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 |
|---|---|---|---|---|
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $9,838.92 | $18,564.00 | $6,385.69 – $6,385.69 | 1 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $19,882.42 | $37,514.00 | $8,171.57 – $8,171.57 | 1 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $30,137.39 | $56,863.00 | $24,395.10 – $24,395.10 | 1 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | not published | not published | $4,140.78 – $4,140.78 | 1 |
| Thrombin time CPT 85670 | $24.91 | $47.00 | $5.77 – $25.98 | 17 |
| Thrombin time titer CPT 85675 | not published | not published | $6.85 – $30.71 | 17 |
| Thromboendarterectomy common femoral CPT 35371 | not published | not published | $3,000.15 – $3,000.15 | 1 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $3,260.21 – $3,260.21 | 1 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | not published | not published | $4,684.58 – $4,684.58 | 1 |
| Thromboendarterectomy sfa CPT 35302 | not published | not published | $4,121.28 – $4,121.28 | 1 |
| Thrombomodulin CPT 85337 | not published | not published | $17.25 – $47.23 | 17 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $9.63 – $27.32 | 17 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $49.82 | $94.00 | $6.47 – $29.50 | 17 |
| Thromboxane urine CPT 84431 | not published | not published | $27.81 – $82.51 | 17 |
| Thumb fusion with graft CPT 26820 | not published | not published | $2,814.84 – $2,814.84 | 1 |
| Thumb fusion with graft CPT 26842 | not published | not published | $2,821.33 – $2,821.33 | 1 |
| Thumb tendon transfer CPT 26510 | not published | not published | $2,140.68 – $2,140.68 | 1 |
| Thymectomy prtl/tot rad medstnl dsj 60522 CPT 60522 | not published | not published | $4,906.37 – $4,906.37 | 1 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $3,760.29 – $3,760.29 | 1 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | not published | not published | $4,051.90 – $4,051.90 | 1 |
| Thyroglobulin antibody CPT 86800 | $51.41 | $97.00 | $15.91 – $70.83 | 17 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | not published | not published | $4,961.91 – $4,961.91 | 1 |
| Thyroid imaging CPT 78013 | not published | not published | $62.48 – $848.52 | 5 |
| Thyroid met imaging CPT 78015 | not published | not published | $112.06 – $848.52 | 5 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $118.58 – $848.52 | 5 |
| Thyroid mets imag whole body CPT 78018 | not published | not published | $140.97 – $1,101.15 | 5 |
| Thyroid met uptake CPT 78020 | not published | not published | $95.63 – $95.63 | 1 |
| Thyroid (TSH) Test CPT 84443 | $63.60 | $120.00 | $16.80 – $75.56 | 17 |
| Thyroid Ultrasound CPT 76536 | $510.39 | $963.00 | $96.12 – $519.00 | 6 |
| Thyroid uptake measurement CPT 78012 | not published | not published | $32.46 – $848.52 | 5 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $50.41 – $258.51 | 17 |
| Thyroxine binding globulin (tbg) CPT 84442 | $51.41 | $97.00 | $14.78 – $66.10 | 17 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $2,835.02 – $2,835.02 | 1 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $3,620.08 – $3,620.08 | 1 |
| Tib/per revasc stent & ather 37231 CPT 37231 | not published | not published | $48,378.66 – $48,378.66 | 1 |
| Tib/per revasc stnt & ather CPT 37235 | $8,112.71 | $15,307.00 | $14,777.55 – $14,777.55 | 1 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $7,215.42 | $13,614.00 | $5,286.45 – $5,286.45 | 1 |
| Tic-brn enceph vac 0.25ml im CPT 90626 | not published | not published | $988.69 – $988.69 | 1 |
| Tic-brn enceph vac 0.5ml im CPT 90627 | not published | not published | $988.69 – $988.69 | 1 |
| Tilt table study CPT 93660 | $2,203.21 | $4,157.00 | $207.30 – $721.31 | 4 |
| Tis cgen car anomal 1st shnt CPT 33745 | not published | not published | $3,643.24 – $3,643.24 | 1 |
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $1,450.15 – $1,450.15 | 1 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $567.59 – $567.59 | 1 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $634.32 – $634.32 | 1 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $437.34 – $437.34 | 1 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $534.96 – $534.96 | 1 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $13.09 – $30.36 | 6 |
| Tissue culture placenta CPT 88235 | $271.36 | $512.00 | $82.42 – $353.20 | 17 |
