healthcosts.net

Ascension Calumet Hospital, Inc.

614 Memorial Dr, Chilton, WI · Ascension · · NPI 1376541748

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

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
C1 esterase inhibitor func - sendout CPT 86161 $20.52 $36.00 $12.60 – $46.32 11
Cabg 2 arterial grafts 33534 CPT 33534 not published not published $2,148.65 – $7,686.00 7
Cabg 3 arterial grafts 33535 CPT 33535 not published not published $2,387.66 – $8,568.11 7
Cabg arterial four or more 33536 CPT 33536 not published not published $2,572.45 – $9,233.29 7
Cabgsingle artery graft 33533 CPT 33533 not published not published $1,830.61 – $6,542.78 7
Cabgsingle coronary venous graft 33510 CPT 33510 not published not published $1,890.85 – $6,765.98 7
Cabg/valve reop >1 mo p org proced 33530 CPT 33530 not published not published $506.59 – $1,835.51 7
Cabg/vein only/2 cor venous gfts 33511 CPT 33511 not published not published $2,075.66 – $7,425.41 7
Cabg/vein only/3 cor venous gfts 33512 CPT 33512 not published not published $2,362.37 – $8,456.48 7
Cabg/vein only/4 cor venous gfts 33513 CPT 33513 not published not published $2,411.35 – $8,679.90 7
Cabg venous & art 1 vein graft 33517 CPT 33517 not published not published $181.00 – $654.86 7
Cabg venous & art 2 vein graft 33518 CPT 33518 not published not published $396.75 – $1,436.78 7
Cabg venous & art 3 vein graft 33519 CPT 33519 not published not published $524.82 – $1,901.40 7
Cabg venous & art 4 vein graft 33521 CPT 33521 not published not published $629.14 – $2,280.60 7
Cabg venous & art 5 vein graft 33522 CPT 33522 not published not published $706.72 – $2,557.43 7
Cabg venous & art 6 vein graft 33523 CPT 33523 not published not published $797.98 – $2,905.09 7
Cacna1a gene full gene seq CPT 81185 not published not published $888.58 – $3,266.60 7
Cadd pump refill CPT 96521 not published not published $131.43 – $489.30 7
Calcium 24 hour urine CPT 82340 $27.93 $49.00 $6.33 – $23.28 11
Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 $26.13 $45.84 $0.06 – $17.38 6
Calcium ionized CPT 82330 $49.59 $87.00 $14.36 – $52.80 11
Calcium total CPT 82310 $25.08 $44.00 $5.42 – $19.92 11
Calculi urinary-sendout CPT 82360 not published not published $13.51 – $49.68 11
Calculus analysis qual CPT 82355 not published not published $12.16 – $44.70 11
Caloric vstblr test w/rec CPT 92538 not published not published $17.02 – $20.08 6
Calprotectin fecal CPT 83993 $125.97 $221.00 $20.61 – $75.77 11
Campylobacter antibody CPT 86625 not published not published $8.32 – $50.64 11
Candida dna CPT 87480 not published not published $21.05 – $77.39 11
Candida skin test CPT 86485 not published not published $7.60 – $14.16 3
Cannula declotting 36861 CPT 36861 not published not published $135.03 – $484.95 7
Canthotomy 67715 CPT 67715 not published not published $112.83 – $921.19 7
Capsaicin 8% patch HCPCS J7336 $5.13 $9.00 $4.58 – $9.00 6
Capsular contracture release CPT 23020 not published not published $720.39 – $2,468.59 7
Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 not published not published $270.33 – $1,445.63 7
Capsulotomy mpj ea joint (sep proc) CPT 28270 $454.86 $798.00 $357.89 – $1,110.95 7
Carbamazepine free CPT 80157 not published not published $13.91 – $51.15 11
Carbamazepine free -sendout CPT 80161 not published not published $19.57 – $71.95 7
Carbamazepine total therapeutic drug level CPT 80156 $55.29 $97.00 $15.30 – $56.24 11
Carbohydrate deficient transf - sendout CPT 82373 not published not published $18.96 – $69.71 11
Carbohydrate urine - sendout CPT 84377 not published not published $5.78 – $21.23 11
Carbon dioxide CPT 82374 $19.38 $34.00 $5.12 – $18.84 11
Carboplatin 10 mg/ml desensitization HCPCS J9045 $13.52 $23.72 $3.86 – $9.00 6
Carboxyhemoglobin quantitative CPT 82375 $43.89 $77.00 $12.94 – $47.56 11
Carcinoembryonic ag (cea) CPT 82378 $116.28 $204.00 $19.91 – $73.19 11
Cardiac drug stress test CPT 93024 not published not published $58.39 – $168.63 7
Cardiac MRI w/stress img CPT 75559 not published not published $147.13 – $350.72 7
Cardiac perf planar mult/ef/wm CPT 78454 not published not published $67.23 – $163.29 7
Cardiac perf planar sgl/ef/wm CPT 78453 not published not published $48.71 – $121.52 7
Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 not published not published $68.48 – $164.87 7
Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 $281.58 $494.00 $14.25 – $83.55 7
Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 $258.78 $454.00 $9.33 – $53.61 7
Cardiac shunt imaging CPT 78428 not published not published $38.37 – $92.75 7
Cardiac Stress Test CPT 93015 not published not published $77.34 – $233.12 7
Cardioassist internal CPT 92970 not published not published $183.55 – $596.94 7
Cardiolipin antibody iga CPT 86147 $67.83 $119.00 $8.32 – $98.24 11
Cardioversion elective electrical conversion arrhythmia external CPT 92960 $1,272.24 $2,232.00 $113.16 – $524.58 7
Cardioversion/elective/internal 92961 CPT 92961 not published not published $240.01 – $785.88 7
Card MRI veloc flow mapping CPT 75565 not published not published $12.65 – $30.31 7
Caregiver training strategies&tq 1st 30 minutes CPT 97550 $85.50 $150.00 $49.43 – $49.43 4
Caregiver training strategies&tq ea addl 15 min CPT 97551 $42.75 $75.00 $26.68 – $26.68 4
Carfilzomib 10 mg intravenous solution HCPCS J9047 $107.96 $189.41 $37.21 – $185.11 7
Car ion chnnlpath inc 10 gns CPT 81413 not published not published $614.15 – $2,257.71 8
Car ion chnnlpath inc 2 gns CPT 81414 not published not published $614.15 – $2,257.71 8
Carotene CPT 82380 not published not published $9.68 – $35.59 11
Carotid Artery Ultrasound (Duplex) CPT 93880 $954.75 $1,675.00 $39.61 – $131.22 7
Car outp meas drg cath chd CPT 93598 not published not published $0.03 – $70.72 6
Carpal Tunnel Release Surgery CPT 64721 $1,287.63 $2,259.00 $461.42 – $932.96 7
Car seat/bed test 60 minutes CPT 94780 not published not published $24.69 – $166.23 7
Car seat/bed test additional 30 minutes CPT 94781 not published not published $8.60 – $65.13 7
Cataract Surgery CPT 66984 not published not published $574.80 – $1,990.05 7
Cataract surg w/iol 1 stage CPT 66983 not published not published $1,649.56 – $2,928.38 3
Catecholamines,fractionated, urine CPT 82382 not published not published $24.59 – $105.38 11
Cath combo lt&rt heart w/inj/s CPT 93453 not published not published $311.24 – $1,015.42 7
Catheter declot mechanical CPT 36596 not published not published $46.09 – $443.21 7
Catheter insert artery CPT 36625 not published not published $106.29 – $380.40 7
Catheterization collection of specimen single patient all places of service HCPCS P9612 $101.46 $178.00 $3.15 – $34.08 10
Catheter stripping venous CPT 36595 not published not published $184.69 – $2,291.06 7
Cathj umbilical vein dx/ther nb CPT 36510 not published not published $55.90 – $303.83 7
Cath left heart/lv gram CPT 93452 not published not published $233.20 – $760.53 7
Cath left heart transseptal punc CPT 93462 not published not published $202.36 – $667.41 7
Cath lt/rt pulm art CPT 36014 not published not published $150.98 – $3,032.51 7
Cath place 1st order venous 36011 CPT 36011 not published not published $155.24 – $3,149.40 7
Cath place cardio brachytx CPT 92974 not published not published $157.34 – $511.50 7
Cath plc art ang/grft lt/rt hr CPT 93461 not published not published $407.03 – $1,327.84 7
Cath plc art/angio/rt hrt cath CPT 93456 not published not published $306.69 – $999.03 7
Cath plc art/grft/angio right hrt CPT 93457 not published not published $344.68 – $1,124.94 7
Cath right heart w/o2 sat & card CPT 93451 not published not published $129.86 – $421.63 7
Cath right hrt mnpul art CPT 36013 not published not published $126.81 – $2,919.38 7
Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 not published not published $59.87 – $706.13 7
Cath segmntl pulm art CPT 36015 not published not published $173.40 – $3,293.59 7
Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site HCPCS A4306 $423.23 $742.50 $12.33 – $12.33 2
Cath stripping venous s&i CPT 75901 not published not published $23.63 – $57.46 7
Cauterization chemical granulation tissue CPT 17250 $181.83 $319.00 $39.25 – $178.42 7
Cauterization of cervix 57510 CPT 57510 not published not published $117.24 – $543.79 7
#cbg+cort-cbg CPT 84449 not published not published $18.90 – $69.48 11
Ccnd1/igh translocation alys CPT 81168 not published not published $217.68 – $800.22 7
Cdna analysis for variants CPT 81403 $379.05 $665.00 $194.46 – $714.87 7
Cdp-sot 6 cond w/i&r CPT 92548 not published not published $35.93 – $52.18 7
Cdp-sot 6 cond w/i&r mct&adt CPT 92549 not published not published $48.26 – $59.42 6
Cebpa gene full sequence CPT 81218 not published not published $254.00 – $933.73 10

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.