Ascension Calumet Hospital, Inc.
614 Memorial Dr, Chilton, WI · Ascension · · NPI 1376541748
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 |
|---|---|---|---|---|
| Exploration of knee joint CPT 27310 | $1,140.00 | $2,000.00 | $763.70 – $1,576.73 | 7 |
| Exploration of middle ear CPT 69440 | not published | not published | $732.64 – $2,469.86 | 7 |
| Exploration of sinuses CPT 31090 | not published | not published | $1,173.68 – $3,848.21 | 7 |
| Exploration of spinal fusion CPT 22830 | not published | not published | $831.79 – $2,854.39 | 7 |
| Exploration of toe joint CPT 28024 | not published | not published | $330.11 – $1,686.64 | 7 |
| Exploration of ureter CPT 50600 | not published | not published | $974.55 – $3,431.89 | 7 |
| Exploration/repair of rectum CPT 45562 | not published | not published | $1,174.04 – $4,014.19 | 7 |
| Exploration/repair of rectum 45563 CPT 45563 | not published | not published | $1,656.35 – $5,841.53 | 7 |
| Exploration retroperitoneal area 49010 CPT 49010 | not published | not published | $923.32 – $3,270.83 | 7 |
| Exploratory heart surgery 33310 CPT 33310 | not published | not published | $1,151.45 – $4,093.24 | 7 |
| Exploratory heart surgery 33315 CPT 33315 | not published | not published | $1,872.12 – $6,687.75 | 7 |
| Expl orbit w/removal lesion CPT 61333 | not published | not published | $1,951.81 – $6,783.56 | 7 |
| Explore adrenal gland w or without biopsy 60540 CPT 60540 | not published | not published | $1,093.96 – $3,810.56 | 7 |
| Explore/biopsy eye socket CPT 67400 | not published | not published | $1,100.62 – $3,584.63 | 7 |
| Explore/biopsy eye socket CPT 67450 | not published | not published | $1,478.33 – $4,827.60 | 7 |
| Explore chest vessels 35820 CPT 35820 | not published | not published | $1,966.07 – $7,032.90 | 7 |
| Explore deep node(s) neck CPT 38542 | not published | not published | $544.39 – $1,856.06 | 7 |
| Explore/drain eye socket CPT 67405 | not published | not published | $962.83 – $3,073.73 | 7 |
| Explore/drain eye socket CPT 67440 | not published | not published | $1,426.97 – $4,652.81 | 7 |
| Explore epididymis CPT 54865 | not published | not published | $380.15 – $1,312.24 | 7 |
| Explore inner ear CPT 69805 | not published | not published | $1,079.45 – $3,725.33 | 7 |
| Explore inner ear CPT 69806 | not published | not published | $968.34 – $3,339.60 | 7 |
| Explore/irrigate tear ducts CPT 68840 | not published | not published | $124.63 – $476.55 | 7 |
| Explore limb vessels 35860 CPT 35860 | not published | not published | $822.46 – $2,922.86 | 7 |
| Explore neck vessels 35800 CPT 35800 | not published | not published | $744.57 – $2,555.70 | 7 |
| Explore parathyroid glands CPT 60500 | not published | not published | $987.25 – $3,429.26 | 7 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | not published | not published | $354.87 – $2,083.54 | 7 |
| Explore/repair chest 32110 CPT 32110 | not published | not published | $1,462.65 – $5,140.65 | 7 |
| Explore scrotum CPT 55110 | not published | not published | $408.33 – $1,414.69 | 7 |
| Explore small intestine 44020 CPT 44020 | not published | not published | $975.17 – $3,434.44 | 7 |
| Explore/treat ankle joint CPT 27620 | not published | not published | $474.58 – $1,621.16 | 7 |
| Explore/treat eye socket CPT 67412 | not published | not published | $1,049.68 – $3,355.76 | 7 |
| Explore/treat eye socket CPT 67420 | not published | not published | $1,831.00 – $6,106.13 | 7 |
| Explore/treat eye socket CPT 67430 | not published | not published | $1,471.24 – $4,801.95 | 7 |
| Explore/treat eye socket 67413 CPT 67413 | not published | not published | $1,023.17 – $3,312.15 | 7 |
| Explore/treat finger joint CPT 26075 | not published | not published | $361.13 – $1,207.39 | 7 |
| Explore/treat finger joint CPT 26080 | $1,194.15 | $2,095.00 | $425.82 – $848.23 | 7 |
| Explore/treat knee joint CPT 27331 | not published | not published | $502.21 – $1,699.24 | 7 |
| Explore/treat wrist joint CPT 25101 | not published | not published | $431.56 – $1,450.65 | 7 |
| Explore wound abdomen 20102 CPT 20102 | not published | not published | $258.83 – $1,844.21 | 7 |
| Explore woundchest 20101 CPT 20101 | not published | not published | $210.58 – $1,716.08 | 7 |
| Explore wound neck 20100 CPT 20100 | not published | not published | $606.93 – $2,140.58 | 7 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | not published | not published | $406.96 – $1,458.98 | 6 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | not published | not published | $404.15 – $1,445.96 | 6 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $1,533.16 – $5,079.11 | 7 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $1,615.07 – $5,353.58 | 7 |
| Expose art endoprosth iliac 34820 CPT 34820 | not published | not published | $321.21 – $1,215.75 | 7 |
