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 |
|---|---|---|---|---|
| Endovenous mchnchem add-on CPT 36474 | $2,407.26 | $4,542.00 | $987.59 – $987.59 | 1 |
| Endovenous rf abl vein addl CPT 36476 | $2,325.64 | $4,388.00 | $1,070.36 – $1,070.36 | 1 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $5,664.64 | $10,688.00 | $7,649.78 – $7,649.78 | 1 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $2,832.32 | $5,344.00 | $513.56 – $513.56 | 1 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $11.05 | $20.85 | $0.69 – $2.77 | 10 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $11.98 – $54.30 | 17 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $16.00 – $54.30 | 17 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $882.03 – $882.03 | 1 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $872.67 – $872.67 | 1 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $4,411.10 – $4,411.10 | 1 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $8,874.27 – $8,874.27 | 1 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $10,214.23 – $10,214.23 | 1 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $4,739.04 – $4,739.04 | 1 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $5,092.27 – $5,092.27 | 1 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $5,843.87 – $5,843.87 | 1 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $3,034.17 – $3,034.17 | 1 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $13.42 – $54.30 | 17 |
| Envrn ivntj med mgmt psyc pt CPT 90882 | not published | not published | $260.17 – $260.17 | 1 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $29.88 – $103.47 | 17 |
| Enzyme histochemistry CPT 88319 | $434.60 | $820.00 | $53.33 – $1,110.52 | 11 |
| Ep & ablate supravent arrhyt CPT 93653 | $18,348.60 | $34,620.00 | $2,781.40 – $13,407.00 | 2 |
| Ep & ablate ventric tachy CPT 93654 | $15,437.31 | $29,127.00 | $3,703.35 – $13,407.00 | 2 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $2,990.42 – $2,990.42 | 1 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $545.92 – $545.92 | 1 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $2,899.63 – $2,899.63 | 1 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $414.81 – $414.81 | 1 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $465.34 | $878.00 | $323.47 – $323.47 | 1 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $864.49 – $2,395.85 | 4 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $864.49 – $1,563.84 | 4 |
| Epidurography CPT 72275 | not published | not published | $204.00 – $204.00 | 1 |
| Epiglottidectomy CPT 31420 | not published | not published | $3,048.75 – $3,048.75 | 1 |
| Epikeratoplasty CPT 65767 | not published | not published | $5,617.45 – $5,617.45 | 1 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,570.99 – $5,754.12 | 10 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $519.59 – $13,407.00 | 2 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $2,236.96 – $2,236.96 | 1 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $1,889.28 – $1,889.28 | 1 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $690.57 – $690.57 | 1 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $23.23 | $43.83 | $9.19 – $22.78 | 10 |
| Epstein barr early antigen antibody CPT 86663 | $42.40 | $80.00 | $13.12 – $59.03 | 17 |
| Epstein barr nuclear antigen antibody CPT 86664 | $100.17 | $189.00 | $15.29 – $68.48 | 17 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $59.89 | $113.00 | $18.14 – $81.45 | 17 |
| Ercp biliary & pancreas CPT 74330 | not published | not published | $154.87 – $204.00 | 2 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $1,753.85 – $1,753.85 | 1 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $1,437.47 – $1,437.47 | 1 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $1,641.80 – $1,641.80 | 1 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $1,643.14 – $1,643.14 | 1 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $1,383.05 – $1,383.05 | 1 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $1,429.56 – $1,429.56 | 1 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,359.29 – $1,359.29 | 1 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $1,824.87 – $1,824.87 | 1 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $1,226.57 – $1,226.57 | 1 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $91.69 | $173.00 | $13.55 – $62.46 | 10 |
| ER Visit (level 1, minor) CPT 99281 | not published | not published | $56.72 – $211.00 | 5 |
| ER Visit (level 2) CPT 99282 | not published | not published | $110.53 – $315.00 | 5 |
| ER Visit (level 3) CPT 99283 | not published | not published | $165.41 – $737.00 | 5 |
| ER Visit (level 4) CPT 99284 | not published | not published | $313.78 – $1,790.00 | 5 |
| ER Visit (level 5, high severity) CPT 99285 | not published | not published | $462.81 – $2,106.00 | 5 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $294.15 – $294.15 | 1 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $4.72 | $8.91 | $0.26 – $3.74 | 6 |
| Esophageal dilat s&i CPT 74360 | $202.99 | $383.00 | $96.22 – $204.00 | 2 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $419.44 – $419.44 | 1 |
| Esophageal motility CPT 78258 | not published | not published | $124.96 – $848.52 | 5 |
| Esophageal recording CPT 93615 | not published | not published | $45.59 – $13,407.00 | 2 |
| Esophageal recording CPT 93616 | not published | not published | $70.72 – $13,407.00 | 2 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $4,792.12 – $4,792.12 | 1 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $4,876.60 – $4,876.60 | 1 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $9,987.34 – $9,987.34 | 1 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $735.56 – $735.56 | 1 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $763.42 – $1,274.55 | 4 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $900.31 – $900.31 | 1 |
| Esophagoscop stent placement CPT 43212 | $4,181.70 | $7,890.00 | $722.43 – $722.43 | 1 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $1,453.13 – $1,453.13 | 1 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $4,110.35 – $4,110.35 | 1 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $2,519.80 – $2,519.80 | 1 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $1,314.00 – $1,314.00 | 1 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $910.39 – $1,274.55 | 4 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $687.63 – $1,274.55 | 4 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $1,516.51 – $1,516.51 | 1 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $2,617.53 – $2,617.53 | 1 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,501.74 – $1,501.74 | 1 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $4,437.77 – $4,437.77 | 1 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $680.43 – $680.43 | 1 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $568.79 – $568.79 | 1 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $2,028.93 – $2,028.93 | 1 |
| 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 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $4,727.48 – $4,727.48 | 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 |
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.