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
Dna trichomonas CPT 87660 not published not published $21.05 – $77.39 11
Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 $2.10 $3.68 $0.76 – $3.68 7
Dolasetron mesylate HCPCS J1260 $11.97 $21.00 $20.13 – $20.13 2
Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 $3.35 $5.87 $0.88 – $5.87 6
Doppler echo complete CPT 93320 not published not published $18.93 – $61.79 7
Doppler intravascular pressure flow initial vessel CPT 93571 not published not published $71.30 – $234.10 7
Doppler upper/lower extremity arteries complete bilateral CPT 93923 $776.34 $1,362.00 $22.16 – $71.89 7
Doppler upper/lower extremity arteries limited bilateral CPT 93922 $420.09 $737.00 $12.19 – $40.94 7
Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 $5.13 $9.00 $3.75 – $9.00 6
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 $618.61 $1,085.27 $128.80 – $1,085.27 7
Dpyd gene common variants CPT 81232 $373.35 $655.00 $183.55 – $674.77 7
Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 $1,189.02 $2,086.00 $126.67 – $763.76 7
Drainage ext aud canal abscess 69020 CPT 69020 not published not published $152.88 – $833.14 7
Drainage external ear complex 69005 CPT 69005 not published not published $170.23 – $782.33 7
Drainage external ear simple 69000 CPT 69000 not published not published $132.62 – $676.69 7
Drainage lymph node lesion 38300 CPT 38300 not published not published $216.70 – $1,175.21 7
Drainage lymph node lesion 38305 CPT 38305 not published not published $505.75 – $1,722.56 7
Drainage mouth roof lesion CPT 42000 not published not published $115.71 – $570.23 7
Drainage of arm bursa 23931 CPT 23931 not published not published $170.32 – $1,050.26 7
Drainage of bladder abscess CPT 51080 not published not published $431.06 – $1,494.38 7
Drainage of eye CPT 65800 not published not published $93.49 – $436.61 7
Drainage of eye CPT 65810 not published not published $491.91 – $1,690.46 7
Drainage of eye CPT 65815 not published not published $504.81 – $2,344.13 7
Drainage of forearm bursa CPT 25031 not published not published $391.25 – $1,260.83 7
Drainage of kidney lesion CPT 50390 not published not published $96.95 – $355.73 7
Drainage of mouth lesion CPT 41005 not published not published $123.71 – $796.01 7
Drainage of mouth lesion CPT 41006 not published not published $245.39 – $1,259.21 7
Drainage of mouth lesion CPT 41007 not published not published $235.52 – $1,236.00 7
Drainage of mouth lesion CPT 41008 not published not published $272.97 – $1,405.69 7
Drainage of mouth lesion CPT 41009 not published not published $302.52 – $1,510.16 7
Drainage of mouth lesion CPT 41015 not published not published $317.60 – $1,488.30 7
Drainage of mouth lesion CPT 41016 not published not published $365.38 – $1,660.80 7
Drainage of mouth lesion CPT 41017 not published not published $363.71 – $1,657.80 7
Drainage of mouth lesion CPT 41018 not published not published $423.10 – $1,864.46 7
Drainage of nose lesion int 30000 CPT 30000 not published not published $128.18 – $913.69 7
Drainage of nose lesion sept 30020 CPT 30020 not published not published $129.96 – $922.69 7
Drainage of pelvis bursa CPT 26991 not published not published $549.31 – $2,555.55 7
Drainage of pelvis lesion 26990 CPT 26990 not published not published $711.14 – $2,341.80 7
Drainage of prostate abscess CPT 52700 not published not published $464.71 – $1,614.53 7
Drainage of prostate abscess CPT 55720 not published not published $474.74 – $1,654.73 7
Drainage of prostate abscess CPT 55725 not published not published $625.70 – $2,173.13 7
Drainage of rectal abscess CPT 45005 not published not published $169.73 – $1,052.89 7
Drainage of rectal abscess 45020 CPT 45020 not published not published $587.09 – $2,040.86 7
Drainage of salivary gland CPT 42305 not published not published $457.11 – $1,544.74 7
Drainage of salivary gland CPT 42320 not published not published $189.42 – $928.28 7
Drainage of throat abscess CPT 42725 not published not published $834.93 – $2,904.79 7
Drainage of urethra abscess CPT 53040 not published not published $412.72 – $1,434.60 7
Drainage of urethra abscess 53060 CPT 53060 not published not published $172.19 – $672.98 7
Drainage of urinary leakage CPT 53080 not published not published $442.95 – $1,536.08 7
Drainage of urinary leakage CPT 53085 not published not published $678.71 – $2,374.95 7
Drain bladder by trocar/cath CPT 51101 not published not published $52.48 – $518.29 7