| Expose endoprosth brachial 34834 CPT 34834 | not published | not published | $123.35 – $596.48 | 7 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | not published | not published | $446.45 – $1,484.89 | 7 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $216.60 | $380.00 | $275.11 – $1,306.65 | 7 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $791.73 | $1,389.00 | $353.03 – $732.39 | 7 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | not published | not published | $24.60 – $84.94 | 6 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | not published | not published | $129.93 – $239.17 | 6 |
| Ext ecg>7d<15d rec scan a/r CPT 93245 | not published | not published | $254.01 – $290.73 | 6 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | not published | not published | $27.17 – $93.36 | 6 |
| Ext ecg>7d<15d scan a/r CPT 93247 | not published | not published | $129.93 – $250.95 | 6 |
| Extended culture of oocytes CPT 89272 | not published | not published | $76.99 – $697.65 | 3 |
| Extended visual field xm CPT 92083 | not published | not published | $28.75 – $92.65 | 7 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $1,055.52 – $3,681.75 | 7 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $1,705.76 – $5,882.78 | 7 |
| Extensive hand surgery CPT 26250 | not published | not published | $1,100.80 – $3,804.49 | 7 |
| Extensive hysterectomy CPT 58285 | not published | not published | $1,476.27 – $5,045.14 | 7 |
| Extensive jaw surgery CPT 21045 | not published | not published | $1,252.51 – $4,375.13 | 7 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $1,326.09 – $4,437.94 | 7 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $1,760.73 – $5,942.03 | 7 |
| Extensive prostate surgery CPT 55810 | not published | not published | $1,355.15 – $4,790.85 | 7 |
| Extensive prostate surgery CPT 55812 | not published | not published | $1,665.56 – $5,884.84 | 7 |
| Extensive prostate surgery CPT 55815 | not published | not published | $1,822.15 – $6,446.51 | 7 |
| Extensive prostate surgery CPT 55840 | not published | not published | $1,215.09 – $4,280.18 | 7 |
| Extensive prostate surgery CPT 55842 | not published | not published | $1,214.61 – $4,281.08 | 7 |
| Extensive prostate surgery CPT 55845 | not published | not published | $1,411.47 – $4,983.75 | 7 |
| Extensive prostate surgery CPT 55862 | not published | not published | $1,137.96 – $4,010.66 | 7 |
| Extensive prostate surgery CPT 55865 | not published | not published | $1,384.86 – $4,884.00 | 7 |
| Extensive removal of liver CPT 47122 | not published | not published | $3,392.35 – $12,072.00 | 7 |
| Extensive sternum surgery CPT 21632 | not published | not published | $1,212.43 – $4,243.61 | 7 |
| Extensive surgery of throat CPT 42842 | not published | not published | $1,059.98 – $3,637.35 | 7 |
| Extensive surgery of throat CPT 42844 | not published | not published | $1,441.22 – $5,008.95 | 7 |
| Extensive surgery of throat CPT 42845 | not published | not published | $2,290.55 – $8,058.30 | 7 |
| Extensive testis surgery CPT 54535 | not published | not published | $777.78 – $2,723.81 | 7 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $1,702.20 – $5,953.91 | 7 |
| Extensive vulva surgery CPT 56632 | not published | not published | $1,496.56 – $5,031.45 | 7 |
| External cannula declotting CPT 36860 | not published | not published | $107.63 – $877.76 | 7 |
| External chromosome analysis 20-25 cells CPT 88264 | $373.35 | $655.00 | $151.84 – $558.19 | 11 |
| External ocular photography CPT 92285 | not published | not published | $3.06 – $9.97 | 7 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | not published | not published | $20.38 – $47.73 | 3 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,590.39 – $14,949.78 | 10 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $257.07 | $451.00 | $71.24 – $554.88 | 11 |
| Extnd color vision xm CPT 92283 | not published | not published | $8.96 – $30.39 | 7 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $66.69 | $117.00 | $18.83 – $69.21 | 11 |
| Extraction of lens CPT 66930 | not published | not published | $904.81 – $3,121.69 | 7 |
| Extraction of lens CPT 66940 | not published | not published | $829.04 – $2,851.50 | 7 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $790.59 – $2,738.51 | 7 |
| Eye allergy tests CPT 95060 | not published | not published | $41.87 – $113.84 | 7 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $28.72 – $108.19 | 7 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $163.95 – $1,113.26 | 7 |
| Eye suture during surgery CPT 67335 | not published | not published | $195.81 – $537.49 | 7 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $184.17 – $677.04 | 7 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $297.02 – $1,091.92 | 7 |
| F-18 fdg pet diag HCPCS A9552 | $981.54 | $1,722.00 | $599.96 – $599.96 | 2 |
| F9 full gene sequence CPT 81238 | not published | not published | $630.00 – $2,316.00 | 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.