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 |
|---|---|---|---|---|
| Retrieval of oocyte CPT 58970 | not published | not published | $803.37 – $1,183.71 | 4 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $19.59 – $85.77 | 17 |
| Revascularization penis CPT 37788 | not published | not published | $4,743.25 – $4,743.25 | 1 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $2,207.90 – $2,207.90 | 1 |
| Revise additional leg tendon CPT 27692 | not published | not published | $381.09 – $381.09 | 1 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $3,086.05 – $3,086.05 | 1 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $1,807.52 – $1,807.52 | 1 |
| Revise bladder & ureter(s) CPT 51565 | not published | not published | $4,763.99 – $4,763.99 | 1 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $2,831.89 – $2,831.89 | 1 |
| Revise circulation to head CPT 61708 | not published | not published | $7,772.76 – $7,772.76 | 1 |
| Revise circulation to head CPT 61705 | not published | not published | $9,166.36 – $9,166.36 | 1 |
| Revise circulation to head CPT 61710 | not published | not published | $7,664.81 – $7,664.81 | 1 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $4,830.31 – $4,830.31 | 1 |
| Revise eye CPT 65091 | not published | not published | $2,313.35 – $2,313.35 | 1 |
| Revise eyelashes CPT 67825 | not published | not published | $290.27 – $467.97 | 4 |
| Revise eyelashes CPT 67835 | not published | not published | $1,600.10 – $1,600.10 | 1 |
| Revise eyelid defect CPT 67909 | not published | not published | $1,948.70 – $1,948.70 | 1 |
| Revise eyelid defect CPT 67911 | not published | not published | $2,054.37 – $2,054.37 | 1 |
| Revise eyelid lining CPT 68330 | not published | not published | $2,196.07 – $2,196.07 | 1 |
| Revise eyelid lining CPT 68360 | not published | not published | $1,935.12 – $1,935.12 | 1 |
| Revise eyelid lining CPT 68362 | not published | not published | $2,399.21 – $2,399.21 | 1 |
| Revise eye muscle CPT 67311 | not published | not published | $2,185.44 – $2,185.44 | 1 |
| Revise eye muscle CPT 67314 | not published | not published | $2,459.79 – $2,459.79 | 1 |
| Revise eye muscle add-on CPT 67340 | not published | not published | $1,316.24 – $1,316.24 | 1 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $2,571.76 – $2,571.76 | 1 |
| Revise eye muscle(s) add-on CPT 67320 | not published | not published | $1,183.27 – $1,183.27 | 1 |
| Revise eye muscle w/suture CPT 67334 | not published | not published | $1,107.44 – $1,107.44 | 1 |
| Revise eye socket implant CPT 67560 | not published | not published | $3,604.71 – $3,604.71 | 1 |
| Revise eye sockets CPT 21260 | not published | not published | $5,127.89 – $5,127.89 | 1 |
| Revise eye sockets CPT 21261 | not published | not published | $7,732.36 – $7,732.36 | 1 |
| Revise eye sockets CPT 21263 | not published | not published | $7,143.62 – $7,143.62 | 1 |
| Revise eye sockets CPT 21267 | not published | not published | $5,809.81 – $5,809.81 | 1 |
| Revise eye sockets CPT 21268 | not published | not published | $6,383.52 – $6,383.52 | 1 |
| Revise eye with implant CPT 65093 | not published | not published | $2,287.01 – $2,287.01 | 1 |
| Revise finger joint each CPT 26135 | not published | not published | $2,001.74 – $2,001.74 | 1 |
| Revise finger joint each CPT 26140 | not published | not published | $1,839.34 – $1,839.34 | 1 |
| Revise gastric port open 43886 CPT 43886 | not published | not published | $1,305.91 – $1,305.91 | 1 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $2,631.52 – $2,631.52 | 1 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $2,407.72 – $2,407.72 | 1 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $2,359.78 – $2,359.78 | 1 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $2,588.73 – $2,588.73 | 1 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $2,366.95 – $2,366.95 | 1 |
| Revise graft w/vein CPT 35879 | not published | not published | $3,383.22 – $3,383.22 | 1 |
| Revise graft w/vein 35881 CPT 35881 | not published | not published | $3,738.28 – $3,738.28 | 1 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $2,994.82 – $2,994.82 | 1 |
| Revise head/neck of femur CPT 27179 | not published | not published | $3,540.14 – $3,540.14 | 1 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $1,950.53 – $1,950.53 | 1 |
| Revise hip joint replacement CPT 27134 | not published | not published | $6,939.85 – $27,040.00 | 2 |
| Revise hip joint replacement CPT 27138 | not published | not published | $5,545.54 – $27,040.00 | 2 |
| Revise hip joint replacement CPT 27137 | not published | not published | $5,334.98 – $27,040.00 | 2 |
| Revise/implant finger joint CPT 26536 | not published | not published | $2,572.99 – $2,572.99 | 1 |
| Revise kneecap CPT 27437 | not published | not published | $2,386.75 – $2,386.75 | 1 |
