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 |
|---|---|---|---|---|
| Assay acid phosphatase CPT 84060 | not published | not published | $7.64 – $33.05 | 17 |
| Assay alkaline phosphatase CPT 84078 | not published | not published | $8.26 – $33.05 | 17 |
| Assay blood catecholamines CPT 82383 | not published | not published | $29.08 – $112.13 | 17 |
| Assay chondroitin sulfate CPT 82485 | not published | not published | $20.65 – $93.25 | 17 |
| Assay dir meas fr estradiol CPT 82681 | not published | not published | $27.94 – $96.39 | 14 |
| Assay duodenal fluid trypsin CPT 84485 | not published | not published | $7.20 – $34.22 | 17 |
| Assay free hydroxyproline CPT 83500 | not published | not published | $22.65 – $101.53 | 17 |
| Assay malate dehydrogenase CPT 83775 | not published | not published | $7.37 – $33.05 | 17 |
| Assay myeloperoxidase CPT 83876 | not published | not published | $50.86 – $152.28 | 17 |
| Assay neurflmnt light chain CPT 83884 | not published | not published | not published | 0 |
| Assay of adp & amp CPT 82030 | not published | not published | $25.80 – $115.68 | 17 |
| Assay of androsterone CPT 82160 | not published | not published | $25.55 – $112.13 | 17 |
| Assay of blood lipoprotein CPT 83719 | not published | not published | $12.75 – $51.92 | 17 |
| Assay of bradykinin CPT 82286 | not published | not published | $5.16 – $30.71 | 17 |
| Assay of breath ethanol CPT 82075 | $33.92 | $64.00 | $19.94 – $70.50 | 17 |
| Assay of cathepsin-d CPT 82387 | not published | not published | $18.06 – $80.45 | 17 |
| Assay of chloramphenicol CPT 82415 | not published | not published | $12.67 – $56.65 | 17 |
| Assay of corticosterone CPT 82528 | not published | not published | $22.52 – $101.53 | 17 |
| Assay of digoxin free CPT 80163 | not published | not published | $13.28 – $59.03 | 17 |
| Assay of endocrine hormone CPT 84235 | not published | not published | $71.23 – $234.91 | 17 |
| Assay of estrogen CPT 84233 | not published | not published | $87.88 – $289.21 | 17 |
| Assay of etiocholanolone CPT 82696 | not published | not published | $26.24 – $106.23 | 17 |
| Assay of feces for trypsin CPT 84490 | not published | not published | $9.93 – $34.22 | 17 |
| Assay of feces porphyrins CPT 84126 | $102.29 | $193.00 | $39.11 – $114.51 | 17 |
| Assay of feces/urobilinogen CPT 84577 | not published | not published | $16.80 – $55.48 | 17 |
| Assay of fluoride CPT 82735 | not published | not published | $18.54 – $82.63 | 17 |
| Assay of galactose CPT 82760 | not published | not published | $11.20 – $50.75 | 17 |
| Assay of gdh enzyme CPT 82965 | not published | not published | $12.79 – $34.22 | 17 |
| Assay of glucosidase CPT 82963 | not published | not published | $21.48 – $96.81 | 17 |
| Assay of glutathione CPT 82978 | not published | not published | $15.45 – $63.76 | 17 |
| Assay of haptoglobins CPT 83012 | not published | not published | $26.89 – $76.73 | 17 |
| Assay of idh enzyme CPT 83570 | not published | not published | $8.85 – $40.12 | 17 |
| Assay of interleukin-6 (il-6) CPT 83529 | $41.87 | $79.00 | $17.27 – $56.34 | 11 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $19.82 – $70.83 | 17 |
| Assay of lap enzyme CPT 83670 | not published | not published | $9.81 – $41.33 | 17 |
| Assay of leflunomide CPT 80193 | not published | not published | $38.57 – $90.64 | 13 |
| Assay of lrh hormone CPT 83727 | not published | not published | $17.19 – $76.73 | 17 |
| Assay of methemalbumin CPT 83857 | not published | not published | $10.74 – $48.40 | 17 |
| Assay of neonatal thyroxine CPT 84437 | not published | not published | $6.47 – $29.50 | 17 |
| Assay of osteocalcin CPT 83937 | $75.79 | $143.00 | $29.85 – $133.38 | 17 |
| Assay of phenylketones CPT 84035 | not published | not published | $3.98 – $16.53 | 17 |
| Assay of pregnanediol CPT 84135 | not published | not published | $21.27 – $86.18 | 17 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $21.05 – $85.01 | 17 |
| Assay of procainamide w/metab CPT 80192 | $63.07 | $119.00 | $16.75 – $75.56 | 17 |
| Assay of progesterone CPT 84234 | not published | not published | $64.88 – $291.56 | 17 |
| Assay of prostaglandin CPT 84150 | not published | not published | $41.30 – $112.13 | 17 |
| Assay of PSA complexed CPT 84152 | not published | not published | $18.39 – $82.63 | 17 |
| Assay of quinine CPT 84228 | not published | not published | $11.63 – $51.92 | 17 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $9.44 – $30.71 | 17 |
