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
Debridement bone <= 20 sq cm CPT 11044 $764.94 $1,342.00 $230.93 – $691.36 7
Debridement/bone/20 sq cm or less 11046 CPT 11046 not published not published $55.37 – $263.25 7
Debridement/bone/ea add 20 sq cm 11047 CPT 11047 not published not published $97.47 – $436.09 7
Debridement subcutaneous tissue <= 20 sq cm CPT 11042 $630.99 $1,107.00 $63.16 – $283.62 7
Debride nail1-5 11720 CPT 11720 $151.05 $265.00 $14.80 – $71.08 7
Debride nail6 or more 11721 CPT 11721 $234.27 $411.00 $24.91 – $98.10 7
Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 not published not published $302.11 – $1,892.85 7
Debride skin bone at fx site CPT 11012 $1,918.05 $3,365.00 $422.16 – $1,558.15 7
Debride skn/sq/musc/abd wall 11004 CPT 11004 not published not published $569.60 – $2,048.81 7
Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 $2,116.98 $3,714.00 $761.84 – $1,649.40 7
Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 $87.21 $153.00 $25.69 – $91.30 7
Debrid mastoidectomy cavity simple 69220 CPT 69220 $188.10 $330.00 $53.48 – $316.88 7
Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 not published not published $284.15 – $1,709.40 7
Debr inf skin add-on 11001 CPT 11001 $72.39 $127.00 $15.48 – $46.59 7
Debr musc/fascia 20sq cm/< 11043 CPT 11043 $531.24 $932.00 $158.40 – $503.94 7
Decalcification CPT 88311 $26.79 $47.00 $11.49 – $18.71 8
Decitabine 50 mg intravenous solution HCPCS J0894 $4.42 $7.76 $1.61 – $7.76 6
Declotting thrombolytic agent implanted vas access device 36 CPT 36593 $451.44 $792.00 $36.64 – $112.61 7
Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 not published not published $478.62 – $1,704.86 7
Decomp forearm 1 space 25020 CPT 25020 not published not published $781.74 – $2,307.38 7
Decomp forearm 2 spaces w/debrid 25025 CPT 25025 not published not published $1,263.95 – $4,298.40 7
Decompress fasciotomyhand 26037 CPT 26037 not published not published $589.01 – $2,030.33 7
Decompress fingers/hand CPT 26035 not published not published $898.40 – $3,066.30 7
Decompress forearm 1 space CPT 25023 not published not published $1,368.05 – $4,301.14 7
Decompress forearm 2 spaces CPT 25024 not published not published $811.89 – $2,799.26 7
Decompression fasct forearm CPT 24495 not published not published $968.42 – $2,924.25 7
Decompression of leg CPT 27892 not published not published $553.74 – $1,962.38 7
Decompression of leg CPT 27893 not published not published $643.60 – $2,184.30 7
Decompression of leg CPT 27894 not published not published $831.09 – $2,992.05 7
Decompression of lower leg CPT 27600 not published not published $411.01 – $1,440.38 7
Decompression of lower leg CPT 27601 not published not published $460.15 – $1,596.71 7
Decompression of thigh/knee CPT 27496 not published not published $578.31 – $1,951.65 7
Decompression of thigh/knee CPT 27497 not published not published $607.14 – $2,077.35 7
Decompression of thigh/knee CPT 27498 not published not published $687.70 – $2,341.65 7
Decompression of thigh/knee CPT 27499 not published not published $732.78 – $2,503.76 7
Decompression of tibia nerve CPT 28035 not published not published $381.28 – $1,934.81 7
Decompression unspecified nerve 64722 CPT 64722 not published not published $386.16 – $1,290.45 7
Decompressive craniotomy CPT 61322 not published not published $2,310.84 – $7,990.73 7
Decompress optic nerve CPT 67570 not published not published $1,350.26 – $4,493.55 7
Decompres spinal cord;thoracic 63055 CPT 63055 not published not published $1,596.76 – $5,540.93 7
Decompress small bowel CPT 44021 not published not published $972.70 – $3,443.55 7
Decompress spinal cord lmbr CPT 63056 not published not published $1,477.34 – $5,131.39 7
Decompress spinal cord thrc CPT 63064 not published not published $1,746.57 – $6,082.99 7
Decomp spinal cord/transped/ad seg 63057 CPT 63057 not published not published $309.87 – $1,099.13 7
Deep muscle biopsy 20205 CPT 20205 not published not published $154.63 – $1,053.15 7
Degarelix 120 mg subcutaneous solution HCPCS J9155 $6.27 $11.00 $4.35 – $11.00 7
Delayed breast prosthesis 19342 CPT 19342 not published not published $789.41 – $3,338.25 7
Delay flap arms/legs CPT 15610 not published not published $257.56 – $1,301.63 7
Delay flap eye/nos/ear/lip CPT 15630 not published not published $363.82 – $1,660.54 7
Delay flap fccnaxghf 15620 CPT 15620 not published not published $344.39 – $1,596.64 7
Delay flap trunk 15600 CPT 15600 not published not published $224.00 – $1,200.45 7
