Midwest Orthopedic Specialty Hospital

10101 South 27Th St 2Nd Floor, Franklin, WI 53132 · (414) 817-5800

Acute Care HospitalsPhysicianMilwaukee, WI metro Part of Ascension Wisconsin · 2 hospitals Website ↗

Price file

Prices published

File dated 2026-01-01

1,254 price rows for 68 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · metro median $51

$51

cash

$8 to $40

34 negotiated rates

$96

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $1,980

$1,275

cash

$347 to $1,876

14 negotiated rates

$2,405

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,208

$842

cash

$103 to $1,239

15 negotiated rates

$1,588

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $1,570

$868

cash

$173 to $1,277

14 negotiated rates

$1,637

list

Cataract surgery with lens implant

CPT 66984

—

cash

$2,306 to $2,306

1 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$8,281 to $8,281

1 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$6,158 to $20,505

21 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · metro median $113

$113

cash

$35 to $165

34 negotiated rates

$214

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$885 to $1,371

7 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$1,698 to $1,698

1 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$1,780 to $1,780

1 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · metro median $70

$32

cash

$8 to $37

34 negotiated rates

$60

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $158

$66

cash

$11 to $50

34 negotiated rates

$124

list

Diagnostic mammogram (both breasts)

CPT 77066

—

cash

$103 to $565

15 negotiated rates

—

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$56 to $56

1 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215 · metro median $283

$342

cash

$385 to $385

2 negotiated rates

$646

list

Family psychotherapy with the patient

CPT 90847

—

cash

$156 to $357

7 negotiated rates

—

list

Family psychotherapy without the patient

CPT 90846

—

cash

$156 to $345

7 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$2,367 to $2,367

1 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · metro median $105

$113

cash

$35 to $165

34 negotiated rates

$214

list

Group psychotherapy

CPT 90853

—

cash

$86 to $126

7 negotiated rates

—

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$12,389 to $21,712

4 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$5,007 to $7,010

3 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$7,969 to $11,156

3 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$1,872 to $1,872

1 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$1,969 to $1,969

1 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$533 to $1,197

7 negotiated rates

—

list

Left heart catheterization

CPT 93452 · metro median $8,373

$8,373

cash

$2,892 to $23,664

9 negotiated rates

$15,799

list

Lipid panel (cholesterol test)

CPT 80061 · metro median $93

$51

cash

$13 to $87

34 negotiated rates

$96

list

Liver function panel

CPT 80076 · metro median $89

$52

cash

$8 to $38

34 negotiated rates

$98

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $3,265

$1,427

cash

$347 to $2,100

15 negotiated rates

$2,692

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $2,110

$1,355

cash

$235 to $1,994

15 negotiated rates

$2,557

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $2,110

$1,342

cash

$235 to $1,975

15 negotiated rates

$2,532

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $2,110

$1,337

cash

$235 to $1,968

15 negotiated rates

$2,523

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$15,679 to $21,951

3 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $931

$931

cash

$806 to $1,210

8 negotiated rates

$1,756

list

New patient office visit (about 30 minutes)

CPT 99203

—

cash

$106 to $286

2 negotiated rates

—

list

New patient office visit (about 45 minutes)

CPT 99204

—

cash

$159 to $437

2 negotiated rates

—

list

New patient office visit (about 60 minutes)

CPT 99205

—

cash

$209 to $549

2 negotiated rates

—

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $70

$70

cash

$18 to $86

47 negotiated rates

$132

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · metro median $50

$38

cash

$6 to $28

34 negotiated rates

$72

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $88

$73

cash

$28 to $107

9 negotiated rates

$137

list

Pregnancy ultrasound (after first trimester)

CPT 76805

—

cash

$103 to $519

10 negotiated rates

—

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$106 to $351

2 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$106 to $408

2 negotiated rates

—

list

Prostate biopsy

CPT 55700 · metro median $1,210

$1,372

cash

$789 to $789

2 negotiated rates

$2,588

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$5,145 to $5,145

1 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $28

$21

cash

$4 to $18

47 negotiated rates

$40

list

Psychotherapy, 30 minutes

CPT 90832

—

cash

$156 to $218

7 negotiated rates

—

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$156 to $285

7 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$156 to $427

7 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$479 to $1,766

2 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067

—

cash

$86 to $456

15 negotiated rates

—

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$633 to $633

1 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810

—

cash

$988 to $6,570

15 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $1,005

$1,005

cash

$565 to $1,210

8 negotiated rates

$1,897

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $1,054

$1,054

cash

$672 to $941

8 negotiated rates

$1,988

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $26

$27

cash

$17 to $79

46 negotiated rates

$51

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$1,072 to $1,072

1 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $470

$470

cash

$103 to $691

16 negotiated rates

$886

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $758

$416

cash

$103 to $612

16 negotiated rates

$784

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$910 to $1,275

7 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$910 to $1,439

7 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · metro median $40

$22

cash

$3 to $15

34 negotiated rates

$42

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$7,848 to $7,848

1 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$4,330 to $10,657

19 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$7,481 to $7,481

1 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $353

$163

cash

$103 to $245

16 negotiated rates

$308

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/wi-csv/562592868_wheaton-franciscan-healthcare-franklin-inc_standardcharges.csv
Midwest Orthopedic Specialty Hospital · parsed · tall v3.0.0 · file dated 2026-01-01 · 266.1 MB · 1254 price rows read · read Nov 2026