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
Colonoscopy w/dilation CPT 44405 not published not published $189.10 – $2,035.99 6
Colonoscopy w/endoscope Ultrasound CPT 45391 not published not published $265.64 – $944.70 7
Colonoscopy w/endoscopic fnb CPT 45392 not published not published $313.10 – $1,114.69 7
Colonoscopy/w endoscopic stent 45389 CPT 45389 not published not published $298.04 – $1,060.24 6
Colonoscopy w/fb removal CPT 45379 not published not published $245.55 – $1,546.73 7
Colonoscopy w/injection CPT 44404 not published not published $176.40 – $1,450.16 6
Colonoscopy with ablation CPT 44401 not published not published $249.80 – $10,294.31 6
Colonoscopy (with biopsy) CPT 45380 $430.35 $755.00 $206.66 – $1,056.64 7
Colonoscopy with biopsy CPT 44389 not published not published $176.40 – $1,457.03 7
Colonoscopy (with polyp removal) CPT 45385 $599.64 $1,052.00 $261.49 – $1,188.38 7
Colonoscopy w/ndl aspir/bx CPT 44407 not published not published $283.41 – $1,010.33 6
Colonoscopy w/resection CPT 45390 $902.31 $1,583.00 $342.18 – $1,219.91 6
Colonoscopy w/stent plcmt CPT 44402 not published not published $269.43 – $960.11 6
Colonoscopy w/ultrasound CPT 44406 not published not published $236.56 – $841.20 6
Colostomy skin level cecostomy 44320 CPT 44320 $2,285.13 $4,009.00 $1,210.02 – $2,571.82 7
Colotomy exploration/bx/foreign body removal 44025 CPT 44025 not published not published $985.13 – $3,477.86 7
Colpocentesis 57020 CPT 57020 not published not published $81.13 – $396.26 7
Colpocleisis (le forte type) 57120 CPT 57120 not published not published $554.88 – $1,891.73 7
Colpopexy abdominal approach 57280 CPT 57280 not published not published $1,001.54 – $3,487.80 7
Colpopexy extraperitoneal CPT 57282 not published not published $722.34 – $1,904.51 7
Colpopexy intraperitoneal CPT 57283 not published not published $726.10 – $2,530.24 7
Colporrhapy/vag injury sut/non ob 57200 CPT 57200 not published not published $349.82 – $1,150.54 7
Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 not published not published $124.89 – $609.68 7
Colposcopy/cervix/ conization 57461 CPT 57461 not published not published $187.36 – $1,242.94 7
Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 $347.13 $609.00 $94.21 – $238.27 7
Colposcopy vulva 56820 CPT 56820 not published not published $86.71 – $430.50 7
Colposcopy vulva w/biopsy 56821 CPT 56821 not published not published $116.43 – $573.94 7
Colposcopy w/biopsy of cervix 57455 CPT 57455 $455.43 $799.00 $111.44 – $313.14 7
Colpotomy drng of abscess 57010 CPT 57010 not published not published $478.53 – $1,619.63 7
Colpotomy w/exploration 57000 CPT 57000 not published not published $211.17 – $710.89 7
Compatibility test each unit antiglobulin technique CPT 86922 $102.60 $180.00 $34.23 – $51.05 3
Compatibility test each unit electronic CPT 86923 $261.06 $458.00 $20.38 – $38.28 3
Compatibility test each unit immediate spin technique CPT 86920 $98.61 $173.00 $20.38 – $47.73 3
Compatibility test incubate CPT 86921 not published not published $20.38 – $43.01 3
Comp cystometrogram/void presssure 51728 CPT 51728 $977.55 $1,715.00 $107.77 – $225.76 7
Comp cystometrogram/void/uret pres 51729 CPT 51729 not published not published $129.97 – $466.16 7
Complement antigen each component c3 CPT 86160 $83.79 $147.00 $12.60 – $46.32 11
Complement fixation each CPT 86171 not published not published $10.51 – $38.64 11
Complete removal of vulva CPT 56625 not published not published $700.56 – $2,328.00 7
Completion pneumonectomy 32488 CPT 32488 not published not published $2,336.44 – $8,348.93 7
Complex cystometrogram 51726 CPT 51726 not published not published $87.72 – $312.87 7
Complex repair trunk 1.1-2.5cm 13120 CPT 13120 $291.27 $511.00 $242.38 – $773.39 7
Complex repair trunk 2.6-7.5cm 13101 CPT 13101 $231.42 $406.00 $258.41 – $1,456.50 7
Complex uroflowmetry (electronic) 51741 CPT 51741 $261.63 $459.00 $8.73 – $19.72 7
Compl oph exam general anes CPT 92018 not published not published $148.31 – $477.12 7
Complx repair enel 1.1-2.5 cm 13151 CPT 13151 not published not published $289.78 – $1,544.59 7
Complx repair enel 2.6-7.5 cm 13152 CPT 13152 not published not published $349.23 – $1,831.95 7
Complx repair enel addl 5cm/< 13153 CPT 13153 not published not published $139.68 – $687.53 7
Complx repair fccmnaxghf 13131 CPT 13131 not published not published $252.49 – $1,416.15 7
Complx repair fccmnaxghf 13132 CPT 13132 $1,470.60 $2,580.00 $315.94 – $1,049.77 7
