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 |
|---|---|---|---|---|
| Laparo urethral suspension CPT 51990 | not published | not published | $2,751.10 – $2,751.10 | 1 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $3,565.25 – $3,565.25 | 1 |
| Laparo-vag hyst w/t/o compl CPT 58554 | not published | not published | $4,790.36 – $4,790.36 | 1 |
| Laparscpy ablat 1>lvr tum cryo CPT 47371 | not published | not published | $4,199.46 – $4,199.46 | 1 |
| Lap close enterostomy with resect 44227 CPT 44227 | not published | not published | $6,024.85 – $6,024.85 | 1 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | not published | not published | $6,601.80 – $6,601.80 | 1 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | not published | not published | $7,212.92 – $7,212.92 | 1 |
| Lap colectomy part w/ileum 44205 CPT 44205 | not published | not published | $4,842.55 – $4,842.55 | 1 |
| Lap colectomy w/proctectomy 44211 CPT 44211 | not published | not published | $7,953.81 – $7,953.81 | 1 |
| Lap colostomy 44188 CPT 44188 | not published | not published | $4,438.63 – $4,438.63 | 1 |
| Lap enterectomy 44202 CPT 44202 | not published | not published | $5,000.18 – $5,000.18 | 1 |
| Lap enterolysis CPT 44180 | not published | not published | $3,311.08 – $3,311.08 | 1 |
| Lap esophageal lengthening addl 43283 CPT 43283 | not published | not published | $569.98 – $569.98 | 1 |
| Lap fimbrioplasty 58672 CPT 58672 | not published | not published | $2,653.45 – $2,653.45 | 1 |
| Lap gastr bypass incl smll i CPT 43645 | not published | not published | $6,650.96 – $6,650.96 | 1 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | $6,228.73 – $6,228.73 | 1 |
| Lap ileo/jejuno-stomy 44187 CPT 44187 | not published | not published | $4,020.87 – $4,020.87 | 1 |
| Lap impl electrode antrum CPT 43647 | not published | not published | $2,099.95 – $2,099.95 | 1 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $1,540.27 – $1,540.27 | 1 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $2,000.70 – $2,000.70 | 1 |
| Lap ins device for right CPT 49327 | not published | not published | $470.43 – $470.43 | 1 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $1,405.54 – $1,405.54 | 1 |
| Lap jejunostomy 44186 CPT 44186 | not published | not published | $2,352.73 – $2,352.73 | 1 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | not published | not published | $681.47 – $681.47 | 1 |
| Lap myotomy heller CPT 43279 | not published | not published | $4,659.40 – $4,659.40 | 1 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $5,556.73 – $5,556.73 | 1 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $6,245.55 – $6,245.55 | 1 |
| Lap part colectomy w/stoma 44206 CPT 44206 | not published | not published | $6,341.11 – $6,341.11 | 1 |
| Lap place gastr adj device CPT 43770 | not published | not published | $4,029.71 – $4,029.71 | 1 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | not published | not published | $5,535.54 – $5,535.54 | 1 |
| Lap radical hyst CPT 58548 | not published | not published | $6,813.18 – $6,813.18 | 1 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | not published | not published | $7,205.09 – $7,205.09 | 1 |
| Lap remove rectum w/pouch CPT 45397 | not published | not published | $7,864.78 – $7,864.78 | 1 |
| Lap replace gastr adj device CPT 43773 | not published | not published | $4,574.85 – $4,574.85 | 1 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | $872.45 – $872.45 | 1 |
| Lap revise gastr adj device CPT 43771 | not published | not published | $4,584.17 – $4,584.17 | 1 |
| Lap revise/remv eltrd antrum CPT 43648 | not published | not published | $1,966.05 – $1,966.05 | 1 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $1,499.31 – $1,499.31 | 1 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $3,452.19 – $3,452.19 | 1 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $3,415.60 – $3,415.60 | 1 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $2,964.12 – $2,964.12 | 1 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | $2,334.23 – $2,334.23 | 1 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $4,429.56 – $4,429.56 | 1 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $4,226.79 – $4,226.79 | 1 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $5,145.42 – $5,145.42 | 1 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | $3,556.44 – $3,556.44 | 1 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $6,778.30 – $6,778.30 | 1 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $6,478.04 – $6,478.04 | 1 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $3,492.77 – $3,492.77 | 1 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $679.61 – $679.61 | 1 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $1,801.63 – $1,801.63 | 1 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $3,717.95 – $3,717.95 | 1 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $1,018.03 – $1,018.03 | 1 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $377.06 – $882.37 | 4 |
| Largsc w/ther injection CPT 31573 | not published | not published | $957.42 – $957.42 | 1 |
| Laryngeal function studies CPT 92520 | not published | not published | $125.16 – $250.21 | 4 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $3,659.61 – $3,659.61 | 1 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $5,525.55 – $5,525.55 | 1 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $5,178.47 – $5,178.47 | 1 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $5,237.18 – $5,237.18 | 1 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $5,710.03 – $5,710.03 | 1 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $6,013.77 – $6,013.77 | 1 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $4,467.50 – $4,467.50 | 1 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $3,794.98 – $3,794.98 | 1 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $1,237.65 – $1,237.65 | 1 |
| Laryngoscopic sensory i&r CPT 92615 | not published | not published | $113.25 – $113.25 | 1 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $140.16 – $483.62 | 4 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $1,155.63 – $1,155.63 | 1 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $921.20 – $921.20 | 1 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $532.61 – $532.61 | 1 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $596.95 – $596.95 | 1 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | not published | not published | $923.88 – $923.88 | 1 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $715.79 – $715.79 | 1 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $377.06 – $766.52 | 4 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $699.56 – $699.56 | 1 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $778.45 – $778.45 | 1 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $892.07 – $892.07 | 1 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $784.49 – $784.49 | 1 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $728.69 – $728.69 | 1 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $818.44 – $818.44 | 1 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $769.13 – $769.13 | 1 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $377.06 – $674.79 | 4 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $1,265.25 – $1,265.25 | 1 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $972.26 – $972.26 | 1 |
| Laser surgery eye strands CPT 67031 | not published | not published | $532.70 – $1,416.13 | 4 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $522.24 – $522.24 | 1 |
| Laser surgery of prostate CPT 52647 | not published | not published | $6,419.63 – $6,419.63 | 1 |
| Laser surgery of prostate CPT 52648 | not published | not published | $6,608.44 – $6,608.44 | 1 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $491.32 – $491.32 | 1 |
| Laser treatment of retina CPT 67039 | not published | not published | $3,529.92 – $3,529.92 | 1 |
| Laser treatment of retina CPT 67040 | not published | not published | $3,815.12 – $3,815.12 | 1 |
| Lateral canthopexy CPT 21282 | not published | not published | $1,395.39 – $1,395.39 | 1 |
| Lat retinacular release open CPT 27425 | not published | not published | $1,623.86 – $1,623.86 | 1 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $225.49 – $669.68 | 4 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $4,105.46 – $4,105.46 | 1 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $3,202.76 – $3,202.76 | 1 |
| Lead capillary CPT 83655 | $42.40 | $80.00 | $12.11 – $54.30 | 17 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $4,942.40 – $4,942.40 | 1 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $5,183.06 – $5,183.06 | 1 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $6,436.97 – $6,436.97 | 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.