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
Evasc rpr a-ao ndgft rpt 34702 CPT 34702 not published not published $1,775.33 – $6,473.21 6
Evasc rpr a-biiliac ndgft rptr CPT 34706 not published not published $2,187.93 – $8,054.55 6
Evasc rpr a-iliac ndgft 34717 CPT 34717 not published not published $423.70 – $1,547.55 6
Evasc rpr a-unilac ndgft 34703 CPT 34703 not published not published $1,323.53 – $4,787.36 6
Evasc rpr a-unilac ndgft rpt CPT 34704 not published not published $2,203.47 – $7,959.56 6
Evasc rpr ilio-iliac ndgft CPT 34707 not published not published $1,119.68 – $4,059.04 6
Evasc rpr ilio-iliac rpt CPT 34708 not published not published $1,742.95 – $6,478.24 6
Evasc st rpr thrc/aa acrs br CPT 33894 not published not published $955.14 – $3,475.88 6
Evasc st rpr thrc/aa x crsg CPT 33895 not published not published $760.15 – $2,765.44 6
Event monitor CPT 93270 $221.16 $388.00 $8.69 – $28.19 7
Evoked auditory tst complete CPT 92588 not published not published $7.98 – $30.62 7
Evoked oa emissions ltd CPT 92587 not published not published $5.91 – $19.24 7
Evoked potentials auditory screening automated analysis CPT 92650 $265.05 $465.00 $28.83 – $98.43 6
Evoked potentials upper limbs CPT 95925 not published not published $29.42 – $93.66 7
Evoked potential visual not glaucoma CPT 95930 not published not published $19.59 – $62.77 7
Evok oa screening qual CPT 92558 not published not published $8.96 – $32.72 6
Ewho w/joint(s) cf HCPCS L3764 $1,957.95 $3,435.00 $714.04 – $714.04 2
Exam of vagina w/scope 57420 CPT 57420 not published not published $92.47 – $452.63 7
Exam pelvic add-on CPT 99459 $97.47 $171.00 $24.26 – $24.26 4
Exam plvc w/anes othr thn lcl CPT 57410 not published not published $109.85 – $383.48 7
Ex arm/elbow tum deep < 5 cm CPT 24076 not published not published $569.40 – $1,938.98 7
Ex arm/elbow tum deep 5 cm/> CPT 24073 $930.81 $1,633.00 $712.50 – $1,480.79 7
Exc 1st&/crv rib w/sympth CPT 21616 not published not published $707.27 – $2,487.79 7
Exc abd les sc 3 cm/> CPT 22903 $664.62 $1,166.00 $450.15 – $938.15 7
Exc abdl tum deep < 5 cm CPT 22900 not published not published $579.72 – $1,993.05 7
Exc abdl tum deep 5 cm/> CPT 22901 $1,026.00 $1,800.00 $678.89 – $1,420.87 7
Exc abd tum 5 cm or less 49203 CPT 49203 not published not published $1,207.50 – $4,239.19 7
Exc abd tum over 10 cm 49205 CPT 49205 not published not published $1,761.85 – $6,192.53 7
Exc arm/elbo les sc >=3cm 24071 CPT 24071 not published not published $418.59 – $1,439.81 7
Exc arm/elbo les sc <3cm 24075 CPT 24075 $429.78 $754.00 $344.37 – $1,092.08 7
Exc aurl glomus tum extended CPT 69554 not published not published $2,647.32 – $9,026.21 7
Exc aurl glomus tum trnscanl CPT 69550 not published not published $1,122.50 – $3,746.63 7
Exc aurl glomus tum trnsmstd CPT 69552 not published not published $1,666.30 – $5,638.35 7
Exc back les sbq <3 cm 21930 CPT 21930 $1,261.41 $2,213.00 $378.75 – $1,043.36 7
Exc back tum deep 5 cm/> CPT 21933 $1,147.41 $2,013.00 $751.98 – $1,579.63 7
Exc bartholins gland/cyst CPT 56740 not published not published $328.12 – $1,112.29 7
Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 not published not published $237.10 – $1,022.03 7
Exc benign feenlm >4.0cm 11446 CPT 11446 not published not published $331.84 – $1,406.18 7
Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 $624.72 $1,096.00 $190.15 – $510.46 7
Exc benign tal 0.5 < cm 11400 CPT 11400 $278.73 $489.00 $89.62 – $275.02 7
Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 $1,200.42 $2,106.00 $114.72 – $507.79 7
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 $510.72 $896.00 $155.65 – $414.38 7
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 $605.91 $1,063.00 $188.95 – $491.74 7
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 $369.93 $649.00 $115.77 – $348.35 7
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 $546.06 $958.00 $166.12 – $445.11 7
Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 not published not published $279.43 – $1,207.35 7
Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 $342.00 $600.00 $112.13 – $329.88 7
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 $510.72 $896.00 $157.92 – $421.39 7
Exc breast duct fistula 19112 CPT 19112 not published not published $333.60 – $1,644.41 7
Exc carotid body tumor without exc art 60600 CPT 60600 not published not published $1,354.27 – $4,810.39 7
Exc cervix repair bowel 57556 CPT 57556 not published not published $612.14 – $2,099.70 7