Complx repair fccmnaxghf 13133 CPT 13133 not published not published $129.47 – $631.80 7
Complx repair sal addl 5 cm/> 13122 CPT 13122 $976.98 $1,714.00 $84.59 – $474.15 7
Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 not published not published $209.30 – $1,239.38 7
Complx repair trunk addl 5cm/< 13102 CPT 13102 $112.29 $197.00 $73.32 – $267.39 7
Composite graft/pri close/don area 15760 CPT 15760 not published not published $732.02 – $3,058.13 7
Comprehensive hearing test CPT 92557 $37.05 $65.00 $34.03 – $76.69 7
Compre oph exam est pt 1/> CPT 92014 not published not published $80.91 – $415.98 7
Compre oph exam new pt 1/> CPT 92004 not published not published $100.58 – $497.16 7
Concentration infection agents any type CPT 87015 $25.08 $44.00 $5.34 – $25.78 11
Conditioning play audiometry 92582 CPT 92582 not published not published $92.53 – $238.09 7
Condylomata destruction 56420 CPT 56420 $341.43 $599.00 $116.23 – $562.84 7
Conization/cerv/loop electrode exc 57522 CPT 57522 not published not published $267.80 – $1,036.54 7
Conization of cervix CPT 57520 not published not published $311.36 – $1,206.60 7
Connect omega .5mm HCPCS L8613 $369.36 $648.00 $341.12 – $341.12 2
Constj trachesophgl fstl CPT 31611 not published not published $566.97 – $1,912.05 7
Construction of vagina CPT 57291 not published not published $573.24 – $1,959.79 7
Construct thumb replacement CPT 26550 not published not published $1,707.60 – $5,877.23 7
Construct vagina with graft CPT 57292 not published not published $858.28 – $2,983.43 7
Consultation pathology during surgery CPT 88329 $100.89 $177.00 $23.29 – $134.99 8
Consultation pathology during surgery cytological exam initial site CPT 88333 $467.40 $820.00 $23.29 – $99.65 8
Consultation pathology during surgery frozen section each additional block CPT 88332 not published not published $23.29 – $32.11 8
Consultation pathology during surgery frozen section first tissue block CPT 88331 $98.61 $173.00 $45.52 – $89.35 8
Consultation/report referred material w/preparation of slides CPT 88323 not published not published $34.67 – $136.18 8
Consultation/report referred slides prepared elsewhere CPT 88321 not published not published $23.29 – $219.45 8
Consult comp w/report rfrd material CPT 88325 not published not published $76.99 – $494.68 8
Contact lens fitg aphakia 1 CPT 92311 not published not published $55.37 – $346.69 7
Contact lens fitg aphakia ou CPT 92312 not published not published $65.78 – $402.22 7
Cont gluc mntr analysis i&r 95251 CPT 95251 $122.55 $215.00 $36.94 – $87.46 7
Contour cranial bone lesion CPT 21181 not published not published $768.01 – $2,673.11 7
Contour of face bone lesion CPT 21029 not published not published $654.97 – $2,775.94 7
Contrast baths charges CPT 97034 not published not published $18.46 – $36.87 7
Contrast exam abdominl aorta 75625-26 CPT 75625 not published not published $68.41 – $163.38 7
Contrast exam thoracic aorta CPT 75600 not published not published $23.77 – $58.06 7
Contrast exam thoracic aorta 75605-26 CPT 75605 not published not published $55.28 – $132.66 7
Contrast x-ray gallbladder CPT 74290 not published not published $16.10 – $39.11 7
Contrast x-ray of ankle CPT 73615 not published not published $29.07 – $70.16 7
Contrast x-ray of brain CPT 70010 not published not published $60.71 – $146.47 7
Contrast x-ray of brain CPT 70015 not published not published $60.09 – $145.60 7
Contrast x-ray of elbow CPT 73085 not published not published $27.28 – $70.16 7
Contrast x-ray of hip CPT 73525 $576.27 $1,011.00 $29.67 – $71.00 7
Contrast x-ray of knee joint CPT 73580 $576.27 $1,011.00 $32.01 – $69.32 7
Contrast x-ray of wrist CPT 73115 $674.31 $1,183.00 $28.71 – $68.72 7
Control nosebleed pack+caut 30905 CPT 30905 $778.05 $1,365.00 $107.73 – $581.95 7
Control nose/throat bleeding comp req hospital 42971 CPT 42971 not published not published $477.81 – $1,632.41 7
Control nose/throat bleeding with surg ivntj 42972 CPT 42972 not published not published $533.34 – $1,827.71 7
Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 not published not published $434.41 – $1,479.68 7
Control of nosebleed ant comp 30903 CPT 30903 $541.50 $950.00 $78.46 – $468.13 7
Control of nosebleedantersmpl 30901 CPT 30901 $306.66 $538.00 $57.63 – $258.18 7
Control oropharyngeal hemorr/simp 42960 CPT 42960 not published not published $169.17 – $596.78 7
Control throat bleeding CPT 42961 not published not published $443.25 – $1,503.71 7

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.