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
Emg needle test 4-extremities CPT 95864 $465.69 $817.00 $111.34 – $357.41 7
Emg thor paraspinal without t1/t2 CPT 95869 not published not published $20.82 – $66.76 7
Encephalitis, california igg/igm CPT 86651 not published not published $8.32 – $50.91 11
Encephalitis, st louis igg/igm CPT 86653 not published not published $8.32 – $50.91 11
Encephalitis, western equine igg/igm CPT 86654 not published not published $8.32 – $50.91 11
Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 not published not published $273.84 – $3,837.30 7
Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 not published not published $272.44 – $4,945.73 7
Endo cath bile duct s&i CPT 74328 not published not published $24.55 – $87.30 7
Endo cath panc duct s&i CPT 74329 $413.25 $725.00 $24.91 – $87.30 7
Endocerv curettage w/scope 57456 CPT 57456 $430.92 $756.00 $103.84 – $295.58 7
Endocervical curettage 57505 CPT 57505 not published not published $115.69 – $466.88 7
Endo cholangiopancreatograph CPT 43261 not published not published $348.31 – $1,241.66 7
Endo cholangiopancreatograph CPT 43262 not published not published $367.31 – $1,310.89 7
Endoluminal bx biliary tree CPT 47543 not published not published $145.64 – $1,691.85 6
Endoluminal bx urtr rnl plvs CPT 50606 not published not published $140.82 – $2,284.16 6
Endoluminl ivus oct c 1st CPT 92978 not published not published $93.42 – $303.90 7
Endoluminl ivus oct c ea CPT 92979 not published not published $74.38 – $244.14 7
Endome abla/them without hystero guide 58353 CPT 58353 not published not published $240.45 – $3,638.96 7
Endometrial cryoablation w/us 58356 CPT 58356 not published not published $363.87 – $6,642.23 7
Endoscopic injection/implant CPT 51715 not published not published $205.30 – $1,241.10 7
Endoscopic pancreatoscopy CPT 43273 not published not published $122.40 – $439.91 7
Endoscopic Ultrasound exam esoph CPT 43237 not published not published $202.09 – $716.93 7
Endoscopic vein harvest 33508 CPT 33508 not published not published $15.63 – $57.00 7
Endoscopy bowel pouch/biop CPT 44386 not published not published $92.52 – $1,091.89 7
Endoscopy ligate perf veins 37500 CPT 37500 not published not published $613.82 – $2,200.58 7
Endoscopy maxillary sinus CPT 31267 not published not published $273.98 – $956.21 7
Endoscopy of bowel pouch 44385 CPT 44385 not published not published $75.38 – $728.93 7
Endoscopy of ureter CPT 50951 not published not published $315.44 – $1,377.30 7
Endoscopy of ureter CPT 50953 not published not published $335.71 – $1,459.31 7
Endoscopy swallow (fees) vid CPT 92612 not published not published $70.92 – $658.15 7
Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 not published not published $173.81 – $899.85 7
Endovasc prosth delayed 33886 CPT 33886 not published not published $930.19 – $3,339.30 7
Endovasc rpr a-biiliac endogft 34705 CPT 34705 not published not published $1,471.36 – $5,347.99 6
Endovasc tempory vessel occl CPT 61623 not published not published $560.11 – $1,975.76 7
Endovasc visc aorta 2 graft CPT 34842 not published not published $6,671.10 – $6,671.10 2
Endovas iliac a device addon CPT 34808 not published not published $193.43 – $690.64 7
Endovenous laser vein addon 36479 CPT 36479 not published not published $133.41 – $1,166.03 7
Endovenous mchnchem 1st vein CPT 36473 not published not published $178.15 – $5,158.16 6
Endovenous mchnchem add-on CPT 36474 not published not published $87.64 – $1,039.39 6
Endovenous rf abl vein addl CPT 36476 not published not published $130.33 – $1,103.96 7
Endoven ther chem adhes 1st 36482 CPT 36482 not published not published $176.48 – $6,906.60 6
Endoven ther chem adhes sbsq 36483 CPT 36483 not published not published $86.11 – $552.23 6
Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 $61.15 $107.28 $49.08 – $106.41 6
Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 $5.47 $9.60 $0.90 – $2.00 6
Entamoeba histolytica ag eia - sendout CPT 87337 $26.22 $46.00 $12.58 – $46.24 11
Enterectomy small intestine addl 44121 CPT 44121 not published not published $237.25 – $849.98 7
Enterectomy small intestine single 44120 CPT 44120 $2,399.13 $4,209.00 $1,220.77 – $2,598.92 7
Enteroenterostomy fusion 44130 CPT 44130 not published not published $1,318.91 – $4,644.79 7
Enterorrhaphy 1perforation 44602 CPT 44602 not published not published $1,399.40 – $4,973.63 7
