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 |
|---|---|---|---|---|
| Av fistula revision CPT 36833 | not published | not published | $2,971.43 – $2,971.43 | 1 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $2,680.83 – $2,680.83 | 1 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $2,537.78 – $2,537.78 | 1 |
| Av fusion direct any site CPT 36821 | not published | not published | $2,431.33 – $2,431.33 | 1 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $2,676.50 – $2,676.50 | 1 |
| Avul nail plate addl CPT 11732 | not published | not published | $129.99 – $129.99 | 1 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | not published | not published | $192.94 – $361.06 | 4 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $2,499.81 – $2,499.81 | 1 |
| Azathioprine 50 mg tablet HCPCS J7500 | $2.55 | $4.81 | $1.47 – $3.63 | 7 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $12.21 | $23.04 | $2.62 – $9.68 | 10 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $106.36 | $200.68 | $2.55 – $53.59 | 7 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $441.51 | $833.04 | $213.81 – $530.21 | 11 |
| Baclofen eval charges CPT 97750 | $67.84 | $128.00 | $32.31 – $109.72 | 4 |
| Bacterial meningitis antigen CPT 86403 | $47.70 | $90.00 | $11.54 – $46.02 | 17 |
| Bacterial vaginosis pcr CPT 87801 | $197.69 | $373.00 | $70.20 – $315.19 | 17 |
| Bactericidal level serum CPT 87197 | $114.48 | $216.00 | $15.02 – $67.28 | 17 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $35.09 – $157.01 | 17 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $2,772.32 – $2,772.32 | 1 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $659.76 – $659.76 | 1 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $35.09 – $157.01 | 17 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $71.64 – $212.70 | 4 |
| B cells total count CPT 86355 | $121.90 | $230.00 | $37.73 – $168.81 | 17 |
| Bckdhb gene CPT 81205 | not published | not published | $94.99 – $311.64 | 14 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $158.47 | $299.00 | $39.69 – $39.69 | 1 |
| Benign lesion paring 2-4 CPT 11056 | not published | not published | $192.94 – $270.12 | 4 |
| Benign lesion paring 4+ CPT 11057 | not published | not published | $192.94 – $270.12 | 4 |
| #_benzodiazconfur CPT 80346 | $66.25 | $125.00 | $32.60 – $81.45 | 6 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $35.51 | $67.00 | $9.63 – $59.81 | 17 |
| Beta-2 microglobulin CPT 82232 | $62.54 | $118.00 | $16.18 – $73.17 | 17 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | not published | 0 |
| Beta-amyloid 1-42 CPT 82234 | not published | not published | not published | 0 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $25.67 | $48.43 | $5.91 – $22.91 | 10 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $74.74 – $266.63 | 4 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $30.11 – $108.36 | 4 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $16.87 – $67.72 | 17 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $2,061.79 – $2,061.79 | 1 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $1,084.91 | $2,047.00 | $506.38 – $1,210.29 | 4 |
| Bilateral n block inj occipital 64405 CPT 64405 | $820.97 | $1,549.00 | $286.64 – $401.30 | 4 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $473.82 | $894.00 | $286.64 – $461.07 | 4 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $26.58 – $119.23 | 17 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $595.87 – $595.87 | 1 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $1,157.05 – $1,157.05 | 1 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $1,144.89 – $1,144.89 | 1 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $1,757.76 – $1,757.76 | 1 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $1,370.29 – $1,370.29 | 1 |
| Biliary endoscopy thru skin CPT 47556 | $5,614.82 | $10,594.00 | $1,560.00 – $1,560.00 | 1 |
| Bilicheck CPT 88720 | $16.96 | $32.00 | $5.02 – $22.43 | 17 |
| Bilirubin direct CPT 82248 | $20.67 | $39.00 | $5.02 – $22.43 | 17 |
| Bilirubin total CPT 82247 | $16.43 | $31.00 | $5.02 – $22.43 | 17 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $5,716.49 – $5,716.49 | 1 |
| Biofeedback, pt CPT 90901 | $75.79 | $143.00 | $37.93 – $126.96 | 4 |
| Biopsy abdominal mass CPT 49180 | $1,084.91 | $2,047.00 | $596.05 – $596.05 | 1 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $2,250.94 – $2,250.94 | 1 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $1,874.36 – $1,874.36 | 1 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,034.56 | $1,952.00 | $611.46 – $611.46 | 1 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $145.04 – $1,183.71 | 5 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $615.52 – $615.52 | 1 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $1,993.24 – $1,993.24 | 1 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $225.49 – $364.16 | 4 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $290.27 – $620.82 | 4 |
| Biopsy eye muscle CPT 67346 | not published | not published | $706.72 – $706.72 | 1 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $1,210.80 – $1,210.80 | 1 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $1,168.91 – $1,168.91 | 1 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $1,294.24 – $1,294.24 | 1 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $1,205.39 – $1,205.39 | 1 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $2,387.12 | $4,504.00 | $621.16 – $621.16 | 1 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $1,514.27 – $1,514.27 | 1 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $916.65 – $916.65 | 1 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $2,367.95 – $2,367.95 | 1 |
| Biopsy muscle percutaneous needle CPT 20206 | $2,189.96 | $4,132.00 | $855.85 – $855.85 | 1 |
| Biopsy needle liver percutaneous CPT 47000 | $1,084.91 | $2,047.00 | $1,317.14 – $1,317.14 | 1 |
| Biopsy needle lymph node superficial CPT 38505 | $1,084.91 | $2,047.00 | $164.91 – $461.85 | 2 |
| Biopsy of cornea CPT 65410 | not published | not published | $518.73 – $518.73 | 1 |
| Biopsy of epididymis CPT 54800 | not published | not published | $468.34 – $468.34 | 1 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $1,578.01 – $1,578.01 | 1 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $1,678.46 – $1,678.46 | 1 |
| Biopsy of heart lining CPT 93505 | not published | not published | $766.33 – $766.33 | 1 |
| Biopsy of hip joint CPT 27052 | not published | not published | $2,084.70 – $2,084.70 | 1 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $401.35 – $1,274.55 | 4 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $225.49 – $469.42 | 4 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $485.09 – $956.48 | 4 |
| Biopsy of nerve CPT 64795 | not published | not published | $693.26 – $693.26 | 1 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | $1,622.10 – $1,622.10 | 1 |
| Biopsy of penis CPT 54105 | not published | not published | $960.21 – $960.21 | 1 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | $721.53 – $721.53 | 1 |
| Biopsy of prostate CPT 55700 | $1,371.64 | $2,588.00 | $789.16 – $789.16 | 1 |
| Biopsy of prostate CPT 55705 | not published | not published | $974.46 – $974.46 | 1 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $1,088.45 – $1,088.45 | 1 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $1,380.81 – $1,380.81 | 1 |
| Biopsy of salivary gland 42400 CPT 42400 | not published | not published | $391.84 – $956.48 | 4 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $1,102.40 – $1,102.40 | 1 |
| Biopsy of tear gland CPT 68510 | not published | not published | $1,617.55 – $1,617.55 | 1 |
| Biopsy of tear sac CPT 68525 | not published | not published | $966.33 – $966.33 | 1 |
| Biopsy of testis CPT 54500 | not published | not published | $273.71 – $273.71 | 1 |
| Biopsy of testis CPT 54505 | not published | not published | $771.63 – $771.63 | 1 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $1,462.09 – $1,462.09 | 1 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $722.80 – $722.80 | 1 |
| Biopsy of urethra CPT 53200 | not published | not published | $569.94 – $569.94 | 1 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $1,246.83 – $1,246.83 | 1 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $82.47 – $232.95 | 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.