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 |
|---|---|---|---|---|
| Revision of scrotum CPT 55175 | not published | not published | $1,328.29 – $1,328.29 | 1 |
| Revision of scrotum CPT 55180 | not published | not published | $2,540.06 – $2,540.06 | 1 |
| Revision of spinal shunt CPT 63744 | not published | not published | $2,397.72 – $2,397.72 | 1 |
| Revision of testis CPT 54660 | not published | not published | $1,309.38 – $1,309.38 | 1 |
| Revision of thigh muscles CPT 27430 | not published | not published | $2,673.29 – $2,673.29 | 1 |
| Revision of toe CPT 28312 | not published | not published | $1,877.31 – $1,877.31 | 1 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $8,860.02 – $8,860.02 | 1 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $8,824.84 – $8,824.84 | 1 |
| Revision of ulna CPT 25360 | not published | not published | $2,374.59 – $2,374.59 | 1 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $2,693.47 – $2,693.47 | 1 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $2,684.29 – $2,684.29 | 1 |
| Revision of upper arm CPT 24940 | not published | not published | $3,830.11 – $3,830.11 | 1 |
| Revision of ureter CPT 50700 | not published | not published | $3,411.12 – $3,411.12 | 1 |
| Revision of urethra CPT 53450 | not published | not published | $1,497.71 – $1,497.71 | 1 |
| Revision of urethra CPT 53460 | not published | not published | $1,678.35 – $1,678.35 | 1 |
| Revision of urethra CPT 57220 | not published | not published | $1,153.50 – $1,153.50 | 1 |
| Revision of urinary tract CPT 51820 | not published | not published | $4,055.33 – $4,055.33 | 1 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $2,772.66 – $2,772.66 | 1 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $3,074.12 – $3,074.12 | 1 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $2,710.85 – $2,710.85 | 1 |
| Revision tips CPT 37183 | not published | not published | $21,449.48 – $21,449.48 | 1 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $5,875.98 – $27,040.00 | 2 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $6,349.62 – $6,349.62 | 1 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $4,529.60 – $4,529.60 | 1 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $4,428.07 – $4,428.07 | 1 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $3,843.47 – $3,843.47 | 1 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $4,088.04 – $4,088.04 | 1 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $6,930.82 – $6,930.82 | 1 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $5,203.20 – $5,203.20 | 1 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $763.49 – $763.49 | 1 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $3,998.41 – $3,998.41 | 1 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $1,339.74 – $1,339.74 | 1 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $2,709.25 – $2,709.25 | 1 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $887.44 – $887.44 | 1 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $889.57 – $889.57 | 1 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $7,286.97 – $7,286.97 | 1 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $7,048.28 – $7,048.28 | 1 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $2,057.84 – $2,057.84 | 1 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $6,605.98 – $6,605.98 | 1 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $3,002.28 – $3,002.28 | 1 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $14,040.99 – $14,040.99 | 1 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $1,808.34 – $1,808.34 | 1 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $6.14 – $25.98 | 17 |
| Rheumatoid factor quantitative CPT 86431 | $30.74 | $58.00 | $5.67 – $25.98 | 17 |
| Rh ig IV CPT 90386 | not published | not published | $34.19 – $1,093.50 | 3 |
| Rh ig minidose im CPT 90385 | not published | not published | $99.43 – $176.83 | 3 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $3,683.49 – $3,683.49 | 1 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $215.37 – $387.40 | 3 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $1,035.06 – $1,035.06 | 1 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $659.50 – $659.50 | 1 |
| Rhythm ecg with report CPT 93040 | not published | not published | $41.75 – $41.75 | 1 |
| Rib cartilage graft CPT 21230 | not published | not published | $2,612.79 – $2,612.79 | 1 |
| Right ventric recording CPT 93603 | not published | not published | $224.43 – $13,407.00 | 2 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $1,507.15 – $1,507.15 | 1 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $1,133.39 – $1,133.39 | 1 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $3,945.89 – $3,945.89 | 1 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $516.68 – $956.48 | 4 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $2,360.19 – $2,360.19 | 1 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,534.56 – $1,534.56 | 1 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $1,967.99 – $1,967.99 | 1 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $1,202.33 – $1,202.33 | 1 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $748.80 – $748.80 | 1 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $2,529.80 – $2,529.80 | 1 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $437.31 – $437.31 | 1 |
| Rmvl icd by tv extr CPT 33244 | $4,350.24 | $8,208.00 | $3,132.01 – $3,132.01 | 1 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $20,671.59 | $39,003.00 | $1,441.05 – $55,400.00 | 2 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $28,989.41 | $54,697.00 | $1,501.59 – $55,400.00 | 2 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $17,748.64 | $33,488.00 | $1,386.40 – $55,400.00 | 2 |
| Rmvl icd pulse gen only CPT 33241 | $3,916.70 | $7,390.00 | $821.57 – $821.57 | 1 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $366.10 – $366.10 | 1 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $1,826.84 – $1,826.84 | 1 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $8,490.49 – $8,490.49 | 1 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $489.72 | $924.00 | $600.34 – $840.48 | 4 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $649.99 – $649.99 | 1 |
| Rmvl perm pm pulse gen CPT 33233 | $6,991.76 | $13,192.00 | $874.72 – $874.72 | 1 |
| Rmvl perq right heart vad CPT 33997 | $1,784.51 | $3,367.00 | $548.35 – $548.35 | 1 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $713.44 – $713.44 | 1 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $1,864.70 – $1,864.70 | 1 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $1,132.13 – $1,132.13 | 1 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $16,526.46 | $31,182.00 | $1,387.56 – $22,160.00 | 2 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $6,991.76 | $13,192.00 | $1,263.43 – $22,160.00 | 2 |
| Rmvl pq iabp CPT 33968 | $2,719.96 | $5,132.00 | $122.16 – $122.16 | 1 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $752.19 – $752.19 | 1 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $4,602.97 – $4,602.97 | 1 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $5,871.73 – $5,871.73 | 1 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $9,122.42 – $9,122.42 | 1 |
| Rmvl sq defib electrode CPT 33272 | $2,952.10 | $5,570.00 | $1,264.99 – $55,400.00 | 2 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,425.70 | $2,690.00 | $475.80 – $956.48 | 4 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $1,712.52 – $1,712.52 | 1 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $385.87 – $542.47 | 4 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $7,297.93 – $7,297.93 | 1 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $7,457.28 – $7,457.28 | 1 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $4,328.55 – $4,328.55 | 1 |
| Rmvl tv pm lead dual CPT 33235 | $4,350.24 | $8,208.00 | $2,333.56 – $2,333.56 | 1 |
| Rmvl tv pm lead sgl CPT 33234 | $3,263.74 | $6,158.00 | $1,788.68 – $1,788.68 | 1 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $1,571.78 – $1,571.78 | 1 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $2,041.21 – $2,041.21 | 1 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $1,798.42 – $1,798.42 | 1 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $990.24 – $990.24 | 1 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $1,657.46 – $1,657.46 | 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.