Enterorrhaphy multiple perforations 44603 CPT 44603 not published not published $1,615.66 – $5,723.93 7
Enterostomy/cecostomy tube open 44300 CPT 44300 not published not published $845.37 – $2,971.73 7
Enzyme cell activity ra CPT 82658 not published not published $25.83 – $169.96 11
Enzyme histochemistry CPT 88319 not published not published $28.45 – $64.22 8
Ep & ablate supravent arrhyt CPT 93653 not published not published $815.51 – $16,158.00 8
Ep & ablate ventric tachy CPT 93654 not published not published $982.53 – $16,158.00 8
Epidrm a-grft face/nck/hf/g 15115 CPT 15115 not published not published $723.16 – $2,883.15 7
Epidrm a-grft f/n/hf/g addl CPT 15116 not published not published $137.81 – $597.68 7
Epidrm agrft t/a/l 1st 100 CPT 15110 not published not published $734.96 – $2,880.94 7
Epidrm autogrft t/a/l add-on CPT 15111 not published not published $100.91 – $403.95 7
Epidural/lumbar/sacral/ea add level64484 CPT 64484 $408.69 $717.00 $53.86 – $379.43 7
Epidural lysis mult sessions CPT 62263 not published not published $343.14 – $2,242.24 7
Epidural lysis on single day 62264 CPT 62264 not published not published $256.92 – $1,602.45 7
Epiglottidectomy CPT 31420 not published not published $874.53 – $2,963.44 7
Epilepsy gen seq alys panel CPT 81419 not published not published $2,570.99 – $9,451.44 7
Ep induct arrhy by elect pacing CPT 93618 not published not published $212.85 – $16,158.00 8
Epiphysl arrst dstl rds&ulna CPT 25455 not published not published $763.46 – $2,601.23 7
Epiphysl arrst dstl rds/ulna CPT 25450 not published not published $648.15 – $2,203.84 7
Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 not published not published $145.36 – $752.21 7
Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 $21.45 $37.63 $10.15 – $37.63 6
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 $13.11 $23.00 $9.93 – $23.00 7
Epstein barr early antigen antibody CPT 86663 $66.12 $116.00 $13.78 – $50.64 11
Epstein barr nuclear antigen antibody CPT 86664 $57.00 $100.00 $16.05 – $59.02 11
Epstein barr viral capsid antigen antibody igm CPT 86665 $64.41 $113.00 $19.05 – $70.02 11
Ercp biliary & pancreas CPT 74330 not published not published $28.74 – $111.73 7
Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 not published not published $475.38 – $1,698.04 6
Ercp ea duct/ampulla dilate CPT 43277 not published not published $389.26 – $1,388.18 6
Ercp lesion ablate w/dilate 43278 CPT 43278 not published not published $445.07 – $1,589.25 6
Ercp lithotripsy calculi CPT 43265 not published not published $445.32 – $1,590.15 7
Ercp remove duct calculi 43264 CPT 43264 not published not published $374.55 – $1,335.34 7
Ercp remove forgn body duct 43275 CPT 43275 not published not published $387.06 – $1,380.19 6
Ercp sphincter pressure meas CPT 43263 not published not published $367.79 – $1,310.89 7
Ercp stent exchange w/dilate CPT 43276 not published not published $495.00 – $1,768.16 6
Ercp w/specimen collection CPT 43260 not published not published $331.99 – $1,183.50 7
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 $133.39 $234.02 $16.65 – $234.02 6
ER Visit (level 1, minor) CPT 99281 $117.42 $206.00 $11.83 – $182.33 8
ER Visit (level 2) CPT 99282 $262.77 $461.00 $43.40 – $332.03 8
ER Visit (level 3) CPT 99283 $411.54 $722.00 $73.88 – $837.38 8
ER Visit (level 4) CPT 99284 $675.45 $1,185.00 $125.71 – $2,562.78 7
ER Visit (level 5, high severity) CPT 99285 $1,957.38 $3,434.00 $182.14 – $2,760.87 8
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 $25.14 $44.10 $0.35 – $44.10 6
Esophageal dilat s&i CPT 74360 not published not published $28.24 – $67.61 7
Esophageal lengthening add on code 43338 CPT 43338 not published not published $110.82 – $404.81 7
Esophageal motility CPT 78258 not published not published $35.45 – $86.35 7
Esophageal recording CPT 93615 not published not published $38.18 – $16,158.00 8
Esophageal recording CPT 93616 not published not published $61.71 – $16,158.00 8
Esophagomyotomy abdominal 43330 CPT 43330 not published not published $1,333.39 – $4,699.58 7
Esophagomyotomy thoracic 43331 CPT 43331 not published not published $1,323.12 – $4,690.91 7
Esophagosc dilate balloon 30 CPT 43214 not published not published $198.47 – $702.75 6
Esophagosc flex trnsn biopsy CPT 43198 not published not published $100.91 – $771.38 6
Esophagoscop mucosal resect CPT 43211 not published not published $242.20 – $861.15 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.