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 |
|---|---|---|---|---|
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $421.43 – $721.31 | 4 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | not published | not published | $193.87 – $423.33 | 4 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | not published | not published | $302.38 – $423.33 | 4 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $591.48 | $1,116.00 | $193.87 – $423.33 | 4 |
| Eeg recording awake and asleep CPT 95819 | not published | not published | $193.87 – $423.33 | 4 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $302.38 – $1,277.92 | 4 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $302.38 – $605.37 | 4 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $515.22 – $2,862.19 | 4 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $515.22 – $2,273.07 | 4 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $302.38 – $1,160.25 | 4 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $515.22 – $890.43 | 4 |
| E equine encephalitis igg CPT 86652 | not published | not published | $9.63 – $31.00 | 17 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $869.16 – $869.16 | 1 |
| Egd control bleeding any CPT 43255 | not published | not published | $2,644.50 – $2,644.50 | 1 |
| Egd dilate stricture CPT 43245 | not published | not published | $2,221.22 – $2,221.22 | 1 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $1,031.12 – $1,031.12 | 1 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $863.53 – $863.53 | 1 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $1,580.48 – $1,580.48 | 1 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $9,433.58 – $9,433.58 | 1 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $910.39 – $1,612.74 | 4 |
| Egd guide wire insertion CPT 43248 | not published | not published | $910.39 – $1,479.54 | 4 |
| Egd injection varices CPT 43243 | not published | not published | $906.09 – $906.09 | 1 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $550.73 – $550.73 | 1 |
| Egd lesion ablation CPT 43270 | not published | not published | $2,723.09 – $2,723.09 | 1 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $1,329.71 – $1,329.71 | 1 |
| Egd remove foreign body CPT 43247 | not published | not published | $910.39 – $1,505.69 | 4 |
| Egd remove lesion snare CPT 43251 | not published | not published | $1,807.52 – $1,807.52 | 1 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $1,648.03 – $1,648.03 | 1 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $867.00 – $867.00 | 1 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $890.39 – $890.39 | 1 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $1,004.30 – $1,004.30 | 1 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $1,002.25 – $1,002.25 | 1 |
| Egd varices ligation CPT 43244 | not published | not published | $939.29 – $939.29 | 1 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $890.57 – $890.57 | 1 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $1,488.16 – $1,488.16 | 1 |
| Egfr gene com variants CPT 81235 | $619.04 | $1,168.00 | $324.58 – $1,085.99 | 17 |
| Ehrlicha chaffeensis amp prb CPT 87484 | not published | not published | $35.09 – $115.68 | 6 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $55.83 – $55.83 | 1 |
| Elbow arthroscopy CPT 29830 | not published | not published | $1,660.26 – $1,660.26 | 1 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $1,775.29 – $1,775.29 | 1 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $1,834.45 – $1,834.45 | 1 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $2,077.50 – $2,077.50 | 1 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $1,908.12 – $1,908.12 | 1 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $2,135.46 – $2,135.46 | 1 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $208.43 – $407.71 | 4 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $152.15 – $407.71 | 4 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $291.22 – $440.70 | 4 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $78.11 – $275.95 | 4 |
| Electrical stimulation/unattended 97014 CPT 97014 | $72.61 | $137.00 | $52.87 – $52.87 | 1 |
| Electric stim/w chemodenervation 95873 CPT 95873 | not published | not published | $67.86 – $67.86 | 1 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | not published | not published | $144.02 – $144.02 | 1 |
| Electrocochleography CPT 92584 | not published | not published | $151.93 – $239.87 | 4 |
