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 |
|---|---|---|---|---|
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $468.00 – $1,531.04 | 14 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $584.23 – $1,911.13 | 14 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $113.10 – $881.84 | 17 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $301.35 – $985.67 | 14 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $282.88 – $925.46 | 14 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $185.12 – $606.75 | 14 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $113.10 – $881.84 | 17 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $282.88 – $925.46 | 14 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $214.35 – $1,034.00 | 17 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $1,916.12 – $6,346.41 | 14 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $2,345.80 – $2,345.80 | 1 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | not published | not published | $469.03 – $2,429.13 | 2 |
| Breast punct aspir cyst, bil CPT 19000 | not published | not published | $94.80 – $956.48 | 5 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $5,519.02 – $5,519.02 | 1 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $6,552.64 – $6,552.64 | 1 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $5,763.19 – $5,763.19 | 1 |
| Breast reduction CPT 19318 | not published | not published | $4,034.11 – $4,034.11 | 1 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $34.37 – $212.70 | 5 |
| Breathing response hypoxia CPT 94450 | not published | not published | $67.56 – $212.70 | 4 |
| Breath recording infant CPT 94772 | not published | not published | $378.73 – $721.31 | 4 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $94.41 – $302.19 | 15 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $11.06 – $35.40 | 15 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $377.06 – $1,059.32 | 4 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $396.01 – $396.01 | 1 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $3,285.91 – $3,285.91 | 1 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $3,491.80 – $3,491.80 | 1 |
| Bronchial allergy tests CPT 95070 | not published | not published | $99.11 – $721.31 | 4 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $377.06 – $950.14 | 4 |
| Bronchial challenge CPT 94070 | $630.17 | $1,189.00 | $97.27 – $423.33 | 4 |
| Bronchial valve init insert CPT 31647 | not published | not published | $820.67 – $820.67 | 1 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $257.37 – $257.37 | 1 |
| Bronchial valve remov init CPT 31648 | not published | not published | $760.81 – $760.81 | 1 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $816.39 – $816.39 | 1 |
| Bronchoscopy clear airways 31645 CPT 31645 | $3,904.51 | $7,367.00 | $1,179.87 – $1,179.87 | 1 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $736.15 – $736.15 | 1 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $843.73 – $843.73 | 1 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $273.86 – $273.86 | 1 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $6,839.12 | $12,904.00 | $1,520.87 – $1,520.87 | 1 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $337.86 – $337.86 | 1 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $6,839.12 | $12,904.00 | $1,812.52 – $1,812.52 | 1 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $930.04 – $930.04 | 1 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $951.90 – $951.90 | 1 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $3,945.32 | $7,444.00 | $1,441.12 – $1,441.12 | 1 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $3,945.32 | $7,444.00 | $1,271.15 – $1,271.15 | 1 |
| Bronchoscopy w/markers CPT 31626 | not published | not published | $3,306.05 – $3,306.05 | 1 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | $936.49 – $936.49 | 1 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $780.54 – $780.54 | 1 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $818.51 – $818.51 | 1 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $6,754.51 – $6,754.51 | 1 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | $188.51 – $263.91 | 3 |
| Br punct aspir ea add, l CPT 19001 | not published | not published | $24.73 – $98.21 | 2 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $4,961.35 – $4,961.35 | 1 |
| Bundled special stain group 1 microorganisms CPT 88312 | $66.78 | $126.00 | $24.95 – $190.26 | 11 |
| Bundled special stain group 2 CPT 88313 | $64.66 | $122.00 | $24.95 – $175.22 | 11 |
| Bundle his recording CPT 93600 | not published | not published | $260.03 – $13,407.00 | 2 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $6.70 | $12.65 | $0.01 – $0.03 | 7 |
| Buprenorphine and metabolite - sendout CPT 80348 | $73.14 | $138.00 | $66.14 – $66.14 | 1 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $2,647.37 – $2,647.37 | 1 |
| Burr hole implant ventricular cath/other device CPT 61210 | not published | not published | $1,309.83 – $1,309.83 | 1 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $4,498.12 – $4,498.12 | 1 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | not published | $4,525.98 – $4,525.98 | 1 |
| Buttock fasciotomy CPT 27027 | not published | not published | $3,264.01 – $3,264.01 | 1 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $3,676.55 – $3,676.55 | 1 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $929.33 – $929.33 | 1 |
| Bx bone trocar/ndl deep CPT 20225 | $1,084.91 | $2,047.00 | $1,905.51 – $1,905.51 | 1 |
| Bx breast 1st lesion mr imag CPT 19085 | not published | not published | $720.51 – $3,728.99 | 2 |
| Bx breast 1st lesion strtctc CPT 19081 | not published | not published | $470.90 – $2,509.88 | 2 |
| Bx breast add lesion mr imag CPT 19086 | not published | not published | $557.39 – $2,954.05 | 2 |
| Bx breast add lesion strtctc CPT 19082 | not published | not published | $362.30 – $2,073.95 | 2 |
| Bx breast add lesion Ultrasound imag CPT 19084 | not published | not published | $356.63 – $1,995.25 | 2 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $138.07 – $538.80 | 2 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $157.67 – $553.35 | 5 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $7,470.63 – $7,470.63 | 1 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $1,884.47 – $1,884.47 | 1 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $1,195.35 – $1,195.35 | 1 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $5,513.31 – $5,513.31 | 1 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $2,096.15 – $2,096.15 | 1 |
| Bx liver with other CPT 47001 | not published | not published | $373.45 – $373.45 | 1 |
| Bx muscle CPT 20200 | not published | not published | $743.80 – $743.80 | 1 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $811.57 – $811.57 | 1 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $302.90 – $1,222.21 | 2 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $295.30 – $1,019.82 | 2 |
| Bx pancreas pq ndl CPT 48102 | $1,084.91 | $2,047.00 | $1,943.78 – $1,943.78 | 1 |
| Bx perianal mass CPT 46999 | not published | not published | $885.29 – $1,239.41 | 3 |
| Bx pleura pq ndl CPT 32400 | not published | not published | $551.03 – $551.03 | 1 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $1,368.46 – $1,368.46 | 1 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $2,007.78 – $2,007.78 | 1 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $784.61 – $784.61 | 1 |
| Bx skin incisnl ea sep/add l les CPT 11107 | not published | not published | $259.94 – $259.94 | 1 |
| Bx skin punch ea sep/ addl les CPT 11105 | not published | not published | $220.37 – $220.37 | 1 |
| Bx skin tangential ea sep/ addl les CPT 11103 | not published | not published | $192.39 – $192.39 | 1 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $921.42 – $921.42 | 1 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | not published | not published | $1,242.57 – $1,242.57 | 1 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | $2,477.91 – $2,477.91 | 1 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | not published | not published | $1,593.90 – $1,593.90 | 1 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | not published | not published | $934.85 – $934.85 | 1 |
| Bx spinal cord pq ndl CPT 62269 | not published | not published | $998.00 – $998.00 | 1 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | not published | not published | $981.77 – $981.77 | 1 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $730.34 | $1,378.00 | $412.54 – $956.48 | 4 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $320.74 – $1,183.71 | 4 |
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.