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 |
|---|---|---|---|---|
| Mayo chikv chikungunya antibodies igg CPT 86790 | $128.79 | $243.00 | $9.63 – $30.27 | 17 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $37.10 | $70.00 | $9.63 – $27.78 | 17 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $27.03 | $51.00 | $9.63 – $29.80 | 17 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $259.17 | $489.00 | $82.42 – $273.75 | 17 |
| Mayo chromium CPT 82495 | $27.03 | $51.00 | $12.04 – $47.66 | 17 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $56.71 | $107.00 | $30.14 – $81.45 | 6 |
| Mayo coccidioides antibody CPT 86635 | $40.81 | $77.00 | $9.63 – $27.32 | 17 |
| Mayo cocou cortisone urine CPT 82542 | $259.17 | $489.00 | $24.09 – $81.45 | 17 |
| Mayo cortisol free CPT 82530 | $61.48 | $116.00 | $16.71 – $75.56 | 17 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $226.31 | $427.00 | $42.13 – $137.21 | 11 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $34.45 | $65.00 | $9.63 – $28.48 | 17 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $39.38 – $39.38 | 1 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $9.01 | $17.00 | $8.15 – $8.15 | 1 |
| Mayo cyanide CPT 82600 | $64.66 | $122.00 | $19.40 – $87.35 | 17 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $472.23 | $891.00 | $82.47 – $1,271.14 | 11 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $40.28 | $76.00 | $13.25 – $59.03 | 17 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $82.68 | $156.00 | $25.27 – $113.33 | 17 |
| Mayo dihydrotestosterone CPT 82642 | $128.26 | $242.00 | $29.28 – $106.23 | 14 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $37.78 | 17 |
| Mayo efpo chloride stool CPT 82438 | $16.43 | $31.00 | $5.00 – $22.43 | 17 |
| Mayo estriol CPT 82677 | $85.33 | $161.00 | $24.18 – $108.61 | 17 |
| Mayo estrone CPT 82679 | $81.62 | $154.00 | $24.95 – $112.13 | 17 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | not published | not published | $16.34 – $73.17 | 17 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $13.73 – $61.38 | 17 |
| Mayo factor ii CPT 85210 | $66.25 | $125.00 | $9.63 – $30.50 | 17 |
| Mayo factor v CPT 85220 | $109.71 | $207.00 | $17.65 – $79.07 | 17 |
| Mayo factor vii CPT 85230 | $106.53 | $201.00 | $17.90 – $80.28 | 17 |
| Mayo factor viii vw factor antigen CPT 85246 | $107.59 | $203.00 | $22.94 – $102.71 | 17 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $117.13 | $221.00 | $22.94 – $102.71 | 17 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $115.54 | $218.00 | $22.94 – $102.71 | 17 |
| Mayo factor x CPT 85260 | $104.41 | $197.00 | $17.90 – $80.28 | 17 |
| Mayo factor xi CPT 85270 | $116.60 | $220.00 | $17.90 – $80.28 | 17 |
| Mayo fat/lipids feces quantitative CPT 82710 | $72.61 | $137.00 | $16.80 – $75.56 | 17 |
| Mayo fbl culture fungi blood CPT 87103 | $72.61 | $137.00 | $14.92 – $48.08 | 17 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $28.62 | $54.00 | $14.26 – $189.08 | 17 |
| Mayo ffspg allergen clam igg CPT 86001 | not published | not published | $5.37 – $18.38 | 17 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $14.05 – $37.78 | 17 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $119.25 | $225.00 | $21.67 – $59.03 | 17 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $373.65 | $705.00 | $337.91 – $352.50 | 2 |
| Mayo hemosiderin qualitative urine CPT 83070 | $21.73 | $41.00 | $4.75 – $21.25 | 17 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $116.60 | $220.00 | $35.09 – $157.01 | 17 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $55.65 | $105.00 | $35.09 – $157.01 | 17 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $36.57 | $69.00 | $13.79 – $52.75 | 17 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $83.74 | $158.00 | $25.81 – $115.68 | 17 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $49.29 | $93.00 | $8.89 – $40.12 | 17 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $46.64 | $88.00 | $13.52 – $60.20 | 17 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $90.10 | $170.00 | $27.17 – $121.58 | 17 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $73.14 | $138.00 | $17.27 – $57.86 | 17 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $52.47 | $99.00 | $14.99 – $67.28 | 17 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $68.90 | $130.00 | $20.81 – $93.25 | 17 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $78.97 | $149.00 | $20.81 – $93.25 | 17 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.09 – $121.06 | 5 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $42.40 | $80.00 | $16.07 – $54.30 | 17 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $60.42 | $114.00 | $11.98 – $54.30 | 17 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $152.11 | $287.00 | $35.09 – $157.01 | 17 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $143.10 | $270.00 | $35.09 – $114.54 | 14 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $220.48 | $416.00 | $35.09 – $157.01 | 17 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | not published | not published | $35.09 – $121.06 | 5 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $198.75 | $375.00 | $42.84 – $192.41 | 17 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $115.01 | $217.00 | $72.19 – $236.08 | 14 |
| Mayo infliximab therapeutic drug level CPT 80230 | not published | not published | $38.57 – $125.86 | 14 |
| Mayo inhab inhibin a CPT 86336 | $105.47 | $199.00 | $15.59 – $69.66 | 17 |
| Mayo insft insulin free CPT 83527 | not published | not published | $12.95 – $57.86 | 17 |
| Mayo insulin antibodies CPT 86337 | $87.45 | $165.00 | $21.41 – $95.60 | 17 |
| Mayo iodine CPT 83789 | $74.20 | $140.00 | $24.11 – $81.45 | 17 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $50.35 | $95.00 | $27.11 – $63.71 | 13 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $159.53 | $301.00 | $27.11 – $88.46 | 14 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $21.73 | $41.00 | $13.25 – $59.03 | 17 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $40.81 | $77.00 | $12.79 – $57.86 | 17 |
| Mayo legionella antibody CPT 86713 | $49.82 | $94.00 | $15.30 – $68.48 | 17 |
| Mayo leptospira antibody igm CPT 86720 | not published | not published | $9.63 – $38.07 | 17 |
| Mayo lipoprotein electrophoresis CPT 83700 | not published | not published | $11.26 – $50.75 | 17 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $137.27 | $259.00 | $15.49 – $69.66 | 17 |
| Mayo manganese CPT 83785 | $78.97 | $149.00 | $26.65 – $110.95 | 17 |
| Mayo metanephrines plasma CPT 83835 | $87.45 | $165.00 | $16.94 – $75.56 | 17 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $60.42 | $114.00 | $32.48 – $81.45 | 6 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | not published | not published | $12.05 – $60.69 | 11 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $29.15 | $55.00 | $18.40 – $60.86 | 6 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $47.17 | $89.00 | $14.55 – $64.93 | 17 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $79.50 | $150.00 | $18.64 – $61.38 | 17 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $408.63 | $771.00 | $137.00 – $449.75 | 15 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $185.20 – $638.94 | 14 |
| Mayo muramidase CPT 85549 | $62.54 | $118.00 | $18.75 – $83.80 | 17 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $29.15 | $55.00 | $18.40 – $60.86 | 6 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | not published | not published | $18.05 – $81.45 | 17 |
| Mayo myoglobin CPT 83874 | $68.90 | $130.00 | $12.92 – $57.86 | 17 |
| Mayo nickel CPT 83885 | $82.68 | $156.00 | $24.51 – $109.78 | 17 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $109.71 | $207.00 | $32.60 – $81.45 | 6 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $100.17 | $189.00 | $32.60 – $81.45 | 6 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $73.14 | $138.00 | $32.60 – $81.45 | 6 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $75.26 | $142.00 | $21.21 – $74.38 | 17 |
| Mayo organic acids qualitative each specimen CPT 83919 | $109.18 | $206.00 | $16.45 – $74.38 | 17 |
| Mayo oxalate 24 hour urine CPT 83945 | $45.05 | $85.00 | $14.45 – $57.86 | 17 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $11.53 – $51.92 | 17 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $49.29 | $93.00 | $15.03 – $67.28 | 17 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $56.18 | $106.00 | $12.05 – $54.30 | 17 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $244.86 | $462.00 | $35.09 – $157.01 | 17 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $95.93 | $181.00 | $17.98 – $80.28 | 17 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $49.82 | $94.00 | $13.76 – $55.17 | 17 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $35.51 | $67.00 | $8.44 – $37.78 | 17 |
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.