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
Clsd tx humerus fract without manip 24500 CPT 24500 not published not published $363.28 – $1,289.51 7
Clsd tx iphal jnt disl w/manip req anes CPT 26775 not published not published $384.66 – $1,387.99 7
Clsd tx mandibular fx without manip 21450 CPT 21450 not published not published $512.04 – $2,109.90 7
Clsd tx/metacar/interphal artic fx 26740 CPT 26740 not published not published $241.83 – $829.69 7
Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 $487.92 $856.00 $314.32 – $650.70 7
Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 not published not published $323.26 – $1,171.69 7
Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 not published not published $537.82 – $1,740.41 7
Clsd tx metatarsal fracture w/manip 28475 CPT 28475 not published not published $248.80 – $935.93 7
Clsd tx/metatarsal fx without manip 28470 CPT 28470 $650.94 $1,142.00 $224.12 – $492.38 7
Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 not published not published $98.63 – $918.64 7
Clsd tx nose fx without manip 21310 CPT 21310 not published not published $123.86 – $302.06 3
Clsd tx of ankle fracture w/manip 28435 CPT 28435 not published not published $352.56 – $1,310.14 7
Clsd tx patella disloc without anes 27560 CPT 27560 $473.67 $831.00 $366.88 – $802.23 7
Clsd tx/patellar fx without manip 27520 CPT 27520 $473.67 $831.00 $326.97 – $715.17 7
Clsd tx pelvic ring fx CPT 27197 not published not published $139.36 – $457.73 6
Clsd tx pelvic ring fx CPT 27198 not published not published $326.03 – $1,101.11 6
Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 not published not published $433.30 – $1,552.58 7
Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 $473.67 $831.00 $207.66 – $711.94 7
Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 $473.67 $831.00 $269.36 – $579.19 7
Clsd tx radius fracture w/manip 24655 CPT 24655 not published not published $436.93 – $1,584.90 7
Clsd tx/scapular fx without manip 23570 CPT 23570 $473.67 $831.00 $264.69 – $509.12 7
Clsd tx shoulder dislc/fx 23665 CPT 23665 $1,465.47 $2,571.00 $429.39 – $1,539.38 7
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 $2,684.70 $4,710.00 $533.91 – $1,980.15 7
Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 $1,136.01 $1,993.00 $434.55 – $871.10 7
Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 not published not published $364.85 – $1,333.76 7
Clsd tx temporomandibular dislocat 21480 CPT 21480 not published not published $31.36 – $423.86 7
Clsd tx toe dislocation without anes28660 CPT 28660 not published not published $99.21 – $428.55 7
Clsd tx trimall ankle fx without manip 27816 CPT 27816 not published not published $319.75 – $1,175.81 7
Clsd tx trimall ankle fx w/manip 27818 CPT 27818 $1,473.45 $2,585.00 $468.12 – $1,743.56 7
Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 $473.67 $831.00 $266.50 – $580.03 7
Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 $441.18 $774.00 $312.24 – $663.64 7
Clsd tx wrist carpal fx without manip 25630 CPT 25630 not published not published $309.22 – $1,099.76 7
Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 not published not published $310.36 – $1,100.21 7
Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 not published not published $564.18 – $1,877.55 7
Clsd tx wrist ulnar styloid fx 25650 CPT 25650 not published not published $332.28 – $1,172.25 7
Clsd/ulnar fx/prox end without manip 24670 CPT 24670 $473.67 $831.00 $291.65 – $642.93 7
Cls tx of heel fracture w/manip 28405 CPT 28405 not published not published $432.85 – $1,406.59 7
Cltx carpl scphd fx w/mnpj CPT 25624 not published not published $479.05 – $1,737.94 7
Cltx gr hmrl tbrs fx w/mnpj CPT 23625 not published not published $379.56 – $1,366.31 7
Cltx hum epcndylr fx wo mnpj CPT 24560 not published not published $320.68 – $1,183.35 7
Cltx humrl cndylr fx w/mnpj CPT 24577 not published not published $541.57 – $1,981.31 7
Cltx humrl cndylr fx wo mnpj CPT 24576 not published not published $342.11 – $1,245.98 7
Cltx lunate dislc w/mnpj CPT 25690 not published not published $524.20 – $1,740.83 7
Cltx mndblr fx ntrdntl fixj CPT 21453 not published not published $985.92 – $3,664.43 7
Cltx mndblr fx w/mnpj CPT 21451 not published not published $682.20 – $2,766.00 7
Cltx mndblr/max alv ridge fx CPT 21440 not published not published $647.54 – $2,296.88 7
Cltx palatal/max fx wire fix CPT 21421 not published not published $579.70 – $2,460.34 7
Cltx post ankle fx CPT 27767 $441.18 $774.00 $316.28 – $622.81 7
