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
Cysto cgen post urtl valves CPT 52400 not published not published $496.44 – $1,744.95 7
Cystogram >= 3 views supervision & interpretation CPT 74430 not published not published $16.10 – $39.11 7
Cystometrogram w/up 51727 CPT 51727 not published not published $109.69 – $392.33 7
Cystorrhaphy wound comp 51865 CPT 51865 not published not published $929.09 – $3,264.60 7
Cystorrhaphy wound simple 51860 CPT 51860 not published not published $772.46 – $2,696.89 7
Cysto rx balo cath urtl strx CPT 52284 $6,312.18 $11,074.00 $169.50 – $169.50 4
Cystoscopy and biopsy CPT 52007 not published not published $171.28 – $1,726.28 7
Cystoscopy and radiotracer CPT 52250 not published not published $246.13 – $873.08 7
Cystoscopy and treatment CPT 52214 $1,708.29 $2,997.00 $179.55 – $2,662.09 7
Cystoscopy and treatment CPT 52224 not published not published $207.70 – $2,780.21 7
Cystoscopy and treatment CPT 52234 $819.66 $1,438.00 $253.01 – $524.99 7
Cystoscopy and treatment CPT 52235 $673.17 $1,181.00 $296.71 – $616.42 7
Cystoscopy and treatment CPT 52240 not published not published $402.64 – $1,431.38 7
Cystoscopy and treatment CPT 52260 not published not published $216.52 – $767.14 7
Cystoscopy and treatment CPT 52265 not published not published $166.99 – $1,381.99 7
Cystoscopy and treatment CPT 52276 not published not published $271.93 – $964.73 7
Cystoscopy and treatment CPT 52277 not published not published $332.03 – $1,179.26 7
Cystoscopy and treatment CPT 52283 not published not published $207.53 – $1,184.14 7
Cystoscopy and treatment CPT 52285 not published not published $201.74 – $1,178.10 7
Cystoscopy and treatment CPT 52290 not published not published $250.68 – $889.54 7
Cystoscopy and treatment CPT 52300 not published not published $287.91 – $1,020.86 7
Cystoscopy and treatment CPT 52301 not published not published $298.23 – $1,057.76 7
Cystoscopy and treatment CPT 52305 not published not published $285.77 – $1,016.59 7
Cystoscopy and treatment CPT 52310 $816.24 $1,432.00 $156.18 – $522.70 7
Cystoscopy and treatment CPT 52315 not published not published $282.04 – $1,690.58 7
Cystoscopy and treatment CPT 52320 not published not published $253.12 – $899.70 7
Cystoscopy and treatment CPT 52330 not published not published $270.70 – $2,115.79 7
Cystoscopy (Bladder Scope) CPT 52000 $631.56 $1,108.00 $82.93 – $764.59 7
Cystoscopy chemodenervation CPT 52287 not published not published $173.60 – $1,308.00 7
Cystoscopy & duct catheter CPT 52010 not published not published $170.68 – $1,446.30 7
Cystoscopy implant stent CPT 52282 not published not published $345.99 – $1,228.01 7
Cystoscopy inject material CPT 52327 not published not published $265.71 – $957.94 7
Cystoscopy removal of clots CPT 52001 $5,115.75 $8,975.00 $295.28 – $1,512.00 7
Cystoscopy & revise urethra CPT 52270 not published not published $187.29 – $1,463.25 7
Cystoscopy & revise urethra CPT 52275 not published not published $255.62 – $1,919.48 7
Cystoscopy stone removal CPT 52325 not published not published $328.68 – $1,168.91 7
Cystoscopy & ureter catheter CPT 52005 not published not published $137.96 – $1,068.45 7
Cystostomy cystotomy w/drainage 51040 CPT 51040 not published not published $308.34 – $1,057.99 7
Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 not published not published $495.60 – $1,713.56 7
Cystotomy excise/incise/repair 51535 CPT 51535 not published not published $813.45 – $2,854.24 7
Cystouretero & or pyeloscope CPT 52351 not published not published $311.26 – $1,104.04 7
Cysto/uretero stricture tx CPT 52344 not published not published $379.54 – $1,346.89 7
Cystouretero w/biopsy CPT 52354 not published not published $428.09 – $1,523.06 7
Cystouretero w/excise tumor CPT 52355 not published not published $479.46 – $1,706.03 7
Cysto/uretero w/lithotripsy CPT 52356 not published not published $426.66 – $1,517.48 6
Cystouretero w/lithotripsy CPT 52353 not published not published $402.29 – $1,431.38 7
Cystouretero w/renal strict CPT 52346 not published not published $457.84 – $1,629.41 7
Cystouretero w/stone remove CPT 52352 not published not published $363.81 – $1,293.45 7
Cysto/uretero w/up stricture CPT 52345 not published not published $404.99 – $1,439.44 7
Cystourethro cut ejacul duct CPT 52402 not published not published $272.16 – $974.40 7