Exc cervix/repair pelvis 57545 CPT 57545 not published not published $864.03 – $3,002.48 7
Exc cervix/repair vagina 57555 CPT 57555 not published not published $644.28 – $2,215.09 7
Exc chest wall tumor w/ribs 21601 CPT 21601 not published not published $1,153.67 – $4,159.16 6
Exc ch wal tum without lymphadec CPT 21602 not published not published $1,547.08 – $5,611.61 6
Exc ch wal tum w/lymphadec CPT 21603 not published not published $1,690.07 – $6,192.34 6
Exc coa rpr l subcl art/prst CPT 33851 not published not published $1,254.32 – $4,452.94 7
Exc coa w/direct anastomosis CPT 33840 not published not published $1,221.94 – $4,336.24 7
Exc coccygl pr ulc flap clsr CPT 15922 not published not published $829.07 – $2,845.50 7
Exc coccygl pr ulc prim sutr CPT 15920 not published not published $648.86 – $2,222.70 7
Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 not published not published $858.11 – $2,799.26 7
Exc/crtg b1 cst/b9 tum rds CPT 24120 not published not published $561.35 – $1,906.95 7
Exc/crtg b1 cst/tum hum agrf CPT 24115 not published not published $768.44 – $2,634.08 7
Exc/crtg b1 cst/tum hum algr CPT 24116 not published not published $891.42 – $3,073.20 7
Exc/crtg b1 cst/tum rds agrf CPT 24125 not published not published $653.17 – $2,221.09 7
Exc/crtg b1 cst/tum rds algr CPT 24126 not published not published $681.09 – $2,320.39 7
Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 not published not published $456.72 – $1,588.09 7
Exc/curtg b1 cst/b9 tum hum CPT 24110 not published not published $620.46 – $2,101.95 7
Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 not published not published $1,537.38 – $5,406.15 7
Exc excessive skin buttock CPT 15835 not published not published $963.70 – $3,360.49 7
Exc excessive skin hip CPT 15834 not published not published $925.57 – $3,206.18 7
Exc excessive skin leg CPT 15833 not published not published $909.30 – $3,146.03 7
Exc excessive skin thigh CPT 15832 not published not published $953.03 – $3,300.08 7
Exc excsv skin forearm/hand CPT 15837 not published not published $744.06 – $3,121.35 7
Exc excsv submental fat pad CPT 15838 not published not published $676.34 – $2,314.61 7
Exc ext ear/partial/simple repair 69110 CPT 69110 not published not published $347.10 – $1,671.26 7
Exc face tum deep < 2 cm CPT 21013 not published not published $420.50 – $1,910.66 7
Exc face tum deep 2cm/> 21014 CPT 21014 not published not published $542.94 – $1,866.26 7
Exc feenl mal+mrg 0.6-1 11641 CPT 11641 $436.62 $766.00 $163.44 – $719.69 7
Exc feenl mal+mrg 2.1-3 11643 CPT 11643 not published not published $237.01 – $1,149.86 7
Exc foot/toe tum dep 1.5cm/> CPT 28041 not published not published $477.90 – $1,659.11 7
Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 not published not published $279.47 – $1,450.24 7
Exc forearm les sc 3 cm/> CPT 25071 not published not published $440.45 – $1,508.03 7
Exc forearm tum deep < 3 cm CPT 25076 not published not published $545.38 – $1,855.39 7
Exc forearm tum deep 3 cm/> CPT 25073 not published not published $559.76 – $1,911.30 7
Exc hand les sc < 1.5 cm CPT 26115 $1,735.65 $3,045.00 $352.77 – $1,115.33 7
Exc hand tum deep 1.5 cm/> CPT 26113 not published not published $576.35 – $1,965.56 7
Exc hand tum deep < 1.5 cm 26116 CPT 26116 not published not published $554.04 – $1,887.04 7
Exchange biliary drg cath CPT 47536 not published not published $134.53 – $2,547.08 6
Exchange blood transfusion newborn 36450 CPT 36450 not published not published $179.47 – $637.84 7
Exchange drainage catheter CPT 49423 not published not published $72.10 – $2,180.70 7
Exchange lens prosthesis CPT 66986 not published not published $952.37 – $3,301.31 7
Exchange nephrostomy cath CPT 50435 not published not published $102.67 – $2,058.64 6
Exc hidradenitis ing simpl 11462 CPT 11462 not published not published $258.67 – $1,426.24 7
Exc hidradenitis peri/umb comp 11471 CPT 11471 not published not published $365.51 – $1,893.30 7
Exc hidradenitis peri/umb int 11470 CPT 11470 not published not published $297.48 – $1,553.89 7
Exc hip/pelv tum deep < 5 cm CPT 27048 not published not published $630.07 – $2,163.71 7
Exc hip/pelv tum deep 5 cm/> CPT 27045 not published not published $752.94 – $2,626.28 7
Excimer lsr psriasis 250-500 CPT 96921 not published not published $76.68 – $588.86 7
Excimer lsr psriasis<250sqcm CPT 96920 not published not published $67.75 – $536.98 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.