Cltx post ankle fx w/mnpj CPT 27768 not published not published $478.26 – $1,587.75 7
Cltx scap fx w/mnpj +-tractj CPT 23575 not published not published $407.97 – $1,455.45 7
Cltx strnclav dislc w/mnpj CPT 23525 not published not published $392.11 – $1,401.41 7
Cltx thigh fx CPT 27267 not published not published $467.68 – $1,566.71 7
Cltx tmprmand dislc comp CPT 21485 not published not published $833.83 – $3,233.40 7
Cmbn ant pst colprhy CPT 57260 not published not published $808.45 – $2,802.53 7
C motor evoked lwr limbs CPT 95929 not published not published $83.42 – $268.68 7
C motor evoked uppr limbs CPT 95928 not published not published $83.55 – $268.68 7
C motor evoked upr&lwr limbs CPT 95939 not published not published $125.08 – $401.85 7
Cmptr ophth dx img ant segmt CPT 92132 not published not published $17.37 – $47.86 7
Cmptr ophth img optic nerve CPT 92133 not published not published $22.89 – $47.86 7
#cms hgb-carboxyhemoglobin CPT 82376 not published not published $8.57 – $54.31 11
#cms hgb-sulfhemoglobin CPT 83060 not published not published $9.24 – $33.97 11
#cmvcul-virus inoculation shell CPT 87254 $58.71 $103.00 $20.54 – $75.50 11
Cmv pcr-sendout CPT 87496 $60.42 $106.00 $36.84 – $135.45 11
Co2 monitor per day CPT 94681 not published not published $10.08 – $34.04 7
Coagulation time activated teg CPT 85347 $46.17 $81.00 $4.49 – $16.52 11
Coagulation time otr method CPT 85348 not published not published $2.79 – $17.33 11
Cochlear implt f/up exam <7 CPT 92601 not published not published $131.44 – $554.96 7
Cochlear implt f/up exam 7/> CPT 92603 not published not published $127.80 – $517.61 7
Cold agglutinin screen (arc) CPT 86156 $25.08 $44.00 $8.32 – $31.15 11
Cold agglutinin titer CPT 86157 $20.52 $36.00 $8.32 – $31.11 11
Colectomy/end colost/close dis seg 44143 CPT 44143 $3,215.37 $5,641.00 $1,652.08 – $3,551.73 7
Colectomy/ ileostomy without prctect 44150 CPT 44150 not published not published $1,863.64 – $6,613.58 7
Colectomy/ ileostomy w/prctect 44155 CPT 44155 not published not published $2,085.78 – $7,384.91 7
Colectomy partial w/anastomosis 44140 CPT 44140 $2,600.91 $4,563.00 $1,344.93 – $2,856.52 7
Colectomy prtl abdominal + transanal appr 44147 CPT 44147 not published not published $1,929.20 – $6,855.90 7
Colectomy prtl w/coloproctostomy 44145 CPT 44145 $3,313.98 $5,814.00 $1,658.87 – $3,538.97 7
Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 not published not published $2,108.14 – $7,498.43 7
Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 $2,401.41 $4,213.00 $1,246.48 – $2,648.00 7
Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 not published not published $1,815.20 – $6,445.80 7
Colectomy/w colostomy or ileostomy 44144 CPT 44144 not published not published $1,764.83 – $6,247.50 7
Collagenase, clost hist inj HCPCS J0775 $71.82 $126.00 $46.85 – $126.00 7
Collection blood specimen from completely implantable venous access device CPT 36591 $95.19 $167.00 $29.38 – $89.06 7
Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 $84.36 $148.00 $31.88 – $100.61 7
Collection of venous blood by venipuncture CPT 36415 $21.66 $38.00 $3.00 – $34.08 11
Colon motility 6 hr study CPT 91117 not published not published $143.39 – $457.55 7
Colonoscopy (diagnostic) CPT 45378 $372.78 $654.00 $189.87 – $430.88 7
Colonoscopy flex with decompression 45393 CPT 45393 not published not published $257.65 – $921.94 6
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 $434.91 $763.00 $232.53 – $1,049.59 7
Colonoscopy for bleeding 44391 CPT 44391 not published not published $237.32 – $2,464.31 7
Colonoscopy for foreign body CPT 44390 not published not published $216.94 – $1,432.91 7
Colonoscopy & polypectomy 44392 CPT 44392 not published not published $202.52 – $1,338.23 7
Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 not published not published $313.10 – $1,115.10 6
Colonoscopy stoma w/snare 44394 CPT 44394 $531.81 $933.00 $231.12 – $1,134.40 7
Colonoscopy submucous njx CPT 45381 $410.97 $721.00 $206.30 – $1,065.29 7
Colonoscopy thru stoma spx CPT 44388 $367.08 $644.00 $159.63 – $805.54 7
Colonoscopy w/ablation CPT 45388 not published not published $277.48 – $10,629.94 6
Colonoscopy w/balloon dilat CPT 45386 not published not published $217.83 – $2,224.73 7
Colonoscopy w/band ligation CPT 45398 not published not published $240.00 – $2,849.44 6
Colonoscopy w/control bleed CPT 45382 $477.09 $837.00 $266.51 – $2,560.13 7
Colonoscopy w/decompression CPT 44408 not published not published $238.76 – $849.19 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.