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 |
|---|---|---|---|---|
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $2,240.31 – $2,240.31 | 1 |
| Kidney function study CPT 78725 | not published | not published | $62.55 – $848.52 | 5 |
| Kidney imaging morphology CPT 78700 | not published | not published | $75.90 – $848.52 | 5 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $233.50 – $1,101.15 | 5 |
| Kidney img w/bldflw sgl without rx CPT 78707 | not published | not published | $159.94 – $1,101.15 | 5 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $510.39 | $963.00 | $103.26 – $519.00 | 6 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $124.87 – $318.78 | 17 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $2,260.86 – $2,260.86 | 1 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $1,869.59 – $1,869.59 | 1 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $2,124.79 – $2,124.79 | 1 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $1,968.84 – $1,968.84 | 1 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $2,241.58 – $2,241.58 | 1 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $3,226.79 – $3,226.79 | 1 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $1,908.57 – $1,908.57 | 1 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $1,952.17 – $1,952.17 | 1 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $1,800.81 – $1,800.81 | 1 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $2,387.65 – $2,387.65 | 1 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $2,407.04 – $2,407.04 | 1 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $2,043.18 – $2,043.18 | 1 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $2,543.79 – $2,543.79 | 1 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $3,057.26 – $3,057.26 | 1 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $2,240.98 – $2,240.98 | 1 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $2,312.45 – $2,312.45 | 1 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $2,711.15 – $2,711.15 | 1 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $3,575.24 – $3,575.24 | 1 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $4,433.93 – $4,433.93 | 1 |
| Knee MRI (with and without contrast) CPT 73723 | $1,426.76 | $2,692.00 | $346.78 – $836.00 | 6 |
| Knee MRI (with contrast) CPT 73722 | $1,405.56 | $2,652.00 | $278.55 – $1,609.16 | 6 |
| Knee MRI (without contrast) CPT 73721 | $1,355.21 | $2,557.00 | $232.67 – $836.00 | 6 |
| Knee X-ray CPT 73564 | $156.88 | $296.00 | $38.50 – $245.18 | 6 |
| Kras gene addl variants CPT 81276 | $328.07 | $619.00 | $193.25 – $503.42 | 17 |
| Kras gene variants exon 2 CPT 81275 | $354.57 | $669.00 | $193.25 – $649.26 | 17 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $7,898.24 – $7,898.24 | 1 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $9,767.08 – $9,767.08 | 1 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | not published | $108.17 – $108.17 | 1 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $94.74 – $94.74 | 1 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $10.20 | $19.24 | $0.36 – $0.88 | 6 |
| Labioplasty 56800 CPT 56800 | not published | not published | $870.58 – $870.58 | 1 |
| Lab pathology consultation CPT 80500 | not published | not published | $24.95 – $27.56 | 2 |
| Lab pathology consultation CPT 80502 | not published | not published | $16.15 – $99.15 | 2 |
| Lactate dehydrogenase (ldh) CPT 83615 | $23.85 | $45.00 | $6.04 – $27.15 | 17 |
| Lactic acid CPT 83605 | $49.29 | $93.00 | $11.57 – $48.40 | 17 |
| Lactoferrin fecal qualitative CPT 83630 | $66.25 | $125.00 | $19.70 – $88.53 | 17 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $19.63 – $88.53 | 17 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $931.01 – $931.01 | 1 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $4,583.69 – $4,583.69 | 1 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $3,949.25 – $3,949.25 | 1 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $4,364.55 – $4,364.55 | 1 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $697.25 – $697.25 | 1 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $6,950.48 – $6,950.48 | 1 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $7,386.89 – $7,386.89 | 1 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | $6,102.84 – $6,102.84 | 1 |
| Laminotomy single cervical CPT 63040 | not published | not published | $4,974.51 – $4,974.51 | 1 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $4,649.03 – $4,649.03 | 1 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | not published | not published | $2,171.94 – $2,171.94 | 1 |
| Lam w/cordotomy 1stg thrc CPT 63197 | not published | not published | $6,101.76 – $6,101.76 | 1 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $4,491.82 – $4,491.82 | 1 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $3,374.94 – $3,374.94 | 1 |
| Laparo ablate renal mass CPT 50542 | not published | not published | $4,283.94 – $4,283.94 | 1 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $3,186.50 – $3,186.50 | 1 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $4,006.47 – $4,006.47 | 1 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $2,569.41 – $2,569.41 | 1 |
| Laparo cholecystoenterostomy CPT 47570 | not published | not published | $2,758.45 – $2,758.45 | 1 |
| Laparo drng lymphocele 49323 CPT 49323 | not published | not published | $2,303.98 – $2,303.98 | 1 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $1,575.55 – $1,575.55 | 1 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $4,060.25 – $4,060.25 | 1 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $5,098.43 – $5,098.43 | 1 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $4,688.98 – $4,688.98 | 1 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $5,562.55 – $5,562.55 | 1 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $5,461.43 – $5,461.43 | 1 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $4,920.91 – $4,920.91 | 1 |
| Laparo removal donor kidney CPT 50547 | not published | not published | $5,817.64 – $5,817.64 | 1 |
| Laparo remove w/ureter CPT 50548 | not published | not published | $4,949.23 – $4,949.23 | 1 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $3,255.25 – $3,255.25 | 1 |
| Laparoscopic nephrectomy CPT 50546 | not published | not published | $4,409.27 – $4,409.27 | 1 |
| Laparoscopic proc CPT 45400 | not published | not published | $4,158.84 – $4,158.84 | 1 |
| Laparoscopic salpingostomy 58673 CPT 58673 | not published | not published | $2,882.17 – $2,882.17 | 1 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $4,315.27 – $4,315.27 | 1 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $1,334.52 – $1,334.52 | 1 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $1,247.61 – $1,247.61 | 1 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $2,560.42 – $2,560.42 | 1 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $3,893.52 – $3,893.52 | 1 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $2,064.03 – $2,064.03 | 1 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $2,441.99 – $2,441.99 | 1 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $3,358.19 – $3,358.19 | 1 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $1,833.37 – $1,833.37 | 1 |
| Laparoscopy lysis CPT 58660 | not published | not published | $2,432.56 – $2,432.56 | 1 |
| Laparoscopy orchiectomy CPT 54690 | not published | not published | $2,651.13 – $2,651.13 | 1 |
| Laparoscopy orchiopexy CPT 54692 | not published | not published | $3,057.44 – $3,057.44 | 1 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $4,573.05 – $4,573.05 | 1 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $2,344.04 – $2,344.04 | 1 |
| Laparoscopy splenectomy CPT 38120 | not published | not published | $3,793.60 – $3,793.60 | 1 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $3,508.07 – $3,508.07 | 1 |
| Laparoscopy tubal block 58671 CPT 58671 | not published | not published | $1,317.73 – $1,317.73 | 1 |
| Laparoscopy ureterolithotomy CPT 50945 | not published | not published | $3,572.48 – $3,572.48 | 1 |
| Laparoscopy vagus nerve CPT 43651 | not published | not published | $2,358.29 – $2,358.29 | 1 |
| Laparoscopy vagus nerve CPT 43652 | not published | not published | $2,754.08 – $2,754.08 | 1 |
| Laparo sling operation 51992 CPT 51992 | not published | not published | $3,080.31 – $3,080.31 | 1 |
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | not published | not published | $4,133.74 – $4,133.74 | 1 |
| Laparo total proctocolectomy CPT 44212 | not published | not published | $7,470.74 – $7,470.74 | 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.