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 |
|---|---|---|---|---|
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $51.43 – $137.21 | 7 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $0.01 – $484.04 | 8 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $35.33 – $147.42 | 12 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $35.89 – $231.74 | 11 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $1,554.25 – $1,554.25 | 1 |
| Sbrt management CPT 77435 | not published | not published | $2,124.20 – $2,124.20 | 1 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $367.16 – $367.16 | 1 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $362.39 – $362.39 | 1 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $183.94 – $183.94 | 1 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $243.04 – $243.04 | 1 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $119.57 – $119.57 | 1 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $89.82 – $338.57 | 4 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $962.48 | $1,816.00 | $193.56 – $328.59 | 4 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $813.02 | $1,534.00 | $103.26 – $144.56 | 4 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | not published | not published | $131.58 – $328.59 | 4 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $681.05 | $1,285.00 | $82.48 – $144.56 | 4 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $782.28 | $1,476.00 | $83.20 – $144.56 | 4 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $995.87 | $1,879.00 | $75.04 – $144.56 | 4 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $957.18 | $1,806.00 | $131.85 – $328.59 | 4 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $824.15 | $1,555.00 | $80.65 – $144.56 | 4 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $695.89 | $1,313.00 | $81.80 – $144.56 | 4 |
| Scan proc cranial extra CPT 61782 | not published | not published | $645.81 – $645.81 | 1 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $838.47 – $838.47 | 1 |
| Scan proc spinal CPT 61783 | not published | not published | $831.72 – $831.72 | 1 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $3,604.49 – $3,604.49 | 1 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $2,267.95 – $2,267.95 | 1 |
| Screening Mammogram CPT 77067 | not published | not published | $34.34 – $217.46 | 7 |
| Screening prostate cancer PSA HCPCS G0103 | $30.74 | $58.00 | $20.28 – $45.38 | 12 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $10.00 – $10.00 | 1 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $69.11 – $237.32 | 4 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $2,939.69 – $2,939.69 | 1 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $3,102.09 | $5,853.00 | $4,983.80 – $4,983.80 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $22.79 | $43.00 | $2.70 – $11.80 | 17 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $5,191.34 – $5,191.34 | 1 |
| Select picture audiometry CPT 92583 | not published | not published | $57.68 – $170.54 | 4 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $39.78 – $39.78 | 1 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $23.78 – $33.29 | 4 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $43.72 – $43.72 | 1 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $32.10 – $32.10 | 1 |
| Semen analysis presence/motility CPT 89321 | $37.10 | $70.00 | $12.05 – $54.30 | 17 |
| Semen analysis w/count CPT 89310 | $62.54 | $118.00 | $8.61 – $38.95 | 17 |
| Sensorimotor examination CPT 92060 | not published | not published | $57.68 – $86.77 | 4 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $38.11 – $236.37 | 4 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $1,979.88 – $1,979.88 | 1 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $100.94 – $628.00 | 16 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $2,434.27 – $2,434.27 | 1 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $2,312.79 – $2,312.79 | 1 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $2,705.15 – $2,705.15 | 1 |
| Serial casting application 97139app CPT 97139 | not published | not published | $55.73 – $55.73 | 1 |
| Serial tonometry CPT 92100 | not published | not published | $264.15 – $264.15 | 1 |
| Serpina1 gene CPT 81332 | $173.84 | $328.00 | $43.65 – $195.96 | 17 |
| Sertraline (zoloft) - sendout CPT 80332 | $860.72 | $1,624.00 | $32.60 – $81.45 | 6 |
| Set radiation therapy field CPT 77280 | not published | not published | $122.85 – $180.49 | 4 |
| Set radiation therapy field CPT 77285 | not published | not published | $185.23 – $497.64 | 4 |
| Set radiation therapy field CPT 77290 | not published | not published | $274.45 – $497.64 | 4 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $112.64 – $407.71 | 4 |
| Sever cranial nerve CPT 64771 | not published | not published | $2,195.59 – $2,195.59 | 1 |
| Sex chromatin identification CPT 88130 | not published | not published | $17.98 – $67.28 | 17 |
| Sex chromatin identification CPT 88140 | not published | not published | $7.99 – $35.40 | 17 |
| Sex transformation f to m CPT 55980 | not published | not published | $14,213.99 – $14,213.99 | 1 |
| Sex transformation m to f CPT 55970 | not published | not published | $13,464.29 – $13,464.29 | 1 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $193.25 – $454.14 | 13 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $2,113.19 – $2,113.19 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $192.94 – $410.04 | 4 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $192.94 – $402.88 | 4 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $387.95 – $577.37 | 4 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $387.95 – $669.68 | 4 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $192.94 – $359.80 | 4 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $192.94 – $440.36 | 4 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $192.94 – $517.57 | 4 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $387.95 – $546.45 | 4 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $350.43 – $543.13 | 4 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $192.94 – $430.55 | 4 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $192.94 – $507.73 | 4 |
| Shigella antibody CPT 86771 | not published | not published | $18.58 – $57.53 | 17 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $1,714.64 – $1,714.64 | 1 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $3,331.37 – $3,331.37 | 1 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $3,853.31 – $3,853.31 | 1 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $2,126.92 – $2,126.92 | 1 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $2,067.35 – $2,067.35 | 1 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $2,108.01 – $2,108.01 | 1 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $1,948.10 – $1,948.10 | 1 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $2,126.92 – $2,126.92 | 1 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $3,761.48 – $3,761.48 | 1 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $2,257.10 – $2,257.10 | 1 |
| Shortening of hand tendon CPT 26479 | not published | not published | $2,231.81 – $2,231.81 | 1 |
| Shortening of thigh bone CPT 27465 | not published | not published | $4,470.55 – $4,470.55 | 1 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $4,496.07 – $4,496.07 | 1 |
| Shorten radius or ulna CPT 25390 | not published | not published | $2,802.39 – $2,802.39 | 1 |
| Shorten radius & ulna CPT 25392 | not published | not published | $3,176.36 – $3,176.36 | 1 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $3,858.50 – $3,858.50 | 1 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,484.00 | $2,800.00 | $346.78 – $836.00 | 6 |
| Shoulder MRI (with contrast) CPT 73222 | $1,419.34 | $2,678.00 | $278.55 – $1,609.16 | 6 |
| Shoulder MRI (without contrast) CPT 73221 | $1,355.21 | $2,557.00 | $232.67 – $836.00 | 6 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $3,908.52 – $3,908.52 | 1 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $4,648.70 – $4,648.70 | 1 |
| Shoulder X-ray CPT 73030 | $158.47 | $299.00 | $32.40 – $204.00 | 6 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $4,761.79 – $4,761.79 | 1 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $4,794.95 – $4,794.95 | 1 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $4,865.15 – $4,865.15 | 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.