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 |
|---|---|---|---|---|
| Platelet survival CPT 78191 | not published | not published | $103.95 – $848.52 | 5 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $291.36 – $952.61 | 14 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | not published | not published | $4,838.18 – $4,838.18 | 1 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | not published | not published | $9,669.24 – $9,669.24 | 1 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $2,273.70 | $4,290.00 | $3,836.08 – $3,836.08 | 1 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | not published | not published | $5,153.44 – $5,153.44 | 1 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $3,263.74 | $6,158.00 | $2,892.68 – $2,892.68 | 1 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | not published | not published | $683.20 – $1,938.74 | 4 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | not published | not published | $1,683.80 – $1,683.80 | 1 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $2,128.48 | $4,016.00 | $1,163.95 – $1,163.95 | 1 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | not published | not published | $461.14 – $2,511.07 | 2 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | not published | $179.13 – $734.88 | 2 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | not published | not published | $283.18 – $1,635.31 | 2 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $304.75 | $575.00 | $41.68 – $423.33 | 4 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $3,288.07 – $3,288.07 | 1 |
| Plmt access bil tree sm bwl CPT 47541 | $4,126.58 | $7,786.00 | $4,276.45 – $4,276.45 | 1 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $5,962.26 – $5,962.26 | 1 |
| Plmt nephroureteral catheter CPT 50433 | $2,273.70 | $4,290.00 | $4,122.06 – $4,122.06 | 1 |
| Plmt ureteral stent prq CPT 50694 | $2,273.70 | $4,290.00 | $4,225.61 – $4,225.61 | 1 |
| Pm device progr eval dual CPT 93280 | not published | not published | $36.21 – $63.51 | 4 |
| Pm device progr eval multi CPT 93281 | not published | not published | $36.21 – $75.14 | 4 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.31 – $1,418.88 | 17 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $758.36 – $2,487.19 | 14 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $769.58 – $2,523.78 | 14 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $173.52 | 14 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $36.21 – $52.46 | 4 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $203.50 – $729.50 | 17 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $676.50 – $2,569.80 | 17 |
| Pms2 known familial variants CPT 81318 | not published | not published | $223.93 – $777.85 | 17 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $511.53 – $840.48 | 4 |
| #pnh-flow cytometry interp CPT 88187 | $37.63 | $71.00 | $16.15 – $245.02 | 8 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $98.58 | $186.00 | $26.07 – $87.35 | 17 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $474.27 – $1,383.07 | 4 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $295.43 – $1,383.07 | 4 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | not published | not published | $427.38 – $1,383.07 | 4 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $10.51 – $42.50 | 17 |
| Positional change of finger CPT 26555 | not published | not published | $4,867.58 – $4,867.58 | 1 |
| Positional nystagmus test CPT 92532 | not published | not published | $60.42 – $60.42 | 1 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $2,681.61 – $2,681.61 | 1 |
| Postpartum Care Only CPT 59430 | not published | not published | $661.63 – $661.63 | 1 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $2,692.54 – $2,692.54 | 1 |
| Potassium 24 hour urine CPT 84133 | $23.32 | $44.00 | $4.73 – $18.87 | 17 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $1.93 | $3.64 | $0.13 – $0.42 | 11 |
| Potassium serum/plasma/whole blood CPT 84132 | $23.32 | $44.00 | $4.76 – $20.08 | 17 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $137.00 – $448.57 | 14 |
| Pq biliary strict dil s&i CPT 74363 | $454.21 | $857.00 | $146.52 – $204.00 | 2 |
| Pq dr cath chg w cont s&i CPT 75984 | $215.18 | $406.00 | $120.13 – $204.00 | 2 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | not published | not published | $26,667.93 – $26,667.93 | 1 |
| Pq thr inj ext pse CPT 36002 | $574.52 | $1,084.00 | $588.15 – $840.48 | 4 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | not published | not published | $3,559.20 – $3,559.20 | 1 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $6,422.39 – $6,422.39 | 1 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | not published | not published | $6,357.75 – $6,357.75 | 1 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $2,355.16 – $2,355.16 | 1 |
| Pr application of long arm splint CPT 29105 | not published | not published | $153.22 – $320.07 | 4 |
| Pr application splint static short arm CPT 29125 | not published | not published | $125.16 – $235.47 | 4 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $16.97 – $53.35 | 4 |
| Pr biopsy skin punch single lesion CPT 11104 | not published | not published | $387.95 – $543.13 | 4 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $2,997.17 – $2,997.17 | 1 |
| Pr correction hammertoe CPT 28285 | not published | not published | $1,965.56 – $1,965.56 | 1 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $30.74 | $58.00 | $28.93 – $40.50 | 4 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $1,017.13 – $1,017.13 | 1 |
| Prcrd drg 6+yr without anomly CPT 33017 | $5,364.13 | $10,121.00 | $887.14 – $887.14 | 1 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $1,761.53 – $1,761.53 | 1 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | not published | not published | $192.94 – $270.12 | 4 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $193.86 – $193.86 | 1 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $286.93 – $286.93 | 1 |
| Prealbumin CPT 84134 | $44.52 | $84.00 | $9.24 – $34.29 | 17 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $28.39 – $28.39 | 1 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $89.15 – $89.15 | 1 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.66 | $1.24 | $0.01 – $0.52 | 10 |
| Pregabalin - sendout CPT 80366 | $74.20 | $140.00 | $31.52 – $81.45 | 6 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $763.75 – $763.75 | 1 |
| Pregnancy associated plasma protein-a CPT 84163 | $53.53 | $101.00 | $15.05 – $67.28 | 17 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | not published | not published | $103.26 – $519.00 | 6 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | not published | not published | $103.26 – $519.00 | 6 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $362.39 – $362.39 | 1 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $1,629.30 – $1,629.30 | 1 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $2,918.13 – $2,918.13 | 1 |
| Preparation for bladder xray CPT 51605 | not published | not published | $140.58 – $140.58 | 1 |
| Preparation palate mold CPT 42280 | not published | not published | $494.49 – $692.29 | 4 |
| Prepare donor heart CPT 33944 | not published | not published | $1,139.03 – $1,139.03 | 1 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $1,406.06 – $1,406.06 | 1 |
| Prepare donor intestine CPT 44715 | not published | not published | $1,253.06 – $1,253.06 | 1 |
| Prepare donor lung double CPT 32856 | not published | not published | $1,214.15 – $1,214.15 | 1 |
| Prepare donor lung single CPT 32855 | not published | not published | $988.64 – $988.64 | 1 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $51.88 – $82.47 | 6 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $6,374.94 – $6,374.94 | 1 |
| Prepare penis study CPT 54230 | not published | not published | $351.22 – $351.22 | 1 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $688.67 – $688.67 | 1 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $745.33 – $745.33 | 1 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $455.02 – $455.02 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $1,384.09 – $1,384.09 | 1 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $990.43 – $990.43 | 1 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $1,607.85 – $1,607.85 | 1 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $1,380.32 – $1,380.32 | 1 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $1,655.37 – $1,655.37 | 1 |
| Prep donor liver/venous CPT 47146 | not published | not published | $1,185.62 – $1,185.62 | 1 |
| Prep donor liver whole CPT 47143 | not published | not published | $1,260.37 – $1,260.37 | 1 |
| Prep donor pancreas CPT 48551 | not published | not published | $852.12 – $852.12 | 1 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $847.83 – $847.83 | 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.