Medicine & Surgery · Inpatient
Major lower-extremity joint replacement without MCC
MS-DRG 470
$31,874
negotiated rate
Blue Cross$31,874
Medicare $10,044
118 Medicare discharges for this DRG in CMS hospital data
Short Term Acute Care HospitalPhysician
Midwest Orthopedic Specialty Hosp
Ascension Health · Franklin, WI
10101 South 27th Street, Franklin, WI 53132(414) 817-5800
16
Beds
About this hospital
Midwest Orthopedic Specialty Hosp is a 16-bed physician hospital in Franklin, WI, affiliated with Ascension Health.
CCN (Medicare provider number)
520205
NPI
1861635971
Type
Short Term Acute Care Hospital
Ownership
Physician
Beds
16
Insurance Accepted
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
Prices for common services
The 24 services Midwest Orthopedic Specialty Hosp most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Medicine & Surgery · Inpatient
Spinal fusion except cervical without MCC
MS-DRG 460
$85,236
negotiated rate
Blue Cross$85,236
Medicare $21,754
12 Medicare discharges for this DRG in CMS hospital data
CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$383 - $1,876
from 3 insurers · median $828
Cigna$1,876
Insurer A*$383
Insurer B*$828
Medicare $338
Common here, based on CMS Medicare volume
Cardiology and vascular testing
Complete echocardiogram with Doppler and color flow
CPT 93306
$253 - $4,496
from 3 insurers · median $1,946
Aetna$253
Insurer A*est.$1,946
Insurer B*est.$4,496
Medicare $529
Common here, based on CMS Medicare volume
Orthopedics and pain
Lower-back disc decompression, one interspace
CPT 63030
$27,077
negotiated rate
Blue Cross$27,077
Medicare $7,020Nearby hospitals $13,392102% above nearby hospitals
80 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Orthopedics and pain
Partial knee replacement
CPT 27446
$27,040 - $40,016
from 3 insurers · median $36,384
Blue Cross$36,384
Insurer A*$27,040
Insurer B*$40,016
Medicare $12,422
257 Medicare claims in Level 5 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
Colonoscopy with polyp removal
CPT 45385
$445 - $6,015
from 2 insurers · median $3,230
Aetna$445
Insurer A*$6,015
Medicare $1,158Nearby hospitals $2,21046% above nearby hospitals
Common here, based on CMS Medicare volume
Gynecology
Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g
CPT 58571
$37,895
negotiated rate
Blue Cross$37,895
Medicare $10,860Nearby hospitals $19,37396% above nearby hospitals
Typical for a hospital with this service line
Nuclear imaging
Nuclear imaging of blood flow to the heart, multiple studies
CPT 78452
$512 - $6,505
from 3 insurers · median $2,938
UnitedHealthcare$2,938
Insurer A*$512
Insurer B*$6,505
Medicare $1,253
Common here, based on CMS Medicare volume
Mammography
Screening mammography, bilateral
CPT 77067
$145 - $258
from 3 insurers · median $217
UnitedHealthcare$217
Insurer A*$145
Insurer B*$258
Medicare $88
Common here, based on CMS Medicare volume
Medicine & Surgery
Arthroscopic knee meniscectomy
CPT 29881
$8,600
negotiated rate
Blue Cross$8,600
Medicare $3,166Nearby hospitals $6,08241% above nearby hospitals
56 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Medicine & Surgery
Laparoscopic cholecystectomy
CPT 47562
$21,487
negotiated rate
Blue Cross$21,487
Medicare $6,176Nearby hospitals $9,121136% above nearby hospitals
Typical for a hospital with this service line
Nuclear imaging
PET/CT tumor imaging from skull base to thigh
CPT 78815
$1,500 - $4,017
from 3 insurers · median $3,331
UnitedHealthcare$3,331
Insurer A*$1,500
Insurer B*$4,017
Medicare $1,383
Common here, based on CMS Medicare volume
Digestive procedures
Colonoscopy with biopsy
CPT 45380
$374 - $4,837
from 2 insurers · median $2,605
Aetna$374
Insurer A*$4,837
Medicare $1,158Nearby hospitals $2,21018% above nearby hospitals
Common here, based on CMS Medicare volume
X-ray and bone density
Chest X-ray, two views
CPT 71046
$41 - $252
from 3 insurers · median $182
Cigna$252
Insurer A*$41
Insurer B*$182
Medicare $84
Common here, based on CMS Medicare volume
CT imaging
CT head or brain without contrast
CPT 70450
$132 - $1,239
from 3 insurers · median $245
Cigna$1,239
Insurer A*$132
Insurer B*$245
Medicare $101
Common here, based on CMS Medicare volume
Medicine & Surgery
Cataract removal with lens insertion
CPT 66984
$609 - $5,708
from 2 insurers · median $3,159
Blue Cross$5,708
Insurer A*$609
Medicare $2,358Nearby hospitals $5,21739% below nearby hospitals
Typical for a hospital with this service line
Digestive procedures
Upper GI endoscopy with biopsy
CPT 43239
$303 - $2,957
from 2 insurers · median $1,630
Aetna$303
Insurer A*$2,957
Medicare $878Nearby hospitals $1,45812% above nearby hospitals
Common here, based on CMS Medicare volume
Digestive procedures
Laparoscopic repair of an initial inguinal hernia
CPT 49650
$19,773
negotiated rate
AetnaNot published
Insurer A*$19,773
Medicare $6,176Nearby hospitals $9,093117% above nearby hospitals
Typical for a hospital with this service line
MRI imaging
MRI brain before and after contrast
CPT 70553
$403 - $2,100
from 3 insurers · median $828
Aetna$403
Insurer A*$828
Insurer B*$2,100
Medicare $338
Common here, based on CMS Medicare volume
CT imaging
CT of the abdomen and pelvis, without contrast
CPT 74176
$178 - $1,784
from 3 insurers · median $518
Cigna$1,784
Insurer A*$178
Insurer B*$518
Medicare $231
Common here, based on CMS Medicare volume
Orthopedics and pain
Open carpal tunnel release
CPT 64721
$537 - $4,598
from 2 insurers · median $2,568
Blue Cross$4,598
Insurer A*$537
Medicare $1,889Nearby hospitals $3,66130% below nearby hospitals
58 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Orthopedics and pain
Knee arthroscopy with medial and lateral meniscus removal
CPT 29880
$11,068
negotiated rate
Blue Cross$11,068
Medicare $3,166Nearby hospitals $6,08282% above nearby hospitals
56 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Cardiology and vascular testing
Ultrasound of veins in one limb or a limited bilateral study
CPT 93971
$141 - $1,466
from 3 insurers · median $651
Aetna$141
Insurer A*est.$651
Insurer B*$1,466
Medicare $101
Common here, based on CMS Medicare volume
How the insurers pay at Midwest Orthopedic Specialty Hosp
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 10 | 558% | 0 | 0 |
| Insurer B* | 15 | 320% | 11 | 0 |
| Insurer C* | 11 | 230% | 0 | 0 |
| Insurer D* | 15 | 46% | 0 | 0 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Midwest Orthopedic Specialty Hosp.
