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 |
|---|---|---|---|---|
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $82.47 – $232.95 | 6 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $1,574.06 – $1,574.06 | 1 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $1,679.81 – $1,679.81 | 1 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | not published | not published | $2,226.81 – $2,226.81 | 1 |
| Biopsy roof of mouth CPT 42100 | not published | not published | $557.52 – $557.52 | 1 |
| Biopsy skin incisional single lesion CPT 11106 | not published | not published | $542.49 – $832.15 | 4 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | not published | not published | $955.78 – $955.78 | 1 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $1,431.31 – $1,431.31 | 1 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $494.49 – $692.29 | 4 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $492.14 – $492.14 | 1 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $494.49 – $695.87 | 4 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $1,517.25 – $1,517.25 | 1 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $1,402.33 – $1,402.33 | 1 |
| Biospy of bladder CPT 53899 | not published | not published | $236.16 – $330.62 | 3 |
| Biotinidase - quest CPT 82261 | $23.85 | $45.00 | $16.87 – $67.72 | 17 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $151.93 – $354.35 | 4 |
| Bivalirudin HCPCS J0583 | $3.66 | $6.91 | $0.20 – $2.90 | 10 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $472.23 | $891.00 | $236.16 – $330.62 | 4 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $424.51 – $594.31 | 4 |
| Bld prd mix CPT 86965 | $90.63 | $171.00 | $36.67 – $232.95 | 11 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $211.57 – $594.31 | 4 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $2,053.92 – $2,053.92 | 1 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $1,619.83 – $1,619.83 | 1 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $2,213.34 – $2,213.34 | 1 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $2,213.20 – $2,213.20 | 1 |
| Blink reflex test CPT 95933 | not published | not published | $57.68 – $105.37 | 4 |
| Blm gene CPT 81209 | not published | not published | $39.31 – $128.67 | 14 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $298.44 – $1,210.29 | 4 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $268.49 – $1,210.29 | 4 |
| Block paracervical nrv CPT 64435 | not published | not published | $495.08 – $941.43 | 4 |
| Block plantar digital nerve CPT 64455 | not published | not published | $174.97 – $401.30 | 4 |
| Block tap inj(s) w/wo img bi CPT 64488 | $638.65 | $1,205.00 | $561.59 – $561.59 | 1 |
| Block tap inj(s) w/wo img uni CPT 64486 | $546.43 | $1,031.00 | $455.73 – $455.73 | 1 |
| Blood Clotting (PT/INR) Test CPT 85610 | $21.20 | $40.00 | $4.29 – $17.70 | 17 |
| Blood Clotting (PTT) Test CPT 85730 | $38.16 | $72.00 | $6.01 – $27.15 | 17 |
| Blood Count (CBC) Test CPT 85025 | $31.80 | $60.00 | $7.77 – $35.40 | 17 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $24.38 | $46.00 | $6.47 – $29.50 | 17 |
| Blood count spun microhematocrit CPT 85013 | $12.19 | $23.00 | $3.92 – $16.45 | 17 |
| Blood Culture Test CPT 87040 | $72.61 | $137.00 | $10.32 – $46.02 | 17 |
| Blood draw capillary 36416 CPT 36416 | $12.19 | $23.00 | $3.60 – $10.22 | 4 |
| Blood gases o2 saturation direct measurement CPT 82805 | $98.58 | $186.00 | $46.95 – $185.11 | 17 |
| Blood gases ph venous CPT 82800 | $48.76 | $92.00 | $11.00 – $37.78 | 17 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $39.75 | $75.00 | $15.92 – $70.83 | 17 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $18.02 | $34.00 | $4.23 – $14.18 | 17 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $18.02 | $34.00 | $4.38 – $14.18 | 17 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $34.98 | $66.00 | $5.32 – $14.18 | 17 |
| Blood smear interpretation CPT 85060 | $28.62 | $54.00 | $31.54 – $84.18 | 8 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $19.08 | $36.00 | $3.80 – $15.35 | 17 |
| Blood split unit HCPCS P9011 | $226.31 | $427.00 | $98.30 – $98.30 | 1 |
| Blood typing abo CPT 86900 | $64.66 | $122.00 | $3.14 – $175.22 | 14 |
| Blood typing ag donor ea ag CPT 86902 | $190.80 | $360.00 | $6.33 – $489.02 | 14 |
