Hospital prices in Chilton, Wisconsin

1 hospitals publish price files here.

Hospital Address System Priced procedures
Ascension Calumet Hospital, Inc. 614 Memorial Dr Ascension 7960

Cash prices in Chilton

Procedure Lowest cash Median here Highest National median
3d recon without postprocess indpndt $189.81 $189.81 $189.81 $425.10
99381 initial comp preventive med less than 1 year new $181.26 $181.26 $181.26 $151.20
99382 initial comp preventive med 1 to 4 years new $189.24 $189.24 $189.24 $147.49
99383 initial comp preventive med 5 to 11 years new $193.23 $193.23 $193.23 $162.00
99391 periodic comp preventive med less than 1 year est $149.91 $149.91 $149.91 $135.00
99392 periodic comp preventive med 1 to 4 years est $165.30 $165.30 $165.30 $135.00
99393 periodic comp preventive med 5 to 11 years est $170.43 $170.43 $170.43 $129.00
99394 periodic comp preventive med 12 to 17 years est $181.26 $181.26 $181.26 $147.92
99397 periodic comp preventive med 65+ years est $220.59 $220.59 $220.59 $176.03
Abatacept (with maltose) 250 mg intravenous solution $79.80 $79.80 $79.80 $3,998.03
#a/b/c/c/h pnl-candida albicans ab $111.72 $111.72 $111.72 $52.25
Abdominal CT scan (with and without contrast) $1,006.05 $1,006.05 $1,006.05 $2,009.80
Abdominal CT scan (with contrast) $845.88 $845.88 $845.88 $1,683.63
Abdominal CT scan (without contrast) $595.65 $595.65 $595.65 $1,358.76
Abdominal MRI (with and without contrast) $2,357.52 $2,357.52 $2,357.52 $2,933.60
Abdominal MRI (without contrast) $1,721.40 $1,721.40 $1,721.40 $1,975.74
Abdominal paracentesis w/image guidance $1,455.78 $1,455.78 $1,455.78 $1,688.29
Abdominal Ultrasound (complete) $791.16 $791.16 $791.16 $785.25
Abdominal Ultrasound (limited) $593.94 $593.94 $593.94 $604.43
Abobotulinumtoxina $11.40 $11.40 $11.40 $1,066.88
Acetaminophen 10 mg/ml soln 100 ml glass cont $1.14 $1.14 $1.14 $89.91
Acetaminophen level $33.06 $33.06 $33.06 $117.01
Acetone qualitative $25.08 $25.08 $25.08 $48.00
Acetylcysteine 200 mg/ml (20 %) intravenous solution $5.21 $5.21 $5.21 $306.22
Acetylcysteine non-comp unit $2.78 $2.78 $2.78 $29.01
Acne surgery 10040 $260.49 $260.49 $260.49 $265.20
Aco annual medicare visit (awv), initial g0438aco $273.60 $273.60 $273.60 $206.14
Aco annual medicare visit (awv), subsq g0439aco $220.02 $220.02 $220.02 $160.50
Aco med nutria tx/group, ea 30 min 97804aco $42.75 $42.75 $42.75 $44.40
Acup 1/> w/estim 1st 15 min $54.15 $54.15 $54.15 $47.33
Acup 1/> wo estim 1st 15 min $49.59 $49.59 $49.59 $42.90
Acute hepatitis panel $192.66 $192.66 $192.66 $284.70
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr $0.30 $0.30 $0.30 $64.45
#acylcarnitineprfl $63.84 $63.84 $63.84 $87.72
Adenosine 3 mg/250 ml bag for osm $2.35 $2.35 $2.35 $217.04
Adh-sendout $99.18 $99.18 $99.18 $109.28
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution $1.71 $1.71 $1.71 $158.18
Administration chemotherapy IV infusion each additional hour $127.11 $127.11 $127.11 $233.56
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr $245.67 $245.67 $245.67 $308.10
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug $558.03 $558.03 $558.03 $695.37
Administration chemotherapy IV push single/initial substance/drug $430.92 $430.92 $430.92 $444.49
Administration chemotherapy subcutaneous/im anti neoplastic hormonal $128.82 $128.82 $128.82 $220.00
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal $274.17 $274.17 $274.17 $267.43
Administration immunization 1 vaccine $66.12 $66.12 $66.12 $70.00
Administration immunization each additional component $18.24 $18.24 $18.24 $27.20
