MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL
FRANKLIN, WI 53132 · Acute Care Hospitals
2 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
2
With CMS pricing data
Avg Charge-to-Medicare Ratio
5.4x
Chargemaster ÷ Medicare
CMS Quality Rating
Not rated
No CMS star rating available
Hospital Type
Acute Care Hospitals
Physician
Above 90th Percentile
0%
Compared to WI hospitals
Understanding Your Costs
When you receive a bill from MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL lists chargemaster rates that average 5.4x the corresponding Medicare reimbursement amount across 2 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in WI has a chargemaster-to-Medicare ratio of 4.1x, with ratios across the state ranging from 1.4x to 7.3x. At 5.4x, this facility’s average ratio is above the state median. 63 hospitals in WI report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL is MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES (DRG 483). The listed chargemaster rate is $77,168, while Medicare reimburses $12,416 for the same procedure — a ratio of 6.2x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL is a physician acute care hospitals facility. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $77,168 | $12,416 | 6.2x | 0th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $49,730 | $10,805 | 4.6x | 0th | Compare your bill |
Showing 2 of 2 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across WI hospitals
63 hospitals in WI report pricing data to CMS. This facility's average ratio of 5.4x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL
How much does MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL charge compared to Medicare?
According to CMS IPPS data, MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL's listed chargemaster rates average 5.4x the Medicare reimbursement amount across 2 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL?
The procedure with the highest chargemaster-to-Medicare ratio at MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL is MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES (DRG 483), with a listed charge of $77,168 compared to Medicare reimbursement of $12,416 — a ratio of 6.2x. Source: CMS IPPS Provider Summary.
Is MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL expensive compared to other WI hospitals?
MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL's average chargemaster-to-Medicare ratio is 5.4x. Ratios vary significantly across WI hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL in FRANKLIN, WI accept Medicare?
MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.