Delivery of placenta 59414 CPT 59414 $4,598.19 $8,067.00 $88.19 – $315.41 7
Delivery only failed vbac 59620 CPT 59620 not published not published $913.24 – $2,444.45 7
Delivery only/pp care/failed vbac 59622 CPT 59622 not published not published $1,363.21 – $3,396.48 7
Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 not published not published $637.52 – $2,318.81 6
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 $182.40 $320.00 $18.80 – $53.64 7
Denervation of hip joint CPT 27035 not published not published $1,215.30 – $4,288.65 7
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 $52.48 $92.08 $18.86 – $50.00 7
Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 $305.52 $536.00 $163.17 – $633.41 7
Depo-estradiol cypionate inj HCPCS J1000 $33.06 $58.00 $45.74 – $58.00 5
Dermabrasion other than face CPT 15782 not published not published $393.84 – $1,966.46 7
Dermabrasion segmental face 15781 CPT 15781 not published not published $448.55 – $1,980.19 7
Dermabrasion suprfl any site CPT 15783 not published not published $378.33 – $1,690.13 7
Dermabrasion total face CPT 15780 not published not published $703.60 – $3,229.76 7
Derma-fat-fascia graft 15770 CPT 15770 not published not published $705.16 – $2,399.06 7
Derm autograft face/nck/hf/g CPT 15135 not published not published $792.02 – $3,153.34 7
Derm autograft trnk/arm/leg CPT 15130 not published not published $620.78 – $2,589.56 7
Descend thora aorta rpr/lt sub art 33880 CPT 33880 not published not published $1,725.37 – $6,257.14 7
Design custom breast implant CPT 19396 not published not published $146.49 – $1,035.04 7
Design mlc device for imrt CPT 77338 not published not published $242.08 – $558.18 7
Desmopressin 4 mcg/ml injection solution HCPCS J2597 $37.26 $65.36 $8.61 – $27.00 7
Desoxycorticosterone CPT 82633 not published not published $32.53 – $119.58 11
Des thora aorta/ea add prox prosth 33884 CPT 33884 not published not published $376.56 – $1,366.43 7
Des thora aorta rpr without left sub art 33881 CPT 33881 not published not published $1,482.17 – $5,369.40 7
Des thor aorta/prox ext prosth/ini 33883 CPT 33883 not published not published $1,078.37 – $3,898.20 7
Dest mal lesion feenlm <0.5cm 17280 CPT 17280 $334.02 $586.00 $92.04 – $312.57 7
Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 $411.54 $722.00 $124.71 – $392.40 7
Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 $488.49 $857.00 $143.79 – $449.85 7
Dest mal lesion snhfg <0.5cm 17270 CPT 17270 not published not published $101.09 – $540.41 7
Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 $389.88 $684.00 $111.12 – $361.56 7
Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 $445.17 $781.00 $128.00 – $411.05 7
Dest mal lesion tal <0.5 17260 CPT 17260 not published not published $74.84 – $350.89 7
Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 $342.00 $600.00 $92.40 – $414.47 7
Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 $413.82 $726.00 $116.74 – $387.01 7
Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 $454.29 $797.00 $129.10 – $422.22 7
Destroy cervthor facet jnt 64633 CPT 64633 $3,505.50 $6,150.00 $202.65 – $1,528.61 7
Destroy cth facet jnt addl 64634 CPT 64634 $1,472.31 $2,583.00 $70.08 – $684.75 7
Destroy internal hemorrhoids destroy 46930 CPT 46930 not published not published $160.62 – $778.46 7
Destroy premlg lesns;1st lesn 17000 CPT 17000 $193.23 $339.00 $58.80 – $180.78 7
Destroy vulva lesion extensive 56515 CPT 56515 $714.21 $1,253.00 $222.68 – $490.95 7
Destroy vulva lesion simple 56501 CPT 56501 not published not published $141.43 – $592.91 7
Destruct ben lesion 15/> 17111 CPT 17111 $312.36 $548.00 $88.78 – $388.89 7
Destruct cut vasl lesions 10-50cm 17107 CPT 17107 not published not published $381.00 – $1,617.11 7
Destruct cut vasl lesions <10cm 17106 CPT 17106 not published not published $292.37 – $1,239.90 7
Destruct cut vasl lesions >50cm 17108 CPT 17108 not published not published $553.84 – $2,308.50 7
Destruction 2-14 lesions 17003 CPT 17003 $42.18 $74.00 $2.20 – $14.71 7
Destruction anal lesion(s) CPT 46910 not published not published $141.52 – $936.86 7
Destruction anal lesion(s) CPT 46924 not published not published $189.28 – $1,959.08 7
Destruction anal lesion(s) smpl chem 46900 CPT 46900 not published not published $145.06 – $859.76 7
Destruction benign lesions < 14 lesions CPT 17110 $212.61 $373.00 $73.34 – $248.29 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.