Location
10101 South 27th Street, Franklin, WI 53132
(414) 817-5800
Comparable hospitals nearby
The nearest hospitals of similar type and size. Their rates are compared with Midwest Orthopedic Specialty Hosp for the same insurers and services above.
Oakleaf Surgical Hospital
Altoona, WI · 217 mi · 13 bedsView rates
▼ Rates typically 24% lower than Midwest Orthopedic Specialty Hosp (13 services)
Institute For Orthopaedic Surgery
Lima, OH · 252 mi · 12 bedsView rates
▼ Rates typically 47% lower than Midwest Orthopedic Specialty Hosp (16 services)
Southeast Michigan Surgical Hospital
Warren, MI · 252 mi · 20 bedsView rates
▼ Rates typically 28% lower than Midwest Orthopedic Specialty Hosp (24 services)
Select Specialty Hospital - Boardman
Boardman, OH · 399 mi · 28 bedsView rates
Too few shared services to compare rates
Ascension Se Wisconsin Hospital - Franklin Campus
Franklin, WIView rates
St. Francis Hospital
Milwaukee, WIView rates
St Marys Milwauke
Milwaukee, WIView rates
Ne Wisconsin - St. Elizabeth Campus
Appleton, WIView rates
Frequently asked questions
About Midwest Orthopedic Specialty Hosp's rates and hospital price transparency.
How much does an MRI cost at Midwest Orthopedic Specialty Hosp?
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Midwest Orthopedic Specialty Hosp range from $403 to $2,100 across 3 insurers. Aetna's rate is $403. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a CT scan cost at Midwest Orthopedic Specialty Hosp?
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Midwest Orthopedic Specialty Hosp range from $383 to $1,876 across 3 insurers. Cigna's rate is $1,876. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a colonoscopy cost at Midwest Orthopedic Specialty Hosp?
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Midwest Orthopedic Specialty Hosp range from $445 to $6,015 across 2 insurers. Aetna's rate is $445. The median at nearby comparable hospitals is $2,210. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a mammogram cost at Midwest Orthopedic Specialty Hosp?
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Midwest Orthopedic Specialty Hosp range from $145 to $258 across 3 insurers. UnitedHealthcare's rate is $217. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does hip or knee replacement cost at Midwest Orthopedic Specialty Hosp?
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Midwest Orthopedic Specialty Hosp range from $31,874 to $31,874 across 1 insurers. Blue Cross Blue Shield's rate is $31,874. What a patient pays depends on their plan's deductible, coinsurance and network status.
How many beds does Midwest Orthopedic Specialty Hosp have?
Midwest Orthopedic Specialty Hosp has 16 beds. Facility type: Short Term Acute Care Hospital.
Where is Midwest Orthopedic Specialty Hosp and what is its phone number?
Midwest Orthopedic Specialty Hosp is located at 10101 South 27th Street, Franklin, WI 53132. Its main phone number is (414) 817-5800.
What is Midwest Orthopedic Specialty Hosp's CCN (Medicare provider number)?
Midwest Orthopedic Specialty Hosp's CMS Certification Number (CCN), also called its Medicare provider number, is 520205.
What is Midwest Orthopedic Specialty Hosp's NPI number?
The National Provider Identifier (NPI) on file for Midwest Orthopedic Specialty Hosp is 1861635971.
What health system is Midwest Orthopedic Specialty Hosp part of?
Midwest Orthopedic Specialty Hosp is affiliated with Ascension Health.
What is a hospital price transparency MRF?
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
What is a chargemaster review?
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
Running price transparency at a hospital like this one?
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
Publish a CMS-compliant machine-readable file
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
CMS v3 example: standard_charge_information[0]
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}- CMS template layout, in JSON or CSV
- Gross, discounted cash, payer-specific and de-identified min / max charges
- cms-hpt.txt file and homepage footer link
- Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers
CodingPricingPayer contractsCompliance
- CPT, HCPCS, revenue code and modifier errors flagged line by line
- Missing, duplicate and outdated charge lines identified
- Charges set below payer allowables caught before lesser-of clauses cut payment
- Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
- Your negotiated rates benchmarked against peer hospitals for the same payers