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 |
|---|---|---|---|---|
| Warde haloperidol therapeutic drug level CPT 80173 | $57.24 | $108.00 | $15.78 – $64.93 | 17 |
| Warde helminth antibody strongyloides igg CPT 86682 | $70.49 | $133.00 | $9.63 – $30.57 | 17 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $45.58 | $86.00 | $7.54 – $30.24 | 17 |
| Warde hepatitis a antibody CPT 86708 | $48.76 | $92.00 | $12.39 – $55.48 | 17 |
| Warde hepatitis be antibody CPT 86707 | $38.69 | $73.00 | $11.57 – $51.92 | 17 |
| Warde hepatitis delta agent antibody CPT 86692 | $57.24 | $108.00 | $17.16 – $76.73 | 17 |
| Warde immunofixation electrophoresis urine CPT 86335 | $94.87 | $179.00 | $29.35 – $68.97 | 17 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $36.57 | $69.00 | $11.53 – $51.92 | 17 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $836.87 | $1,579.00 | $257.45 – $1,155.65 | 17 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $74.20 | $140.00 | $23.39 – $66.45 | 17 |
| Warde lipoprotein (a) CPT 83695 | $52.47 | $99.00 | $14.32 – $57.86 | 17 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | $122.43 | $231.00 | $46.31 – $152.28 | 17 |
| Warde mitochondrial antibody each CPT 86381 | $14.31 | $27.00 | $25.45 – $83.42 | 11 |
| Warde neutralization rabies CPT 86382 | $56.71 | $107.00 | $16.91 – $75.56 | 17 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $71.55 | $135.00 | $13.25 – $59.03 | 17 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $119.78 | $226.00 | $22.97 – $74.76 | 11 |
| Warde protein c antigen CPT 85302 | $86.39 | $163.00 | $12.01 – $54.30 | 17 |
| Warde sex hormone binding globulin CPT 84270 | $70.49 | $133.00 | $21.73 – $97.98 | 17 |
| Warde somatomedin CPT 84305 | $72.61 | $137.00 | $21.26 – $95.60 | 17 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $21.73 | $41.00 | $5.50 – $24.81 | 17 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $54.06 | $102.00 | $12.73 – $37.04 | 17 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $106.00 | $200.00 | $38.48 – $119.52 | 17 |
| Warde topiramate therapeutic drug level CPT 80201 | $63.07 | $119.00 | $11.92 – $53.13 | 17 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $89.57 | $169.00 | $26.07 – $116.85 | 17 |
| Warde viscosity CPT 85810 | $40.81 | $77.00 | $11.67 – $51.92 | 17 |
| Warde vitamin a CPT 84590 | $42.40 | $80.00 | $11.61 – $51.92 | 17 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $73.67 | $139.00 | $21.23 – $95.60 | 17 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $90.63 | $171.00 | $28.10 – $126.30 | 17 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $52.47 | $99.00 | $9.89 – $44.85 | 17 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $134.62 | $254.00 | $38.50 – $172.33 | 17 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $51.94 | $98.00 | $14.18 – $63.76 | 17 |
| Warde zinc CPT 84630 | $38.69 | $73.00 | $11.39 – $48.68 | 17 |
| Wash harvest stem cells CPT 38209 | not published | not published | $45.84 – $594.31 | 4 |
| Wbc automated CPT 85048 | $14.84 | $28.00 | $2.54 – $11.80 | 17 |
| Wcd device interrogate CPT 93292 | not published | not published | $35.60 – $50.69 | 4 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | not published | $3,044.09 – $3,044.09 | 1 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $2,703.65 – $2,703.65 | 1 |
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $562.89 – $562.89 | 1 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $559.87 – $559.87 | 1 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $3,370.50 – $3,370.50 | 1 |
| Wedging of cast CPT 29740 | not published | not published | $257.88 – $361.03 | 4 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $257.88 – $361.03 | 4 |
| Western blot test CPT 84181 | $87.98 | $166.00 | $17.03 – $62.96 | 17 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $1,055.76 | $1,992.00 | $618.72 – $618.72 | 1 |
| Whole blood for transfusion HCPCS P9010 | $400.68 | $756.00 | $68.77 – $68.77 | 1 |
| Whole body photography CPT 96904 | not published | not published | $206.14 – $206.14 | 1 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $1,351.35 – $4,220.07 | 11 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $936.00 – $3,069.14 | 14 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | not published | not published | $451.44 – $451.44 | 1 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | not published | not published | $157.05 – $543.13 | 4 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | not published | not published | $171.90 – $543.13 | 4 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $243.27 | $459.00 | $137.02 – $270.12 | 4 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $304.22 | $574.00 | $161.70 – $543.13 | 4 |