| Tissue culture skin/biopsy CPT 88233 | $259.70 | $490.00 | $82.42 – $330.72 | 17 |
| Tissue culture tumor CPT 88239 | $283.02 | $534.00 | $82.42 – $346.67 | 17 |
| Tissue exam koh skin/hair/nails CPT 87220 | $24.38 | $46.00 | $4.27 – $18.87 | 17 |
| Tissue transglutaminase iga CPT 86364 | $10.07 | $19.00 | $11.53 – $37.92 | 11 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $2,814.25 – $2,814.25 | 1 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $3,681.29 – $3,681.29 | 1 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $3,221.75 – $3,221.75 | 1 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $4,364.03 – $4,364.03 | 1 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $8,609.14 – $8,609.14 | 1 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $8,831.30 – $8,831.30 | 1 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $1,713.26 – $1,713.26 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $9.17 | $17.30 | $2.42 – $9.06 | 10 |
| Tobramycin peak therapeutic drug level CPT 80200 | $70.49 | $133.00 | $16.13 – $72.00 | 17 |
| Toe joint transfer CPT 26556 | not published | not published | $10,043.77 – $10,043.77 | 1 |
| Tomosynthesis breast screen bilateral CPT 77063 | not published | not published | $22.29 – $164.00 | 7 |
| Tone decay hearing test CPT 92563 | not published | not published | $38.11 – $100.74 | 4 |
| Tongue and neck surgery CPT 41135 | not published | not published | $8,132.33 – $8,132.33 | 1 |
| Tongue base vol reduction CPT 41530 | not published | not published | $3,650.96 – $3,650.96 | 1 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $635.00 – $635.00 | 1 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $11,262.55 – $11,262.55 | 1 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $8,258.37 – $8,258.37 | 1 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $8,997.02 – $8,997.02 | 1 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $10,417.26 – $10,417.26 | 1 |
| Tongue suspension CPT 41512 | not published | not published | $2,477.43 – $2,477.43 | 1 |
| Tongue to lip surgery CPT 41510 | not published | not published | $1,576.15 – $1,576.15 | 1 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $928.96 – $928.96 | 1 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $968.38 – $968.38 | 1 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $4,921.18 – $4,921.18 | 1 |
| Total hip arthroplasty CPT 27132 | not published | not published | $6,071.92 – $27,040.00 | 2 |
| Total Hip Replacement CPT 27130 | not published | not published | $4,917.26 – $27,040.00 | 2 |
| Total hysterectomy CPT 58150 | not published | not published | $3,654.69 – $3,654.69 | 1 |
| Total Knee Replacement CPT 27447 | not published | not published | $4,916.21 – $27,040.00 | 2 |
| Total lung lavage CPT 32997 | not published | not published | $1,278.57 – $1,278.57 | 1 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $8,387.02 – $8,387.02 | 1 |
| Total tau CPT 84394 | not published | not published | not published | 0 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $5,797.76 – $5,797.76 | 1 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $6,931.12 – $6,931.12 | 1 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $1,179.91 – $1,179.91 | 1 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $1,795.96 – $1,795.96 | 1 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $9,236.75 – $9,236.75 | 1 |
| Tot estradiol response panel CPT 80415 | not published | not published | $55.89 – $204.21 | 17 |
| Toxoplasma antibody igg CPT 86777 | $50.35 | $95.00 | $14.39 – $64.93 | 17 |
| Toxoplasma antibody igm CPT 86778 | $52.47 | $99.00 | $14.41 – $60.06 | 17 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $641.85 – $2,214.38 | 14 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $308.00 – $1,062.60 | 14 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $329.51 – $774.35 | 13 |
| Tpmt gene com vrnts CPT 81335 | $1,368.99 | $2,583.00 | $174.81 – $573.69 | 14 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $72.14 – $330.62 | 4 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $2,466.31 – $2,466.31 | 1 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $2,099.02 – $2,099.02 | 1 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $1,231.76 – $1,231.76 | 1 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $13,459.76 – $13,459.76 | 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.