Supplies, drugs & other prices at Midwest Orthopedic Specialty Hospital
Franklin, WI · every code in this section with a posted price and a Medicare benchmark.
20 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $76.32 | $144 | 2.1× |
| Adm tocilizu covid-19 1st (M0249) | $873.97 | $1,649 | 2.0× |
| Adm tocilizu covid-19 2nd (M0250) | $873.97 | $1,649 | 2.0× |
| Admin hepatitis b vaccine (G0010) | $24.38 | $46 | 0.5× |
| Admin influenza virus vac (G0008) | $24.38 | $46 | 0.5× |
| Admin pneumococcal vaccine (G0009) | $24.38 | $46 | 0.5× |
| Behavior counsel obesity 15m (G0447) | $158.47 | $299 | 1.6× |
| Drug test def 8-14 classes (G0481) | $249.10 | $470 | 1.6× |
| Fern test (Q0114) | $18.02 | $34 | 1.9× |
| Group behave couns 2-10 (G0473) | $100.17 | $189 | 2.7× |
| Group mnt 2 or more 30 mins (G0271) | $31.27 | $59 | 1.8× |
| Group train w/o patient (G0543) | $35.51 | $67 | 1.2× |
| Mnt subs tx for change dx (G0270) | $31.27 | $59 | 1.0× |
| No pt prsnt train initial 30 (G0541) | $83.74 | $158 | 2.9× |
| Perc d-e cor revasc chro sin (C9607) | $21,413.06 | $40,402 | 1.2× |
| Perc d-e cor revasc t cabg s (C9604) | $9,087.91 | $17,147 | 0.8× |
| Perc d-e cor stent ather s (C9602) | $14,429.78 | $27,226 | 0.8× |
| Perc drug-el cor stent sing (C9600) | $9,087.91 | $17,147 | 0.8× |
| Prostate biopsy, any mthd (G0416) | $358.28 | $676 | 1.0× |
| Psa screening (G0103) | $30.74 | $58 | 1.6× |