| Wrist arthroscopy CPT 29840 | not published | not published | $1,641.61 – $1,641.61 | 1 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $1,758.47 – $1,758.47 | 1 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $1,812.33 – $1,812.33 | 1 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $2,105.66 – $2,105.66 | 1 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $1,903.34 – $1,903.34 | 1 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $1,953.62 – $1,953.62 | 1 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $1,865.90 – $1,865.90 | 1 |
| Wrist X-ray CPT 73110 | $158.47 | $299.00 | $29.98 – $204.00 | 6 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $2,881.13 – $2,881.13 | 1 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $2,894.03 – $2,894.03 | 1 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $2,540.73 – $2,540.73 | 1 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $2,353.48 – $2,353.48 | 1 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $3,183.29 – $3,183.29 | 1 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $2,762.77 – $2,762.77 | 1 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $2,522.56 – $2,522.56 | 1 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $2,990.05 | 14 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $914.00 – $2,990.05 | 14 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $16.15 – $77.83 | 11 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | $2,736.39 | $5,163.00 | $1,360.29 – $1,360.29 | 1 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $3,714.77 | $7,009.00 | $1,231.35 – $1,231.35 | 1 |
| X-ray abdomen 1 view CPT 74018 | $170.66 | $322.00 | $31.21 – $204.00 | 6 |
| X-ray abdomen 2 views CPT 74019 | $197.16 | $372.00 | $39.75 – $245.18 | 6 |
| X-ray abdomen >=3 views CPT 74021 | $224.19 | $423.00 | $46.58 – $245.18 | 6 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $182.85 | $345.00 | $55.13 – $245.18 | 6 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $147.87 | $279.00 | $36.05 – $204.00 | 6 |
| X-ray ankle 2 views (both sides) CPT 73600 | $135.15 | $255.00 | $28.74 – $204.00 | 6 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $218.89 | $413.00 | $93.63 – $828.27 | 6 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $56.65 | 17 |
| X-ray bone age studies CPT 77072 | $146.28 | $276.00 | $32.46 – $245.18 | 6 |
| X-ray bone length studies CPT 77073 | $83.74 | $158.00 | $48.92 – $245.18 | 6 |
| X-ray bone survey complete CPT 77075 | $197.16 | $372.00 | $92.46 – $245.18 | 6 |
| X-ray bone survey infant CPT 77076 | $162.18 | $306.00 | $103.26 – $245.18 | 6 |
| X-ray cervical spine 2-3 views CPT 72040 | $156.88 | $296.00 | $38.50 – $204.00 | 6 |
| X-ray cervical spine 4-5 views CPT 72050 | $162.18 | $306.00 | $53.89 – $245.18 | 6 |
| X-ray cervical spine >= 6 views CPT 72052 | $166.42 | $314.00 | $62.41 – $245.18 | 6 |
| X-ray clavicle complete (both sides) CPT 73000 | $144.69 | $273.00 | $28.74 – $204.00 | 6 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $201.40 | $380.00 | $118.78 – $401.74 | 6 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | not published | not published | $170.26 – $401.74 | 6 |
| X-ray consultation CPT 76140 | not published | not published | not published | 0 |
| X-ray elbow 2 views (both sides) CPT 73070 | $138.86 | $262.00 | $27.50 – $204.00 | 6 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $158.47 | $299.00 | $29.98 – $204.00 | 6 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $204.00 – $1,159.48 | 2 |
| Xray endovasc thor ao repr CPT 75957 | $1,411.39 | $2,663.00 | $204.00 – $1,331.50 | 3 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | not published | not published | $79.04 – $401.74 | 6 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $248.57 | $469.00 | $60.00 – $245.18 | 6 |
| X-ray exam entire spi 6/> vw CPT 72084 | $274.54 | $518.00 | $69.79 – $245.18 | 6 |
| X-ray exam of arm infant CPT 73092 | $152.64 | $288.00 | $27.57 – $245.18 | 6 |
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.