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
Excision of vaginal septum 57130 CPT 57130 not published not published $181.33 – $745.50 7
Excision olecranon bursa CPT 24105 $406.98 $714.00 $385.31 – $765.11 7
Excision perinephric cyst CPT 50290 not published not published $936.59 – $3,286.05 7
Excision radial head CPT 24130 not published not published $539.96 – $1,828.31 7
Excision tongue lesion without closure 41110 CPT 41110 not published not published $137.58 – $800.81 7
Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 $710.22 $1,246.00 $480.82 – $1,011.43 7
Excis partial tal calc CPT 28120 $858.42 $1,506.00 $524.85 – $1,519.47 7
Excis uppr jaw cyst w/repair CPT 21049 not published not published $1,206.29 – $4,364.70 7
Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 not published not published $695.74 – $2,435.06 7
Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 not published not published $493.16 – $1,668.04 7
Exc les conjunctiva <1 cm CPT 68110 not published not published $157.35 – $853.05 7
Exc les conjunctiva >1 cm CPT 68115 not published not published $193.52 – $1,181.66 7
Exc les conjunctiva adj scl CPT 68130 not published not published $437.69 – $1,994.96 7
Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 not published not published $130.22 – $767.70 7
Excl laa open any method 33267 CPT 33267 not published not published $1,026.81 – $3,718.13 6
Excl laa opn oth px any meth 33268 CPT 33268 not published not published $125.46 – $462.08 6
Excl laa thrscp any method CPT 33269 not published not published $816.56 – $2,943.98 6
Exc malig feenl <0.5cm 11640 CPT 11640 not published not published $133.71 – $734.78 7
Exc malig feenl 1.1-2 11642 CPT 11642 $521.55 $915.00 $190.71 – $598.86 7
Exc malig feenl 3.1-4.0 11644 CPT 11644 not published not published $292.55 – $1,414.95 7
Exc malig feenl >4cm 11646 CPT 11646 not published not published $401.16 – $1,837.28 7
Exc malig snhfg 0.5cm or less 11620 CPT 11620 not published not published $129.63 – $717.00 7
Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 $592.23 $1,039.00 $156.75 – $508.72 7
Exc malig snhfg 2.1-3 cm 11623 CPT 11623 not published not published $218.64 – $1,082.63 7
Exc malig tal <0.5cm 11600 CPT 11600 $510.15 $895.00 $128.78 – $426.01 7
Exc malig tal 0.6-1.0cm 11601 CPT 11601 $542.64 $952.00 $156.25 – $504.98 7
Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 $641.82 $1,126.00 $170.13 – $548.30 7
Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 $726.75 $1,275.00 $202.45 – $622.20 7
Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 $313.50 $550.00 $221.84 – $691.90 7
Exc mandible 21025 CPT 21025 not published not published $700.29 – $3,026.06 7
Exc neck tum deep < 5 cm CPT 21556 not published not published $549.56 – $1,887.15 7
Exc neck tum deep 5 cm/> CPT 21554 $1,159.95 $2,035.00 $750.57 – $1,569.73 7
Exc of facial bones/osteomy/abcess 21026 CPT 21026 not published not published $455.98 – $2,058.75 7
Exc of rectal prlpse 45130 CPT 45130 not published not published $1,110.24 – $3,904.24 7
Exc of residual cervix 57540 CPT 57540 not published not published $820.68 – $2,848.65 7
Exc of residual cervix via aginal approach 57550 CPT 57550 not published not published $452.12 – $1,524.53 7
Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 not published not published $190.06 – $1,116.49 7
Exc prtl bn phlnx toe CPT 28124 $1,475.16 $2,588.00 $359.30 – $1,072.27 7
Exc rect tum transanal full CPT 45172 not published not published $852.32 – $2,931.79 7
Exc rect tum transanal part CPT 45171 not published not published $640.13 – $2,175.56 7
Exc sac pr ulc prim str ostc CPT 15933 not published not published $896.20 – $3,071.40 7
Exc sac pr ulc skn flp ostc CPT 15935 not published not published $1,196.74 – $4,139.59 7
Exc sacral pr ulc prim sutr CPT 15931 not published not published $718.77 – $2,468.66 7
Exc sacral pr ulc skn flap CPT 15934 not published not published $1,019.69 – $3,366.90 7
Exc shoulder tum deep < 5 cm CPT 23076 not published not published $562.66 – $1,926.19 7
Exc skn hdrdnt ax complex CPT 11451 not published not published $342.43 – $1,820.78 7
Exc skn hdrdnt ax smpl/ntrm CPT 11450 $988.38 $1,734.00 $271.18 – $1,461.64 7
Exc skn hdrdnt ing complex CPT 11463 not published not published $345.15 – $1,852.05 7
Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 $702.24 $1,232.00 $177.99 – $566.30 7
Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 not published not published $247.34 – $1,222.80 7