| Electroconvulsive therapy 90870 CPT 90870 | not published | not published | $515.22 – $721.31 | 4 |
| Electrocorticography durng sx CPT 95829 | not published | not published | $1,122.65 – $1,122.65 | 1 |
| Electrode stimulation brain CPT 95961 | $626.46 | $1,182.00 | $429.96 – $1,383.07 | 4 |
| Electroejaculation CPT 55870 | not published | not published | $639.84 – $1,183.71 | 4 |
| Electrogastrography CPT 91132 | not published | not published | $92.62 – $423.33 | 4 |
| Electrogastrography w/test CPT 91133 | not published | not published | $116.21 – $175.22 | 4 |
| Electrolyte panel CPT 80051 | $41.87 | $79.00 | $7.01 – $31.88 | 17 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | not published | not published | $148.34 – $148.34 | 1 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | not published | not published | $89.13 – $170.10 | 4 |
| Electron microscopy diagnostic CPT 88348 | $519.40 | $980.00 | $220.42 – $1,110.52 | 11 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $125.16 – $175.22 | 4 |
| Electrophysiologic study CPT 93624 | $7,794.71 | $14,707.00 | $243.75 – $13,407.00 | 2 |
| Electrophysiology evaluation CPT 93619 | not published | not published | $1,004.05 – $13,407.00 | 2 |
| Electrophysiology evaluation CPT 93620 | $7,523.88 | $14,196.00 | $704.24 – $13,407.00 | 2 |
| Electrophysiology evaluation CPT 93621 | $5,860.21 | $11,057.00 | $128.62 – $13,407.00 | 2 |
| Electrophysiology evaluation CPT 93622 | $7,191.57 | $13,569.00 | $188.16 – $13,407.00 | 2 |
| Electrophysiology evaluation CPT 93641 | $2,150.21 | $4,057.00 | $954.96 – $13,407.00 | 2 |
| Electrophysiology evaluation CPT 93642 | $2,902.81 | $5,477.00 | $497.18 – $13,407.00 | 2 |
| Electrophysiology evaluation CPT 93644 | $1,956.76 | $3,692.00 | $344.56 – $13,407.00 | 2 |
| Electrophys map 3d add-on CPT 93613 | $5,504.05 | $10,385.00 | $363.49 – $13,407.00 | 2 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $673.53 – $673.53 | 1 |
| Embolization s&i CPT 75894 | $819.38 | $1,546.00 | $204.00 – $223.66 | 2 |
| Embo or occlude vascular arterial s&i CPT 37242 | not published | not published | $27,800.44 – $27,800.44 | 1 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | not published | not published | $24,611.96 – $24,611.96 | 1 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | not published | not published | $35,317.24 – $35,317.24 | 1 |
| Embo or occlude vascular venous s&i CPT 37241 | not published | not published | $17,332.12 – $17,332.12 | 1 |
| Embryo hatching CPT 89253 | not published | not published | $82.47 – $232.95 | 6 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $526.34 – $1,183.71 | 4 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $3,770.88 – $3,770.88 | 1 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $3,495.01 – $3,495.01 | 1 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $46.50 – $173.52 | 2 |
| Emb without cervical dilation 58100 CPT 58100 | not published | not published | $95.04 – $393.70 | 5 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $377.36 | $712.00 | $125.16 – $278.73 | 4 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | not published | not published | $151.93 – $336.36 | 4 |
| Emg cranial nerve bilateral CPT 95868 | not published | not published | $212.57 – $423.33 | 4 |
| Emg needle test 1-extremity CPT 95860 | $314.29 | $593.00 | $125.16 – $175.22 | 4 |
| Emg needle test 4-extremities CPT 95864 | $673.10 | $1,270.00 | $151.93 – $361.42 | 4 |
| Emg thor paraspinal without t1/t2 CPT 95869 | not published | not published | $67.39 – $423.33 | 4 |
| Encephalitis, california igg/igm CPT 86651 | not published | not published | $9.63 – $31.00 | 17 |
| Encephalitis, st louis igg/igm CPT 86653 | $50.35 | $95.00 | $9.63 – $31.00 | 17 |
| Encephalitis, western equine igg/igm CPT 86654 | $50.35 | $95.00 | $9.63 – $31.00 | 17 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $2,599.65 | $4,905.00 | $4,361.41 – $4,361.41 | 1 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $4,650.75 | $8,775.00 | $5,555.95 – $5,555.95 | 1 |
| Endo cath bile duct s&i CPT 74328 | $304.75 | $575.00 | $121.20 – $204.00 | 2 |
| Endo cath panc duct s&i CPT 74329 | not published | not published | $122.37 – $204.00 | 2 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $143.05 – $486.69 | 5 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $146.94 – $1,183.71 | 5 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $1,288.30 – $1,288.30 | 1 |
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.