published | not published | $2,317.60 – $2,317.60 | 1 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $5,366.46 – $5,366.46 | 1 |
| Partial removal of radius CPT 25151 | not published | not published | $2,108.42 – $2,108.42 | 1 |
| Partial removal of radius CPT 25230 | not published | not published | $1,574.58 – $1,574.58 | 1 |
| Partial removal of rectum CPT 45111 | not published | not published | $3,937.84 – $3,937.84 | 1 |
| Partial removal of rectum CPT 45114 | not published | not published | $6,539.17 – $6,539.17 | 1 |
| Partial removal of rectum CPT 45116 | not published | not published | $5,932.30 – $5,932.30 | 1 |
| Partial removal of rib CPT 21600 | not published | not published | $2,017.82 – $2,017.82 | 1 |
| Partial removal of sternum CPT 21620 | not published | not published | $1,822.40 – $1,822.40 | 1 |
| Partial removal of thyroid CPT 60220 | not published | not published | $2,570.60 – $2,570.60 | 1 |
| Partial removal of thyroid CPT 60225 | not published | not published | $3,381.73 – $3,381.73 | 1 |
| Partial removal of tibia CPT 27640 | not published | not published | $3,032.38 – $3,032.38 | 1 |
| Partial removal of toe CPT 28160 | not published | not published | $1,554.51 – $1,554.51 | 1 |
| Partial removal of tongue CPT 41120 | not published | not published | $4,040.67 – $4,040.67 | 1 |
| Partial removal of tongue CPT 41130 | not published | not published | $4,968.99 – $4,968.99 | 1 |
| Partial removal of ulna CPT 25119 | not published | not published | $1,802.34 – $1,802.34 | 1 |
| Partial removal of ulna CPT 25150 | not published | not published | $2,057.39 – $2,057.39 | 1 |
| Partial removal of ulna CPT 25240 | not published | not published | $1,560.26 – $1,560.26 | 1 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $1,790.55 – $1,790.55 | 1 |
| Partial removal tear gland CPT 68505 | not published | not published | $3,541.93 – $3,541.93 | 1 |
| Partial thyroid excision CPT 60210 | not published | not published | $2,564.08 – $2,564.08 | 1 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $3,646.78 – $3,646.78 | 1 |
| Part removal hip bone deep CPT 27071 | not published | not published | $3,319.96 – $3,319.96 | 1 |
| Part removal of metatarsal CPT 28110 | not published | not published | $1,712.18 – $1,712.18 | 1 |
| Part removal of metatarsal CPT 28113 | not published | not published | $2,183.09 – $2,183.09 | 1 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $1,794.73 – $1,794.73 | 1 |
| Part remove hip bone super CPT 27070 | not published | not published | $3,070.87 – $3,070.87 | 1 |
| Passy muir valve metal trach HCPCS L8501 | $227.90 | $430.00 | $180.11 – $180.11 | 1 |
| Path clin consltj high 41-60 CPT 80505 | $258.64 | $488.00 | $136.47 – $334.03 | 7 |
| Path clin consltj mod 21-40 CPT 80504 | $258.64 | $488.00 | $75.40 – $232.95 | 7 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $54.08 – $150.08 | 4 |
| Path clin consltj sf 5-20 CPT 80503 | $82.15 | $155.00 | $37.79 – $92.32 | 7 |
| Patient recorded spirometry CPT 94014 | not published | not published | $75.14 – $542.47 | 4 |
| Patient recorded spirometry CPT 94015 | not published | not published | $100.74 – $423.33 | 4 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $255.05 – $857.01 | 17 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $403.31 – $1,067.23 | 7 |
| Pdgfra gene CPT 81314 | $1,237.02 | $2,334.00 | $329.51 – $841.25 | 17 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $192.94 – $625.92 | 4 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $3,318.39 – $3,318.39 | 1 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $1,542.73 – $1,542.73 | 1 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $926.48 – $926.48 | 1 |
| Ped crit care transport CPT 99466 | not published | not published | $616.61 – $616.61 | 1 |
| Ped crit care transport addl CPT 99467 | not published | not published | $313.13 – $313.13 | 1 |