Exc snhfg mal+mrg >4 cm 11626 CPT 11626 not published not published $299.47 – $1,466.55 7
Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 not published not published $321.14 – $1,703.14 7
Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 $674.31 $1,183.00 $458.97 – $961.40 7
Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 $371.07 $651.00 $320.68 – $924.37 7
Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 $625.86 $1,098.00 $359.45 – $1,166.70 7
Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 not published not published $332.21 – $1,825.16 7
Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 not published not published $422.83 – $1,470.75 7
Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 $607.05 $1,065.00 $432.53 – $903.36 7
Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 $696.54 $1,222.00 $431.82 – $904.11 7
Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 not published not published $437.66 – $1,492.46 7
Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 $813.39 $1,427.00 $480.23 – $1,012.18 7
Exc tendon sheath or cap lesion 26160 CPT 26160 $1,767.00 $3,100.00 $337.37 – $2,069.78 7
Exc thigh/knee les sc<3cm 27327 CPT 27327 $385.32 $676.00 $329.27 – $1,019.95 7
Exc thigh/knee tum deep <5cm CPT 27328 not published not published $643.74 – $2,218.46 7
Exc thigh/knee tum dep 5cm/> CPT 27339 not published not published $775.24 – $2,678.18 7
Exc thrombosed hemorrhoid 46320 CPT 46320 $2,106.15 $3,695.00 $118.24 – $713.21 7
Exc tmr sft tiss shldr subq <3cm CPT 23075 $312.36 $548.00 $343.73 – $1,802.55 7
Exc torus mandibularis 21031 CPT 21031 not published not published $289.92 – $1,425.49 7
Exc trchntric pr ulcer w/prim sutr w/ostectomy 15951 CPT 15951 not published not published $934.45 – $3,209.25 7
Exc trchntr pr ulc flp clsr CPT 15952 not published not published $950.78 – $3,279.94 7
Exc trchntr pr ulc flp ostc CPT 15953 not published not published $1,046.98 – $3,612.00 7
Exc trchntr pr ulc prep flap CPT 15956 not published not published $1,215.22 – $4,167.11 7
Exc trchntr pr ulc prep ostc CPT 15958 not published not published $1,209.30 – $4,229.59 7
Exc trchntr pr ulc prim sutr CPT 15950 not published not published $663.49 – $2,173.73 7
Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 $1,182.75 $2,075.00 $325.27 – $983.67 7
Exc/unroofing cyst kidney CPT 50280 not published not published $984.64 – $3,485.06 7
Exc vagina lesion 57135 CPT 57135 not published not published $197.07 – $802.39 7
Exercise tst brncspsm w/ecg CPT 94617 not published not published $34.07 – $112.05 6
Exercise tst brncspsm wo ecg CPT 94619 not published not published $23.03 – $79.09 6
Exercise w/hemodynamic meas CPT 93464 not published not published $92.73 – $298.35 7
Exhaled breath condensate CPT 83987 not published not published $3.76 – $53.05 11
Exome re-evaluation CPT 81417 not published not published $336.00 – $1,235.20 7
Exome sequence analysis CPT 81415 not published not published $5,019.00 – $18,450.80 7
Exome sequence analysis CPT 81416 not published not published $12,600.00 – $46,320.00 7
Ex palate/uvula lesion without closure 42104 CPT 42104 not published not published $142.91 – $789.30 7
Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 $1,156.82 $2,029.50 $830.91 – $830.91 2
Expl lap celiotomy w/wo bx 49000 CPT 49000 $1,446.09 $2,537.00 $775.44 – $1,644.32 7
Exploration carotid artery 35701 CPT 35701 not published not published $446.10 – $1,571.66 7
Exploration for testis CPT 54550 not published not published $516.19 – $1,800.34 7
Exploration for testis CPT 54560 not published not published $718.77 – $2,514.53 7
Exploration maxillary sinus CPT 31030 not published not published $546.09 – $2,358.08 7
Exploration maxillary sinus CPT 31256 not published not published $186.31 – $648.98 7
Exploration of ankle joint CPT 27612 not published not published $603.63 – $2,024.74 7
Exploration of bile ducts CPT 47700 not published not published $1,064.71 – $3,731.51 7
Exploration of chest 39000 CPT 39000 not published not published $513.00 – $1,755.68 7
Exploration of chest 39010 CPT 39010 not published not published $784.31 – $2,760.04 7
Exploration of foot joint CPT 28020 not published not published $387.94 – $1,971.98 7
Exploration of foot joint CPT 28022 $527.25 $925.00 $349.40 – $1,104.97 7
Exploration of frontal sinus CPT 31070 not published not published $506.13 – $1,638.83 7
Exploration of frontal sinus CPT 31075 not published not published $875.37 – $2,889.60 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.