Cystourethroscop/calib/dilat stric 52281 CPT 52281 $944.49 $1,657.00 $157.03 – $588.39 7
Cystourethroscopy w/biopsy(s) 52204 CPT 52204 not published not published $146.18 – $1,401.34 7
Cystourethro w/addl implant 52442 CPT 52442 not published not published $51.98 – $3,616.91 6
Cystourethro w/implant CPT 52441 not published not published $215.71 – $4,958.10 6
Cysto w/renal stricture tx CPT 52343 not published not published $353.49 – $1,256.06 7
Cysto w/up stricture tx CPT 52342 not published not published $317.97 – $1,126.99 7
Cysto w/ureter stricture tx CPT 52341 not published not published $292.16 – $1,036.20 7
Cytarabine 20 mg/ml injection solution HCPCS J9100 $1.14 $2.00 $1.18 – $2.00 6
Cytogenetics 25-99 CPT 88274 not published not published $44.50 – $163.59 11
Cytogenetics 3-5 CPT 88272 not published not published $36.23 – $157.10 11
Cytogenomic neo microra alys CPT 81277 not published not published $1,218.00 – $4,477.60 7
Cytogenom microarray copy nmbr var CPT 81228 not published not published $945.00 – $3,474.00 7
Cytomegalovirus (cmv) antibody igg CPT 86644 $42.75 $75.00 $15.11 – $55.55 11
Cytomegalovirus (cmv) antibody igm CPT 86645 $21.66 $38.00 $8.32 – $65.04 11
Cytomegalovirus dfa CPT 87271 not published not published $14.09 – $51.80 11
Cyto/molecular report CPT 88291 not published not published $36.05 – $72.12 8
Cytopath c/v auto in fluid CPT 88174 not published not published $26.64 – $97.93 11
Cytopath c/v index add-on CPT 88155 not published not published $8.57 – $56.55 11
Cytopath fl nongyn filter CPT 88106 not published not published $19.98 – $45.32 8
Cytopathology cellular enhancement technique non-gyn CPT 88112 $83.22 $146.00 $29.21 – $119.51 8
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 $138.51 $243.00 $27.94 – $102.71 11
Cytopathology cervical/vaginal thin layer manual screening CPT 88142 $72.39 $127.00 $21.27 – $78.20 11
Cytopathology concentration technique smears & interpretation CPT 88108 $38.19 $67.00 $23.29 – $52.71 8
Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 $57.00 $100.00 $23.29 – $68.19 8
Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 $71.25 $125.00 $9.45 – $22.92 8
Cytopathology fna adequacy evaluation first episode each site CPT 88172 not published not published $23.29 – $44.91 8
Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 $136.23 $239.00 $49.79 – $166.72 8
Cytopath smear other source CPT 88160 not published not published $23.29 – $60.85 8
Cytopath smear other source CPT 88162 not published not published $41.66 – $92.75 8
Cytopath smear oth prep screen & interp CPT 88161 $38.19 $67.00 $23.29 – $58.47 8
Cytopath tbs c/v manual CPT 88164 not published not published $15.11 – $68.55 11
Cytotoxic antibody screening CPT 86807 not published not published $56.61 – $303.59 11
Cytotoxic antibody screening CPT 86808 not published not published $31.16 – $114.56 11
Cytp urine 3-5 probes cmptr CPT 88121 not published not published $51.09 – $117.37 8
Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 $1.14 $2.00 $0.03 – $1.05 7
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 $6.27 $11.00 $4.13 – $11.00 7
Dbrdmt prmlg les w/pdt CPT 96574 not published not published $297.66 – $879.95 6
D&c after delivery 59160 CPT 59160 not published not published $188.67 – $845.03 7
D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 not published not published $243.64 – $1,015.01 7
Dch glucoscan CPT 82948 not published not published $4.54 – $19.45 11
Dch pulmonary stress test CPT 94621 not published not published $71.41 – $233.09 7
Dch validity tests CPT 81002 $5.70 $10.00 $3.65 – $13.43 11
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 not published not published $637.50 – $2,117.29 7
Dcmprn orbit only transcrnl CPT 61330 not published not published $1,746.45 – $6,030.68 7
Dcmprn plantar digital nerve CPT 64726 not published not published $287.58 – $990.04 7
D&c of cervical stump CPT 57558 not published not published $135.49 – $520.69 7
Deamidated gliadin antibody iga CPT 86258 $41.04 $72.00 $12.65 – $46.51 7
Debr g/per/abd wall 11006 CPT 11006 not published not published $695.88 – $2,499.71 7
Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 $149.91 $263.00 $29.05 – $120.17 7
Debridement (>20 cm) charge pt CPT 97598 $151.62 $266.00 $22.21 – $51.52 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.