| Ped critical care initial CPT 99471 | not published | not published | $2,327.33 – $2,327.33 | 1 |
| Ped critical care subsq CPT 99472 | not published | not published | $1,095.75 – $1,095.75 | 1 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $151.93 – $212.70 | 4 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $151.93 – $730.80 | 4 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $2,930.66 – $2,930.66 | 1 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $876.09 | $1,653.00 | $172.86 – $724.00 | 6 |
| Pelvic CT scan (with contrast) CPT 72193 | $867.61 | $1,637.00 | $172.86 – $724.00 | 6 |
| Pelvic CT scan (without contrast) CPT 72192 | $841.64 | $1,588.00 | $103.26 – $724.00 | 6 |
| Pelvic exenteration CPT 45126 | not published | not published | $10,181.30 – $10,181.30 | 1 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,441.07 | $2,719.00 | $346.78 – $836.00 | 6 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $296.39 – $836.00 | 6 |
| Pelvic MRI (without contrast) CPT 72195 | $1,337.19 | $2,523.00 | $234.71 – $836.00 | 6 |
| Pelvic Ultrasound (complete) CPT 76856 | $371.00 | $700.00 | $103.26 – $519.00 | 6 |
| Pelvic Ultrasound (limited) CPT 76857 | not published | not published | $75.07 – $519.00 | 6 |
| Penile injection CPT 54235 | not published | not published | $236.16 – $330.62 | 4 |
| Penile vascular study CPT 93980 | $962.48 | $1,816.00 | $103.26 – $194.96 | 4 |
| Penile vascular study CPT 93981 | not published | not published | $73.34 – $144.56 | 4 |
| Penile venous occlusion CPT 37790 | not published | not published | $1,843.18 – $1,843.18 | 1 |
| Penis plastic surgery CPT 54360 | not published | not published | $2,643.82 – $2,643.82 | 1 |
| Penis study CPT 54240 | not published | not published | $125.81 – $423.33 | 4 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $16,787.98 – $16,787.98 | 1 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $21,413.06 | $40,402.00 | $23,266.00 – $23,266.00 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | $14,429.78 | $27,226.00 | $23,266.00 – $23,266.00 | 1 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $9,228.77 – $9,228.77 | 1 |
| Percut ablate liver rf CPT 47382 | not published | not published | $18,168.49 – $18,168.49 | 1 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $822.17 – $822.17 | 1 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $8,936.00 – $8,936.00 | 1 |
| Pericardiocentesis wwo imaging CPT 33016 | $5,364.13 | $10,121.00 | $852.86 – $852.86 | 1 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $3,182.32 – $3,182.32 | 1 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $2,871.39 – $2,871.39 | 1 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $940.86 – $940.86 | 1 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $57.68 – $80.75 | 4 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $42.57 – $42.57 | 1 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $39.07 – $39.07 | 1 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $1,602.86 – $1,602.86 | 1 |
| Peritoneogram rs&i CPT 74190 | $292.56 | $552.00 | $80.32 – $1,086.50 | 6 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $144.62 – $848.52 | 5 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $2,813.13 – $2,813.13 | 1 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $2,887.50 – $2,887.50 | 1 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $598.39 – $3,114.59 | 5 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $244.73 – $976.18 | 5 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $4,687.38 – $4,687.38 | 1 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $3,191.46 – $3,191.46 | 1 |
| Perq p-art revsc 1 abnor bi CPT 33903 | $30,435.78 | $57,426.00 | $2,845.88 – $2,845.88 | 1 |
| Perq p-art revsc 1 abnor uni CPT 33902 | $15,217.89 | $28,713.00 | $2,414.35 – $2,414.35 | 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.