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 |
|---|---|---|---|---|
| Twelve volt battery utah/equ HCPCS L7364 | $948.59 | $1,789.80 | $766.87 – $766.87 | 1 |
| Tx atrial fib pulm vein isol CPT 93656 | $18,348.60 | $34,620.00 | $3,706.24 – $13,407.00 | 2 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $232.93 – $326.10 | 3 |
| Tx closed hip disl traumatic without anes CPT 27250 | not published | not published | $232.93 – $656.70 | 4 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $2,224.31 – $2,224.31 | 1 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $232.93 – $1,255.59 | 4 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $571.88 – $832.15 | 4 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $349.76 – $832.15 | 4 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $3,319.70 – $3,319.70 | 1 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $3,076.77 – $3,076.77 | 1 |
| Tx l/r atrial fib addl CPT 93657 | $9,174.30 | $17,310.00 | $1,389.31 – $13,407.00 | 2 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $2,704.66 – $2,704.66 | 1 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $1,824.27 – $1,824.27 | 1 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $1,994.47 – $1,994.47 | 1 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $1,741.84 – $1,741.84 | 1 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $2,366.09 – $2,366.09 | 1 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $2,172.31 – $2,172.31 | 1 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $1,560.82 – $1,560.82 | 1 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $232.93 – $787.66 | 4 |
| Tympanic membrane repair CPT 69610 | not published | not published | $1,405.13 – $1,405.13 | 1 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $2,003.20 – $2,003.20 | 1 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $70.75 – $212.70 | 4 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $494.49 – $740.26 | 4 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $5,052.58 – $5,052.58 | 1 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $4,539.75 – $4,539.75 | 1 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $573.69 | 14 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $126.82 – $364.38 | 3 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.25 – $454.14 | 13 |
| Ua w/micro/comp poc CPT 81000 | $22.79 | $43.00 | $4.02 – $14.18 | 17 |
| Ugt1a1 gene analy common variants CPT 81350 | $827.33 | $1,561.00 | $234.00 – $767.29 | 15 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $351.92 | $664.00 | $94.88 – $519.00 | 6 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $9.25 – $519.00 | 6 |
| Ultrasound breast complete CPT 76641 | not published | not published | $33.02 – $519.00 | 7 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | not published | not published | $30.72 – $519.00 | 7 |
| Ultrasound chest CPT 76604 | $347.15 | $655.00 | $92.49 – $519.00 | 6 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | not published | not published | $72.69 – $519.00 | 6 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $103.26 – $519.00 | 6 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $86.32 – $519.00 | 2 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $101.71 – $519.00 | 6 |
| Ultrasound encephalogram CPT 76506 | not published | not published | $103.26 – $519.00 | 6 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $519.00 – $519.00 | 1 |
| Ultrasound exam k transpl w/doppler CPT 76776 | not published | not published | $103.26 – $519.00 | 6 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | not published | not published | $103.26 – $519.00 | 6 |
| Ultrasound guidance for vascular access CPT 76937 | $275.07 | $519.00 | $49.09 – $519.00 | 2 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $374.18 | $706.00 | $26.87 – $519.00 | 3 |
| Ultrasound guide intraoperative CPT 76998 | $385.84 | $728.00 | $209.76 – $519.00 | 2 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $208.14 – $519.00 | 2 |
| Ultrasound hips infant dynamic CPT 76885 | $249.10 | $470.00 | $85.50 – $519.00 | 6 |
| Ultrasound infant hips ltd without stress CPT 76886 | $367.29 | $693.00 | $85.50 – $519.00 | 6 |
| Ultrasound joint complete left CPT 76881 | $367.29 | $693.00 | $103.26 – $519.00 | 6 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $286.73 | $541.00 | $37.29 – $519.00 | 6 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $45.78 – $240.48 | 5 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | not published | not published | $145.21 – $519.00 | 2 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | not published | not published | $74.38 – $519.00 | 2 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $234.71 – $519.00 | 6 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $469.58 | $886.00 | $103.26 – $519.00 | 6 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | not published | not published | $103.26 – $519.00 | 6 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | not published | not published | $103.26 – $519.00 | 6 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $103.26 – $519.00 | 6 |
| Ultrasound retroperitoneal limited CPT 76775 | $469.58 | $886.00 | $96.32 – $519.00 | 6 |
| Ultrasound scrotum and contents CPT 76870 | not published | not published | $103.26 – $519.00 | 6 |
| Ultrasound spinal canal and contents CPT 76800 | $367.29 | $693.00 | $103.26 – $519.00 | 6 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $313.16 – $519.00 | 2 |
| Ultrasound transvaginal non obstetric CPT 76830 | $469.58 | $886.00 | $103.26 – $519.00 | 6 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $172.86 – $519.00 | 6 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $145.14 – $519.00 | 2 |
| Ultraviolet therapy CPT 97028 | not published | not published | $7.65 – $24.38 | 4 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $240.10 – $240.10 | 1 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $295.37 – $1,743.22 | 4 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $1,759.70 – $1,759.70 | 1 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $23.78 – $33.29 | 3 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $23.78 – $33.29 | 3 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $1.16 – $62.72 | 4 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $225.49 – $315.69 | 3 |
| Unlisted CT procedure CPT 76497 | not published | not published | $69.83 – $182.03 | 5 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $390.18 – $848.52 | 4 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $16.15 – $72.63 | 6 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $16.15 – $72.63 | 6 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $151.93 – $212.70 | 3 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $390.18 – $848.52 | 4 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $195.34 – $273.48 | 3 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $73.38 – $182.03 | 5 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $390.18 – $848.52 | 4 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $390.18 – $848.52 | 4 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | not published | 0 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $195.34 – $273.48 | 3 |
| Unlisted maaa CPT 81599 | not published | not published | not published | 0 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $225.49 – $315.69 | 3 |
| Unlisted misc path test CPT 89240 | not published | not published | $16.15 – $72.63 | 6 |
| Unlisted mr procedure CPT 76498 | $1,028.20 | $1,940.00 | $61.44 – $182.03 | 5 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $390.18 – $848.52 | 4 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $225.49 – $315.69 | 3 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $151.93 – $212.70 | 3 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $390.18 – $848.52 | 4 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $23.78 – $33.29 | 3 |
| Unlisted orl service/px CPT 92700 | not published | not published | $23.78 – $33.29 | 3 |
| Unlisted procedure colon CPT 45399 | not published | not published | $885.29 – $1,239.41 | 3 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $910.39 – $1,274.55 | 3 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $290.27 – $406.38 | 3 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $225.49 – $315.69 | 3 |
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.