| Blood typing patient serum CPT 86904 | $92.75 | $175.00 | $15.74 – $80.75 | 14 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $190.80 | $360.00 | $4.02 – $489.02 | 14 |
| Blood typing rh (d) CPT 86901 | $30.21 | $57.00 | $3.14 – $53.35 | 14 |
| Blood typing rh phenotype complete reference CPT 86906 | $40.28 | $76.00 | $8.14 – $53.35 | 14 |
| Blood volume CPT 78122 | not published | not published | $73.55 – $1,101.15 | 5 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $567.18 – $567.18 | 1 |
| Bone Density Scan (DEXA) CPT 77080 | not published | not published | $34.88 – $245.18 | 6 |
| Bone imaging multiple areas CPT 78305 | $1,727.27 | $3,259.00 | $140.31 – $848.52 | 5 |
| Bone/joint imaging ltd area CPT 78300 | $1,151.16 | $2,172.00 | $106.57 – $848.52 | 5 |
| Bone marrow;aspiration only 38220 CPT 38220 | $2,320.34 | $4,378.00 | $596.50 – $596.50 | 1 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $2,353.73 | $4,441.00 | $609.78 – $609.78 | 1 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $729.48 – $729.48 | 1 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $726.90 – $726.90 | 1 |
| Bone marrow imaging body CPT 78104 | not published | not published | $131.20 – $848.52 | 5 |
| Bone marrow imaging ltd CPT 78102 | $1,247.62 | $2,354.00 | $90.15 – $848.52 | 5 |
| Bone marrow imaging mult CPT 78103 | $1,308.57 | $2,469.00 | $123.82 – $848.52 | 5 |
| Bone marrow interpretation CPT 85097 | $434.60 | $820.00 | $53.33 – $1,110.52 | 11 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $9,676.40 – $9,676.40 | 1 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $8,716.64 – $8,716.64 | 1 |
| Bone survey-lead poisoning CPT 77074 | $161.12 | $304.00 | $77.80 – $245.18 | 6 |
| Bone tendon board add on HCPCS C9356 | $5,689.43 | $10,734.78 | $331.75 – $331.75 | 1 |
| Borrelia antibody CPT 86619 | not published | not published | $13.38 – $60.20 | 17 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $64.66 | $122.00 | $17.03 – $76.73 | 17 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $35.09 – $115.68 | 6 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.43 – $15.35 | 17 |
| Bowel imaging CPT 78290 | not published | not published | $115.20 – $848.52 | 5 |
| Brace afopos solid ankle cust HCPCS L1960 | $1,583.11 | $2,987.00 | $927.78 – $927.78 | 1 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $2,773.67 – $2,773.67 | 1 |
| Brach/thor cath 1st CPT 36215 | not published | not published | $4,072.60 – $4,072.60 | 1 |
| Brach/thor cath 2nd CPT 36216 | not published | not published | $4,341.57 – $4,341.57 | 1 |
| Brach/thor cath 3rd CPT 36217 | not published | not published | $7,264.77 – $7,264.77 | 1 |
| Brach/thor cath addl CPT 36218 | $615.33 | $1,161.00 | $695.57 – $695.57 | 1 |
| Brachytx isodose complex CPT 77318 | not published | not published | $355.46 – $509.70 | 4 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $321.51 – $497.64 | 4 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $246.88 – $497.64 | 4 |
| Braf gene CPT 81210 | $560.21 | $1,057.00 | $175.40 – $590.23 | 17 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $4,917.56 – $4,917.56 | 1 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $4,298.45 – $4,298.45 | 1 |
| Brain flow imaging only CPT 78610 | not published | not published | $51.47 – $1,101.15 | 5 |
| Brain image < 4 views CPT 78600 | not published | not published | $75.38 – $848.52 | 5 |
| Brain image 4+ views CPT 78605 | not published | not published | $91.22 – $1,101.15 | 5 |
| Brain image w/flow < 4 views CPT 78601 | $628.58 | $1,186.00 | $85.22 – $848.52 | 5 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $107.19 – $1,101.15 | 5 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $1,532.76 | $2,892.00 | $307.40 – $836.00 | 6 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | not published | not published | $205.17 – $836.00 | 6 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,426.76 | $2,692.00 | $205.17 – $836.00 | 6 |
| Brain MRI (with and without contrast) CPT 70553 | $1,426.76 | $2,692.00 | $346.78 – $836.00 | 6 |
| Brain MRI (with contrast) CPT 70552 | $1,391.25 | $2,625.00 | $304.91 – $836.00 | 6 |
| Brain MRI (without contrast) CPT 70551 | $1,337.19 | $2,523.00 | $234.71 – $836.00 | 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.