Drain blood from under nail 11740 CPT 11740 $128.25 $225.00 $34.50 – $150.50 7
Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 not published not published $210.04 – $2,646.71 6
Drain cath image guided visceral pq CPT 49405 not published not published $199.38 – $3,226.73 6
Drain cerebro spinal fluid 62272 CPT 62272 not published not published $89.91 – $654.19 7
Drain chest lesion CPT 21502 not published not published $515.17 – $1,784.29 7
Drain finger abscess;simple 26010 CPT 26010 $305.52 $536.00 $149.67 – $593.58 7
Drain lower leg bursa CPT 27604 not published not published $340.44 – $1,728.38 7
Drain lower leg lesion 27603 CPT 27603 $547.77 $961.00 $407.94 – $1,189.63 7
Drain neck/chest lesion 21501 CPT 21501 not published not published $352.95 – $1,686.15 7
Drain open lung lesion 32200 CPT 32200 not published not published $1,131.75 – $3,979.65 7
Drain ovarn cyst abd CPT 58805 not published not published $447.73 – $1,513.95 7
Drain ovary abscess open CPT 58820 not published not published $356.23 – $1,185.90 7
Drain pancreatic pseudocyst 48510 CPT 48510 not published not published $1,101.32 – $3,875.96 7
Drain penis lesion CPT 54015 not published not published $318.58 – $1,118.44 7
Drain shoulder bone lesion CPT 23035 not published not published $706.62 – $2,432.93 7
Drain shoulder bursa 23031 CPT 23031 not published not published $232.72 – $1,462.80 7
Drain shoulder lesion CPT 23030 not published not published $265.02 – $1,568.21 7
Drain thigh/knee lesion 27301 CPT 27301 $526.68 $924.00 $529.69 – $1,476.77 7
Drain thyroid/tongue cyst CPT 60000 not published not published $168.09 – $631.31 7
Drain to peritoneal cavity CPT 49062 not published not published $773.11 – $2,705.81 7
Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 $343.14 $602.00 $115.19 – $552.08 7
Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 $305.52 $536.00 $58.28 – $297.38 7
Dress/debrid prtl-thick burn l 16030 CPT 16030 not published not published $134.46 – $694.50 7
Dressing change not for burn w/anes 15852 CPT 15852 not published not published $45.56 – $166.99 7
Drill hole evac+/drg subdural hematoma 61108 CPT 61108 not published not published $900.34 – $3,054.11 7
Drill hole implt ventricular cath/device 61107 CPT 61107 not published not published $296.13 – $1,047.86 7
Drng appendix abscess open 44900 CPT 44900 not published not published $787.15 – $2,758.39 7
Drng hand tendon sheath 26020 CPT 26020 not published not published $587.29 – $1,990.95 7
Drng of eyelid abscess 67700 CPT 67700 not published not published $123.48 – $1,017.53 7
Drng of finger abscess comp 26011 CPT 26011 not published not published $194.89 – $1,582.24 7
Drng of hydrocele 55000 CPT 55000 not published not published $88.36 – $429.98 7
Drng of mouth lesion 40801 CPT 40801 not published not published $211.27 – $1,099.35 7
Drng of ovarian cyst(s) 58800 CPT 58800 not published not published $330.65 – $1,249.16 7
Drng of palm multi bursas 26030 CPT 26030 not published not published $518.39 – $1,761.19 7
Drng of palm single bursa 26025 CPT 26025 not published not published $442.69 – $1,511.06 7
Drng of pelvic abscess transrectal 45000 CPT 45000 not published not published $444.83 – $1,533.75 7
Drng of salivary cyst 42409 CPT 42409 not published not published $246.76 – $1,321.84 7
Drng of scrotum abscess 55100 CPT 55100 not published not published $176.42 – $813.04 7
Drng open retroperitoneal abscess 49060 CPT 49060 not published not published $1,102.54 – $3,898.39 7
Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 not published not published $1,008.35 – $3,542.63 7
Drng ovary abscess perqt 58822 CPT 58822 not published not published $742.21 – $2,566.84 7
Drng peritoneal abscess open 49020 CPT 49020 not published not published $1,600.82 – $5,633.40 7
Drng salivary gland simple 42300 CPT 42300 not published not published $165.52 – $773.36 7
Drng salivary gland submax/subling 42310 CPT 42310 not published not published $143.83 – $640.95 7
Drug admin & hemodynmic meas CPT 93463 not published not published $101.51 – $328.94 7
Drug assay caffeine CPT 80155 not published not published $20.23 – $148.88 10
Drug assay posaconazole CPT 80187 $135.66 $238.00 $28.47 – $104.64 7
Drug assay rufinamide CPT 80210 not published not published $28.47 – $104.64 7
Drug assay vedolizumab CPT 80280 not published not published $40.50 – $148.88 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.