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
Eeg phys/qhp 2-12 hr without vid CPT 95717 not published not published $111.15 – $343.61 6
Eeg phys/qhp 2-12 hr w/veeg CPT 95718 not published not published $140.75 – $449.78 6
Eeg phys/qhp ea incr without vid CPT 95719 not published not published $168.33 – $529.31 6
Eeg/record in coma or sleep only 95822 CPT 95822 not published not published $60.15 – $193.91 7
Eeg recording awake and asleep CPT 95819 $1,035.69 $1,817.00 $60.15 – $193.91 7
Eeg without vid 2-12hr cont mntr CPT 95707 not published not published $855.48 – $855.48 2
Eeg without vid 2-12 hr unmntr CPT 95705 not published not published $855.48 – $855.48 2
Eeg without vid ea 12-26hr cont CPT 95710 not published not published $1,641.36 – $1,641.36 2
Eeg without vid ea 12-26hr intmt CPT 95709 not published not published $1,641.36 – $1,641.36 2
Eeg wo vid 2-12hr intmt mntr CPT 95706 not published not published $855.48 – $855.48 2
Eeg wo vid ea 12-26hr unmntr CPT 95708 not published not published $1,641.36 – $1,641.36 2
E equine encephalitis igg CPT 86652 not published not published $8.32 – $50.91 11
Egd balloon dil esoph30 mm/> CPT 43233 not published not published $233.37 – $829.95 6
Egd control bleeding any CPT 43255 $177.84 $312.00 $206.64 – $2,391.90 7
Egd dilate stricture CPT 43245 $108.30 $190.00 $179.84 – $2,142.86 7
Egd endo mucosal resection CPT 43254 not published not published $278.15 – $991.28 6
Egd endoscopic stent place CPT 43266 not published not published $223.21 – $794.18 6
Egd esophagogastrc fndoplsty CPT 43210 $2,219.01 $3,893.00 $435.69 – $1,553.29 6
Egd flx trnsorl dplmnt balo CPT 43290 not published not published $180.83 – $10,343.36 6
Egd flx trnsorl rmvl balo CPT 43291 $722.76 $1,268.00 $164.97 – $1,768.88 6
Egd guide wire insertion CPT 43248 $149.91 $263.00 $171.45 – $1,414.69 7
Egd injection varices CPT 43243 not published not published $243.65 – $868.50 7
Egd/insert intraluminal tube/cath 43241 CPT 43241 not published not published $146.50 – $518.74 7
Egd lesion ablation CPT 43270 $222.87 $391.00 $231.30 – $2,603.96 6
Egd optical endomicroscopy CPT 43252 not published not published $173.67 – $1,177.05 6
Egd remove foreign body CPT 43247 $183.54 $322.00 $181.89 – $1,346.78 7
Egd remove lesion snare CPT 43251 $170.43 $299.00 $201.98 – $1,734.15 7
Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 not published not published $174.19 – $1,569.34 7
Egd Ultrasound exam duodenum/jejunum CPT 43259 not published not published $233.01 – $830.06 7
Egd Ultrasound fine needle bx/aspir CPT 43238 not published not published $239.51 – $851.89 7
Egd Ultrasound fine needle bx/aspir CPT 43242 not published not published $270.90 – $964.61 7
Egd Ultrasound transmural injxn/mark CPT 43253 not published not published $270.54 – $965.48 6
Egd varices ligation CPT 43244 $366.51 $643.00 $252.75 – $641.39 7
Egd w/thrml txmnt gerd CPT 43257 not published not published $238.96 – $849.30 7
Egd w/transmural drain cyst CPT 43240 not published not published $403.36 – $1,438.31 7
Egfr gene com variants CPT 81235 not published not published $340.81 – $1,252.88 10
Ehrlicha chaffeensis amp prb CPT 87484 not published not published $36.84 – $135.45 7
EKG (Electrocardiogram) CPT 93000 not published not published $15.15 – $55.09 7
EKG tracing for initial prev HCPCS G0404 $177.27 $311.00 $6.55 – $27.01 6
Elbow arthroscopy CPT 29830 not published not published $481.23 – $1,632.34 7
Elbow arthroscopy/surgery CPT 29834 not published not published $515.95 – $1,763.25 7
Elbow arthroscopy/surgery CPT 29835 not published not published $534.04 – $1,818.64 7
Elbow arthroscopy/surgery CPT 29836 not published not published $611.29 – $2,092.24 7
Elbow arthroscopy/surgery CPT 29837 not published not published $550.13 – $1,889.40 7
Elbow arthroscopy/surgery CPT 29838 not published not published $623.32 – $2,122.88 7
Elec analys infus pump w/reprog 62368 CPT 62368 not published not published $35.60 – $162.68 7
Elect analysis of infusion pump 62367 CPT 62367 $575.13 $1,009.00 $25.77 – $116.36 7
Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 not published not published $36.31 – $347.63 7
Electrical bone stim 20974 CPT 20974 not published not published $52.21 – $281.81 7
Electrical stimulation/unattended 97014 CPT 97014 $54.72 $96.00 $13.26 – $17.55 6
Electric stim/w chemodenervation 95873 CPT 95873 not published not published $20.70 – $67.54 7
Electroacous eval hear aid/biaural 92595 CPT 92595 not published not published $148.11 – $148.11 2
Electrocochleography CPT 92584 not published not published $119.12 – $239.27 7
Electroconvulsive therapy 90870 CPT 90870 not published not published $112.99 – $586.33 7
Electrocorticography durng sx CPT 95829 not published not published $346.55 – $1,116.65 7
Electrode stimulation brain CPT 95961 not published not published $167.12 – $481.21 7
Electroejaculation CPT 55870 not published not published $147.23 – $638.36 7
Electrogastrography CPT 91132 not published not published $27.84 – $90.85 7
Electrogastrography w/test CPT 91133 not published not published $35.20 – $114.86 7
Electrolyte panel CPT 80051 $53.01 $93.00 $7.36 – $27.06 11
Electronic analysis with brain program ea add 15 min 95984 CPT 95984 not published not published $45.08 – $147.44 6
Electronic analysis with brain program first 15 min 95983 CPT 95983 not published not published $51.45 – $167.78 6
Electron microscopy diagnostic CPT 88348 not published not published $81.52 – $205.77 8
Electro-oculography w/i&r CPT 92270 not published not published $45.31 – $142.81 7
Electrophysiologic study CPT 93624 not published not published $235.44 – $16,158.00 8
Electrophysiology evaluation CPT 93619 not published not published $379.88 – $16,158.00 8
Electrophysiology evaluation CPT 93620 not published not published $609.12 – $16,158.00 8
Electrophysiology evaluation CPT 93621 not published not published $80.91 – $16,158.00 8
Electrophysiology evaluation CPT 93622 not published not published $167.10 – $16,158.00 8
Electrophysiology evaluation CPT 93641 not published not published $303.46 – $16,158.00 8
Electrophysiology evaluation CPT 93642 not published not published $247.82 – $16,158.00 8
Electrophysiology evaluation CPT 93644 not published not published $151.55 – $168.22 6
Electrophys map 3d add-on CPT 93613 not published not published $284.13 – $16,158.00 8
Embedded ip cath exit-site 49436 CPT 49436 not published not published $188.42 – $660.56 7
Embolization s&i CPT 75894 not published not published $71.08 – $166.91 7
Embo or occlude vascular arterial s&i CPT 37242 not published not published $473.56 – $27,794.14 6
Embo or occlude vascular hemorrhage s&i CPT 37244 not published not published $671.00 – $25,774.50 6
Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 not published not published $570.25 – $35,129.70 6
Embo or occlude vascular venous s&i CPT 37241 not published not published $427.41 – $17,951.81 6
Embryo hatching CPT 89253 not published not published $76.99 – $180.91 3
Embryo transfer intrauterine CPT 58974 not published not published $519.56 – $519.56 2
Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 not published not published $986.37 – $3,571.46 7
Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 not published not published $917.71 – $3,309.98 7
Emb w/colposcopy 58110 CPT 58110 not published not published $41.02 – $182.66 7
Emb without cervical dilation 58100 CPT 58100 $350.55 $615.00 $64.71 – $239.20 7
Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 $362.52 $636.00 $85.75 – $276.65 7
Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 $424.08 $744.00 $104.60 – $335.43 7
Emg cranial nerve bilateral CPT 95868 not published not published $66.02 – $211.89 7
Emg needle test 1-extremity CPT 95860 $242.25 $425.00 $53.77 – $174.65 7
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 assay seven anal CPT 81506 not published not published $72.37 – $266.03 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

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.