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 |
|---|---|---|---|---|
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $387.95 – $1,025.56 | 4 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $387.95 – $881.62 | 4 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $594.39 – $1,008.67 | 4 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $594.39 – $1,292.59 | 4 |
| Ductogram sgl duct CPT 77053 | not published | not published | $16.35 – $517.79 | 7 |
| Duodenal motility study CPT 91022 | not published | not published | $254.01 – $721.31 | 4 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,326.59 | $2,503.00 | $128.08 – $328.59 | 4 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $81.53 – $144.56 | 4 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $81.53 – $144.56 | 4 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $969.37 | $1,829.00 | $82.96 – $212.70 | 4 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $915.31 | $1,727.00 | $133.21 – $328.59 | 4 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $3,602.89 | $6,797.90 | $59.11 – $59.11 | 1 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $51.47 – $245.18 | 6 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $151.93 – $256.39 | 4 |
| Dx bronchoscope/brush 31623 CPT 31623 | $1,077.49 | $2,033.00 | $1,206.54 – $1,206.54 | 1 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $3,945.32 | $7,444.00 | $1,142.72 – $1,142.72 | 1 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,252.92 | $2,364.00 | $1,105.09 – $1,105.09 | 1 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $198.12 – $542.47 | 4 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $746.04 – $1,274.55 | 4 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $910.39 – $1,274.55 | 4 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $302.38 – $423.33 | 4 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $151.93 – $508.32 | 4 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $377.06 – $575.35 | 4 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $579.46 – $579.46 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $236.16 – $510.82 | 4 |
| Dynamic surface emg CPT 96002 | not published | not published | $71.77 – $423.33 | 4 |
| Ear and throat examination CPT 92502 | not published | not published | $325.31 – $692.29 | 4 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $511.91 – $511.91 | 1 |
| Ear cartilage graft CPT 21235 | not published | not published | $2,662.88 – $2,662.88 | 1 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $45.43 – $80.75 | 4 |
| Ear protector evaluation CPT 92596 | not published | not published | $38.11 – $137.50 | 4 |
| Ecg 12 lead tracing only CPT 93005 | $260.23 | $491.00 | $27.44 – $80.75 | 4 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $23.63 – $23.63 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $162.71 | $307.00 | $18.16 – $80.75 | 4 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $89.13 – $556.75 | 4 |
| Ecg external < 48 hours recording CPT 93225 | $886.16 | $1,672.00 | $86.77 – $175.22 | 4 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $555.97 | $1,049.00 | $57.68 – $124.00 | 4 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $38.11 – $53.35 | 4 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $38.11 – $53.35 | 4 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $3,086.72 | $5,824.00 | $214.17 – $745.37 | 4 |
| Echocardiography doppler color flow mapping CPT 93325 | $323.30 | $610.00 | $10.85 – $10.85 | 1 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $1,465.45 | $2,765.00 | $86.87 – $328.59 | 4 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $646.60 | $1,220.00 | $24.79 – $24.79 | 1 |
| Echo exam of eye CPT 76516 | not published | not published | $103.26 – $519.00 | 6 |
| Echo exam of eye CPT 76519 | not published | not published | $103.26 – $519.00 | 6 |
| Echo exam of eye CPT 76529 | not published | not published | $85.50 – $519.00 | 6 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $17.22 – $519.00 | 6 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $286.59 – $1,086.50 | 6 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $142.00 – $519.00 | 6 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $98.57 – $519.00 | 6 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $83.32 – $519.00 | 6 |
| Echo exam uterus 76831- CPT 76831 | $320.65 | $605.00 | $125.55 – $519.00 | 6 |
| Echograp trans r pros study CPT 76873 | not published | not published | $103.26 – $519.00 | 6 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $78.63 – $519.00 | 2 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $43.19 – $519.00 | 2 |
| Echo guide for artery repair CPT 76936 | not published | not published | $302.38 – $595.01 | 6 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $110.88 – $519.00 | 2 |
| Echo guide for transfusion CPT 76941 | not published | not published | $192.10 – $519.00 | 2 |
| Echo guide villus sampling CPT 76945 | not published | not published | $117.71 – $519.00 | 2 |
| Echo stress CPT 93350 | $2,215.40 | $4,180.00 | $239.46 – $745.37 | 4 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $129.30 – $745.37 | 4 |
| Echo tee guidance CPT 93355 | $3,138.13 | $5,921.00 | $759.56 – $759.56 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,026.19 | $3,823.00 | $410.58 – $745.37 | 4 |
| Echo transesophageal CPT 93313 | $1,092.33 | $2,061.00 | $76.50 – $745.37 | 4 |
| Echo transesophageal CPT 93314 | not published | not published | $346.15 – $346.15 | 1 |
| Echo transesophageal CPT 93315 | not published | not published | $459.34 – $745.37 | 4 |
| Echo transesophageal intraop CPT 93318 | $1,520.04 | $2,868.00 | $378.18 – $745.37 | 4 |
| Echo transthoracic CPT 93303 | $1,399.73 | $2,641.00 | $215.32 – $745.37 | 4 |
| Echo transthoracic CPT 93304 | not published | not published | $123.69 – $745.37 | 4 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,408.21 | $2,657.00 | $152.52 – $328.59 | 4 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $861.82 – $861.82 | 1 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $885.80 – $885.80 | 1 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $1,239.14 – $1,239.14 | 1 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $1,120.34 – $1,120.34 | 1 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $3,098.66 – $3,098.66 | 1 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $3,037.30 – $3,037.30 | 1 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $1,715.65 – $1,715.65 | 1 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $1,535.94 – $1,535.94 | 1 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $1,736.91 – $1,736.91 | 1 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $1,554.70 – $1,554.70 | 1 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $1,919.20 – $1,919.20 | 1 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $1,927.25 – $1,927.25 | 1 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $1,018.77 – $1,018.77 | 1 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $687.89 – $687.89 | 1 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $1,036.08 – $1,036.08 | 1 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $855.92 – $855.92 | 1 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $1,813.45 – $1,813.45 | 1 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $1,747.80 – $1,747.80 | 1 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $873.23 – $873.23 | 1 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $687.89 – $687.89 | 1 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $868.79 – $868.79 | 1 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $676.88 – $676.88 | 1 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $36.21 – $360.98 | 4 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $12.66 – $54.30 | 17 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $2,339.53 – $2,339.53 | 1 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | not published | not published | $90.95 – $90.95 | 1 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | not published | not published | $193.87 – $423.33 | 4 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | not published | not published | $132.46 – $721.31 | 4 |
| Eeg during surgery CPT 95955 | not published | not published | $181.83 – $181.83 | 1 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $757.04 – $1,383.07 | 4 |
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.