Administration immunization each additional vaccine $40.47 $40.47 $40.47 $46.23
Administration immunization first component each vaccine $26.22 $26.22 $26.22 $45.50
Administration immunization intranasal/oral route 1 vaccine $17.10 $17.10 $17.10 $48.00
Administration immunization intranasal/oral route each additional vaccine $15.39 $15.39 $15.39 $33.60
Administration rsv monoclonal ab seasonal dose im w/counseling $26.79 $26.79 $26.79 $41.15
Administration vaccine hepatitis b $47.88 $47.88 $47.88 $51.11
Administration vaccine influenza virus $66.12 $66.12 $66.12 $49.40
Administration vaccine pneumococcal $66.12 $66.12 $66.12 $51.07
Advance care planning each additional 30 min 99498 $145.92 $145.92 $145.92 $128.10
Aep hearing status deter i&r $482.79 $482.79 $482.79 $305.73
_afb id by dna probe rflx ast $63.27 $63.27 $63.27 $105.00
Aflibercept injection $1,263.12 $1,263.12 $1,263.12 $821.98
Agalsidase beta 35 mg intravenous solution $257.64 $257.64 $257.64 $14,467.53
Air conduction bilat $56.43 $56.43 $56.43 $116.22
Airway resistance by impulse oscillometry 94728 $215.46 $215.46 $215.46 $279.73
Albumin body fluid quantitative each specimen $21.66 $21.66 $21.66 $48.00
Albumin (human), 25%, 50ml $113.33 $113.33 $113.33 $277.87
Albumin (human), 5%, 250 ml $112.60 $112.60 $112.60 $292.50
Albumin (microalbumin) 24 hour urine quantitative $31.35 $31.35 $31.35 $58.00
Albumin serum plasma or whole blood $19.38 $19.38 $19.38 $43.45
Alcohol (ethanol) any specimen except urine/breath $30.78 $30.78 $30.78 $94.90
Alkaline phosphatase $19.95 $19.95 $19.95 $46.50
Allergen alpha lactalbumin ige $59.28 $59.28 $59.28 $56.35
Allergen egg white ige $18.24 $18.24 $18.24 $39.78
Allergy injections; 2 or more 95117 $30.78 $30.78 $30.78 $47.20
Allergy injection; single 95115 $23.37 $23.37 $23.37 $42.75
Alpha-fetoprotein tumor marker $59.28 $59.28 $59.28 $103.60
Alprostadil for injection $7.98 $7.98 $7.98 $550.20
Alteplase 100 mg infusion from pyxis vial $146.07 $146.07 $146.07 $9,600.63
Alt/sgpt $20.52 $20.52 $20.52 $49.00
Alys cplx sp/pn npgt w/prgrm $336.87 $336.87 $336.87 $431.84
Aminophylline 25 mg/ml intravenous solution (wrapper) $36.61 $36.61 $36.61 $43.72
Amiodarone 50 mg/ml intravenous solution $3.89 $3.89 $3.89 $50.85
Amitriptyline (elavil) -sendout $66.12 $66.12 $66.12 $101.17
Ammonia $57.00 $57.00 $57.00 $123.48
Amphetamine confirm urine -sendout $194.94 $194.94 $194.94 $94.50
Amphetamines 5 or more $62.13 $62.13 $62.13 $93.60
Ampicillin 1 gram solution for injection $3.31 $3.31 $3.31 $68.44
Ampicillin-sulbactam 1.5 gram solution for injection $6.38 $6.38 $6.38 $57.38
Amputation toe interphalangeal joint $1,798.92 $1,798.92 $1,798.92 $3,839.54
Amputation toe metatarsophalangeal joint $1,739.64 $1,739.64 $1,739.64 $3,777.93
Amylase $48.45 $48.45 $48.45 $93.00
Ana ds-dna $43.32 $43.32 $43.32 $65.52
Anal/urinary muscle study $666.33 $666.33 $666.33 $407.00
Analysis gene f2 20210g>a variant $203.49 $203.49 $203.49 $219.13
Analysis gene f5 leiden variant $164.73 $164.73 $164.73 $226.60
Analysis; simple cranial nerv pulse gen prgrmg 95976 $82.65 $82.65 $82.65 $122.20
Analyze neurostimulator simple w/reprogramming 95971 $197.79 $197.79 $197.79 $396.48
Anastamo/extrahep bil duct/gi trac 47760 $3,885.69 $3,885.69 $3,885.69 $5,524.80
Anca screen with reflex to titer -quest $26.22 $26.22 $26.22 $103.20
An cholangiogram percutaneous compl $2,161.44 $2,161.44 $2,161.44 $2,426.60
An fluoro guide for cvp $372.21 $372.21 $372.21 $509.60
Anidulafungin injection $3.76 $3.76 $3.76 $209.79
Ankle arthroscopy/surgery $859.56 $859.56 $859.56 $3,839.54
Ankle arthroscopy/surgery $878.94 $878.94 $878.94 $3,839.54