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 |
|---|---|---|---|---|
| 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 |
| Emboli detcj wo IV mbubb njx CPT 93897 | not published | not published | $115.26 – $115.26 | 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 assay seven anal CPT 81506 | not published | not published | $68.92 – $264.42 | 14 |
| 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 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $1,357.27 – $1,357.27 | 1 |
| Endoluminal bx biliary tree CPT 47543 | not published | not published | $4,790.14 – $4,790.14 | 1 |
| Endoluminal bx urtr rnl plvs CPT 50606 | not published | not published | $1,913.90 – $1,913.90 | 1 |
| Endoluminl ivus oct c 1st CPT 92978 | $1,912.24 | $3,608.00 | $315.04 – $315.04 | 1 |
| Endoluminl ivus oct c ea CPT 92979 | $956.12 | $1,804.00 | $252.42 – $252.42 | 1 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $3,623.84 – $3,623.84 | 1 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $6,778.16 – $6,778.16 | 1 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $1,054.77 – $1,054.77 | 1 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $447.64 – $447.64 | 1 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $751.82 – $751.82 | 1 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $57.44 – $57.44 | 1 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $885.29 – $1,239.44 | 4 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $2,765.50 – $2,765.50 | 1 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $1,162.79 – $1,162.79 | 1 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $880.35 – $1,239.41 | 4 |
| Endoscopy of ureter CPT 50951 | not published | not published | $1,371.97 – $1,371.97 | 1 |
| Endoscopy of ureter CPT 50953 | $2,273.70 | $4,290.00 | $1,448.84 – $1,448.84 | 1 |
| Endoscopy swallow (fees) i&r CPT 92613 | not published | not published | $127.84 – $127.84 | 1 |
| Endoscopy swallow (fees) vid CPT 92612 | not published | not published | $185.87 – $616.25 | 4 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | not published | not published | $940.63 – $940.63 | 1 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $3,524.51 – $3,524.51 | 1 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | not published | not published | $5,514.44 – $5,514.44 | 1 |
| Endovasc tempory vessel occl CPT 61623 | $7,460.81 | $14,077.00 | $2,044.34 – $2,044.34 | 1 |
| Endovasc visc aorta 1 graft CPT 34841 | not published | not published | $5,326.92 – $5,326.92 | 1 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $5,830.74 – $5,830.74 | 1 |
| Endovasc visc aorta 3 graft CPT 34843 | not published | not published | $6,397.99 – $6,397.99 | 1 |
| Endovasc visc aorta 4 graft CPT 34844 | not published | not published | $7,079.91 – $7,079.91 | 1 |
| Endovas iliac a device addon CPT 34808 | $1,064.24 | $2,008.00 | $753.61 – $753.61 | 1 |
| Endovenous laser vein addon 36479 CPT 36479 | $1,300.09 | $2,453.00 | $1,115.83 – $1,115.83 | 1 |
| Endovenous mchnchem 1st vein CPT 36473 | $4,812.93 | $9,081.00 | $5,405.78 – $5,405.78 | 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.