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 |
|---|---|---|---|---|
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $1,617.96 – $1,617.96 | 1 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,736.28 – $1,736.28 | 1 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $727.24 – $727.24 | 1 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $625.41 – $625.41 | 1 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $627.72 – $627.72 | 1 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $707.69 – $707.69 | 1 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $546.89 – $546.89 | 1 |
| Esophagus motility study CPT 91010 | $1,527.99 | $2,883.00 | $225.42 – $721.31 | 4 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $169.08 – $721.31 | 4 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $3,892.52 – $3,892.52 | 1 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,378.79 – $1,378.79 | 1 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $2,957.03 – $2,957.03 | 1 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $4,102.66 – $4,102.66 | 1 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $31.93 – $31.93 | 1 |
| Esoph imped function test CPT 91037 | not published | not published | $170.48 – $423.33 | 4 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $193.97 – $721.31 | 4 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,196.36 – $1,196.36 | 1 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $524.33 – $524.33 | 1 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,003.11 – $1,003.11 | 1 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $12,983.79 – $12,983.79 | 1 |
| Essure 58565 CPT 58565 | not published | not published | $6,726.98 – $6,726.98 | 1 |
| Establish access to aorta CPT 36160 | not published | not published | $1,788.09 – $1,788.09 | 1 |
| Establish access to artery CPT 36100 | not published | not published | $1,755.04 – $1,755.04 | 1 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $3,749.40 – $3,749.40 | 1 |
| Established Patient Office Visit (level 1) CPT 99211 | $113.42 | $214.00 | $22.35 – $52.91 | 2 |
| Established Patient Office Visit (level 2) CPT 99212 | $192.39 | $363.00 | $53.91 – $115.90 | 2 |
| Established Patient Office Visit (level 3) CPT 99213 | $230.02 | $434.00 | $86.74 – $193.80 | 2 |
| Established Patient Office Visit (level 4) CPT 99214 | $308.46 | $582.00 | $122.48 – $285.95 | 2 |
| Established Patient Office Visit (level 5) CPT 99215 | $342.38 | $646.00 | $385.16 – $385.16 | 1 |
| Estradiol total CPT 82670 | $90.63 | $171.00 | $27.94 – $125.13 | 17 |
| Estrogens total-sendout CPT 82672 | not published | not published | $21.70 – $97.98 | 17 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $3,286.02 – $3,286.02 | 1 |
| Ethylene glycol -sendout CPT 82693 | $70.49 | $133.00 | $9.35 – $35.02 | 17 |
| Euglobulin lysis CPT 85360 | $39.75 | $75.00 | $8.41 – $37.78 | 17 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $1,689.62 – $1,689.62 | 1 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $151.93 – $299.64 | 4 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $117.54 – $420.51 | 4 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $126.14 | $238.00 | $98.11 – $289.21 | 17 |
| Evaluation heart device CPT 93640 | $1,145.86 | $2,162.00 | $631.45 – $13,407.00 | 2 |
| Evaluation of speech fluency 92521 CPT 92521 | not published | not published | $127.16 – $369.92 | 4 |
| Evaluation psychiatric diagnostic CPT 90791 | not published | not published | $156.01 – $440.50 | 4 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $1,094.98 | $2,066.00 | $1,918.56 – $1,918.56 | 1 |
| Evasc prlng admn rx agnt add CPT 61651 | $546.43 | $1,031.00 | $816.68 – $816.68 | 1 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $4,459.48 – $4,459.48 | 1 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $4,446.08 – $4,446.08 | 1 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $6,649.64 – $6,649.64 | 1 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $8,299.61 – $8,299.61 | 1 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $1,597.45 – $1,597.45 | 1 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $4,987.05 – $4,987.05 | 1 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $8,309.77 – $8,309.77 | 1 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $4,145.50 – $4,145.50 | 1 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $6,675.71 – $6,675.71 | 1 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $3,555.92 – $3,555.92 | 1 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $2,829.17 – $2,829.17 | 1 |
| Event monitor CPT 93270 | not published | not published | $29.78 – $50.69 | 4 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $12.31 – $423.33 | 4 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $10.00 – $423.33 | 4 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $92.96 – $92.96 | 1 |
| Evoked potentials upper limbs CPT 95925 | $925.91 | $1,747.00 | $94.62 – $423.33 | 4 |
| Evoked potential visual not glaucoma CPT 95930 | $814.61 | $1,537.00 | $61.95 – $423.33 | 4 |
| Evok oa screening qual CPT 92558 | not published | not published | $32.10 – $32.10 | 1 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $295.37 – $424.18 | 4 |
| Exam pelvic add-on CPT 99459 | not published | not published | $58.39 – $58.39 | 1 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $391.13 – $391.13 | 1 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $1,965.60 – $1,965.60 | 1 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $2,502.12 – $2,502.12 | 1 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $1,579.47 – $1,579.47 | 1 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $2,033.56 – $2,033.56 | 1 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $2,392.09 – $2,392.09 | 1 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $1,463.50 – $1,463.50 | 1 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $1,772.61 – $1,772.61 | 1 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $3,828.17 – $3,828.17 | 1 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $5,743.38 – $5,743.38 | 1 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $1,705.43 – $1,705.43 | 1 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $2,656.10 – $2,656.10 | 1 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $1,085.65 – $1,085.65 | 1 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $1,013.14 – $1,013.14 | 1 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $1,409.53 – $1,409.53 | 1 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $837.94 – $837.94 | 1 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $445.32 – $956.48 | 4 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $485.80 – $956.48 | 4 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $677.59 – $956.48 | 4 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $807.28 – $807.28 | 1 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $563.83 – $956.48 | 4 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $725.26 – $725.26 | 1 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $1,198.26 – $1,198.26 | 1 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $387.95 – $543.13 | 4 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $683.20 – $956.48 | 4 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $1,631.13 – $1,631.13 | 1 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $5,044.75 – $5,044.75 | 1 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $2,056.35 – $2,056.35 | 1 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $3,038.20 – $3,038.20 | 1 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $2,170.08 – $2,170.08 | 1 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $4,252.13 – $4,252.13 | 1 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $2,860.05 – $2,860.05 | 1 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $2,187.16 – $2,187.16 | 1 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $2,747.74 – $2,747.74 | 1 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $1,919.94 – $1,919.94 | 1 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $2,672.88 – $2,672.88 | 1 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $3,123.95 – $3,123.95 | 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.