| Revise kneecap with implant CPT 27438 | not published | not published | $3,046.81 – $3,046.81 | 1 |
| Revise knuckle joint CPT 26530 | not published | not published | $1,950.23 – $1,950.23 | 1 |
| Revise knuckle with implant CPT 26531 | not published | not published | $2,274.07 – $2,274.07 | 1 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $2,362.40 – $2,362.40 | 1 |
| Revise lower leg tendon CPT 27690 | not published | not published | $2,297.38 – $2,297.38 | 1 |
| Revise lower leg tendon CPT 27691 | not published | not published | $2,729.54 – $2,729.54 | 1 |
| Revise lower leg tendons CPT 27686 | not published | not published | $2,026.84 – $2,026.84 | 1 |
| Revise middle ear bone CPT 69660 | not published | not published | $3,407.06 – $3,407.06 | 1 |
| Revise middle ear bone CPT 69661 | not published | not published | $4,439.89 – $4,439.89 | 1 |
| Revise middle ear bone CPT 69662 | not published | not published | $4,256.53 – $4,256.53 | 1 |
| Revise middle ear & mastoid CPT 69641 | not published | not published | $3,827.65 – $3,827.65 | 1 |
| Revise middle ear & mastoid CPT 69642 | not published | not published | $4,907.86 – $4,907.86 | 1 |
| Revise middle ear & mastoid CPT 69643 | not published | not published | $4,496.66 – $4,496.66 | 1 |
| Revise middle ear & mastoid CPT 69644 | not published | not published | $5,431.63 – $5,431.63 | 1 |
| Revise middle ear & mastoid CPT 69646 | not published | not published | $5,675.46 – $5,675.46 | 1 |
| Revise middle ear & mastoid 69645 CPT 69645 | not published | not published | $5,340.73 – $5,340.73 | 1 |
| Revise ocular implant CPT 65125 | not published | not published | $1,659.63 – $1,659.63 | 1 |
| Revise ocular implant CPT 65150 | not published | not published | $2,075.15 – $2,075.15 | 1 |
| Revise ovarian tube(s) CPT 58752 | not published | not published | $3,319.07 – $3,319.07 | 1 |
| Revise palsy hand tendon(s) CPT 25315 | not published | not published | $2,793.84 – $2,793.84 | 1 |
| Revise palsy hand tendon(s) CPT 25316 | not published | not published | $3,310.86 – $3,310.86 | 1 |
| Revise penis/urethra CPT 54328 | not published | not published | $3,447.38 – $3,447.38 | 1 |
| Revise penis/urethra CPT 54332 | not published | not published | $3,915.16 – $3,915.16 | 1 |
| Revise penis/urethra CPT 54336 | not published | not published | $4,567.27 – $4,567.27 | 1 |
| Revise prosth vag graft lap CPT 57426 | not published | not published | $3,055.21 – $3,055.21 | 1 |
| Revise radius or ulna CPT 25370 | not published | not published | $3,661.00 – $3,661.00 | 1 |
| Revise radius & ulna CPT 25365 | not published | not published | $3,304.37 – $3,304.37 | 1 |
| Revise radius & ulna CPT 25375 | not published | not published | $3,450.92 – $3,450.92 | 1 |
| Revise reconst elbow joint CPT 24370 | not published | not published | $5,633.83 – $5,633.83 | 1 |
| Revise reconst elbow joint CPT 24371 | not published | not published | $6,483.11 – $6,483.11 | 1 |
| Revise/remove neuroelectrode CPT 61880 | not published | not published | $2,036.54 – $2,036.54 | 1 |
| Revise/remove neuroreceiver CPT 61888 | not published | not published | $1,408.86 – $1,408.86 | 1 |
| Revise/remove sling repair CPT 57287 | not published | not published | $2,470.27 – $2,470.27 | 1 |
| Revise & repair chest wall CPT 32906 | not published | not published | $5,991.13 – $5,991.13 | 1 |
| Revise/repair chest wall 32905 CPT 32905 | not published | not published | $4,852.62 – $4,852.62 | 1 |
| Revise/replace knee joint CPT 27486 | not published | not published | $5,098.31 – $27,040.00 | 2 |
| Revise/replace knee joint CPT 27487 | not published | not published | $6,366.44 – $6,366.44 | 1 |
| Revise/repl vagus n eltrd CPT 64569 | not published | not published | $2,803.13 – $2,803.13 | 1 |
| Revise spermatic cord veins CPT 55530 | not published | not published | $1,286.22 – $1,286.22 | 1 |
| Revise spermatic cord veins CPT 55535 | not published | not published | $1,578.57 – $1,578.57 | 1 |
| Revise spinal cord vsls crvl CPT 63250 | not published | not published | $10,067.64 – $10,067.64 | 1 |
| Revise spinal cord vsls thrc CPT 63251 | not published | not published | $10,789.03 – $10,789.03 | 1 |
| Revise spine cord vsl thrlmb CPT 63252 | not published | not published | $10,778.58 – $10,778.58 | 1 |
| Revise spine eltrd perq aray CPT 63663 | not published | not published | $2,911.12 – $2,911.12 | 1 |
| Revise spine eltrd plate CPT 63664 | not published | not published | $3,071.13 – $3,071.13 | 1 |
| Revise stomach bowel fusion 43860 CPT 43860 | not published | not published | $5,890.12 – $5,890.12 | 1 |
| Revise thigh muscles/tendons CPT 27400 | not published | not published | $2,515.40 – $2,515.40 | 1 |
| Revise thumb tendon CPT 26490 | not published | not published | $2,839.13 – $2,839.13 | 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.