| Assay of salicylate CPT 80179 | $71.55 | $135.00 | $18.64 – $64.31 | 14 |
| Assay of semen fructose CPT 82757 | $56.71 | $107.00 | $10.31 – $40.75 | 17 |
| Assay of sialic acid CPT 84275 | not published | not published | $13.44 – $60.20 | 17 |
| Assay of silica CPT 84285 | not published | not published | $25.21 – $106.23 | 17 |
| Assay of somatostatin CPT 84307 | $130.38 | $246.00 | $14.68 – $42.96 | 17 |
| Assay of thiocyanate CPT 84430 | $51.41 | $97.00 | $11.63 – $51.92 | 17 |
| Assay of troponin qual CPT 84512 | $68.90 | $130.00 | $10.09 – $34.22 | 17 |
| Assay of tyrosine CPT 84510 | $16.43 | $31.00 | $10.63 – $47.23 | 17 |
| Assay of urine sulfate CPT 84392 | $19.61 | $37.00 | $5.49 – $21.25 | 17 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $9.55 – $31.88 | 17 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $6.05 – $22.43 | 17 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $16.52 – $74.38 | 17 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $10.73 – $46.02 | 17 |
| Assay rbc glutathione CPT 82979 | not published | not published | $9.44 – $30.71 | 17 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $19.74 – $88.53 | 17 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | not published | not published | $90.99 – $358.29 | 4 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | not published | not published | $89.82 – $637.56 | 4 |
| Assess cyst contrast inject CPT 49424 | $456.33 | $861.00 | $531.86 – $531.86 | 1 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | not published | not published | $4.27 – $18.87 | 17 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $151.93 – $234.26 | 4 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $676.73 – $676.73 | 1 |
| Assistive tech assessment, ot CPT 97755 | $75.79 | $143.00 | $36.37 – $119.95 | 4 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $82.47 – $1,110.52 | 6 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $82.47 – $232.95 | 6 |
| Ast/sgot CPT 84450 | $18.02 | $34.00 | $5.18 – $23.60 | 17 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | not published | not published | $39,899.96 – $39,899.96 | 1 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | not published | not published | $39,302.86 – $39,302.86 | 1 |
| Atomic absorption CPT 82190 | not published | not published | $15.90 – $57.44 | 17 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $0.36 | $0.68 | $0.07 – $0.34 | 10 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $2,850.39 – $2,850.39 | 1 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $2,407.16 – $2,407.16 | 1 |
| Attach ocular implant CPT 65140 | not published | not published | $2,941.81 – $2,941.81 | 1 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | not published | not published | $191.80 – $191.80 | 1 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $151.93 – $378.59 | 4 |
| Audiometry air + bone CPT 92553 | not published | not published | $121.69 – $212.70 | 4 |
| Auditory function 60 min CPT 92620 | not published | not published | $151.93 – $314.84 | 4 |
| Augmentation cheek bone CPT 21270 | not published | not published | $3,538.05 – $3,538.05 | 1 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $11,187.80 – $11,187.80 | 1 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $16,301.00 – $16,301.00 | 1 |
| Augmentation of facial bones CPT 21208 | not published | not published | $6,978.42 – $6,978.42 | 1 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | not published | not published | $16,158.81 – $16,158.81 | 1 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | not published | not published | $26,694.01 – $26,694.01 | 1 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $3,786.81 – $3,786.81 | 1 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $6,005.04 – $6,005.04 | 1 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $712.51 – $1,975.53 | 15 |
| Autologous blood op salvage CPT 86891 | $1,334.01 | $2,517.00 | $21.83 – $1,110.52 | 11 |
| Autologous blood process CPT 86890 | $143.10 | $270.00 | $71.07 – $316.37 | 11 |
| Automated diff wbc count CPT 85004 | $21.73 | $41.00 | $6.47 – $29.50 | 17 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $125.16 – $175.22 | 4 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $132.16 – $212.70 | 4 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $125.16 – $175.22 | 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.