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
Fusion of spermatic ducts CPT 54901 not published not published $1,101.43 – $3,869.66 7
Fusion of tendons at wrist CPT 25300 not published not published $723.04 – $2,457.08 7
Fusion of tendons at wrist CPT 25301 not published not published $676.82 – $2,308.09 7
Fusion of thumb CPT 26841 not published not published $819.84 – $2,668.39 7
Fusion of tibiofibular joint CPT 27871 not published not published $721.13 – $2,468.93 7
Fusion of toes CPT 28280 not published not published $368.20 – $1,893.94 7
Fusion of ureter & bowel CPT 50810 not published not published $1,408.92 – $4,930.31 7
Fusion of ureter & kidney CPT 50740 not published not published $1,225.33 – $4,304.81 7
Fusion of ureter & kidney CPT 50750 not published not published $1,196.64 – $4,218.41 7
Fxn gene charac alleles CPT 81285 not published not published $288.57 – $1,060.84 7
Fxn gene detc abnor alleles CPT 81284 not published not published $143.85 – $528.82 7
Fxn gene full gene sequence CPT 81286 not published not published $288.57 – $1,060.84 7
Fxn gene known famil variant CPT 81289 not published not published $194.46 – $714.87 7
G0180 home health certification HCPCS G0180 $110.58 $194.00 $57.35 – $174.00 6
G6pc gene CPT 81250 not published not published $61.41 – $225.77 7
G6pd full gene sequence CPT 81249 not published not published $630.00 – $2,316.00 7
G6pd gene alys cmn variant CPT 81247 not published not published $183.55 – $674.77 7
G6pd known familial variant CPT 81248 not published not published $394.01 – $1,448.47 7
Gabapentin non-blood CPT 80355 not published not published $24.52 – $31.67 3
Galac-1-phosphate uridyltran - sendout CPT 82775 not published not published $22.12 – $81.33 11
Galactokinase - sendout CPT 82759 not published not published $22.55 – $82.91 11
Galactose transferase test CPT 82776 not published not published $12.00 – $45.32 11
Galectin-3 CPT 82777 not published not published $24.29 – $170.81 11
Gallbladder Removal (Laparoscopic) CPT 47562 $1,353.75 $2,375.00 $665.89 – $2,324.78 7
Gammaglobulin iga CPT 82784 $34.20 $60.00 $9.77 – $35.90 11
Gammaglobulin ige CPT 82785 $57.00 $100.00 $17.28 – $63.54 11
Gamma glutamyltransferase CPT 82977 $35.34 $62.00 $7.56 – $27.79 11
Gamunex-c/gammaked HCPCS J1561 $119.38 $209.44 $47.86 – $209.44 7
Gardner vag dna amp probe CPT 87511 not published not published $36.84 – $135.45 11
Gardner vag dna quant CPT 87512 not published not published $43.85 – $161.19 11
Gastric analy w/ph ea spec CPT 82930 not published not published $7.05 – $25.90 11
Gastric emptying imag study CPT 78265 not published not published $48.45 – $118.02 6
Gastric emptying imag study CPT 78266 not published not published $52.18 – $122.17 6
Gastric motility studies CPT 91020 not published not published $77.14 – $250.56 7
Gastric mucosa imaging CPT 78261 not published not published $29.77 – $78.71 7
Gastrin test CPT 82938 not published not published $18.57 – $68.28 11
Gastroduodenostomy CPT 43810 not published not published $1,016.12 – $3,582.23 7
Gastroesophageal reflux study CPT 78262 not published not published $34.28 – $82.12 7
Gastroesophageal reflux test CPT 91034 $498.18 $874.00 $52.25 – $168.16 7
Gastrointestinal repair CPT 43360 not published not published $2,207.23 – $7,873.88 7
Gastrointestinal repair CPT 43361 not published not published $2,679.14 – $9,466.61 7
Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 not published not published $1,346.37 – $4,735.28 7
Gastrojejunostomy w/vagotomy CPT 43825 not published not published $1,309.35 – $4,611.34 7
Gastroplasty duodenal switch CPT 43845 not published not published $1,951.48 – $6,865.54 7
Gastrostomy open neonatal CPT 43831 not published not published $621.01 – $2,133.98 7
Gated heart multiple CPT 78473 not published not published $72.90 – $174.62 7
Gba gene CPT 81251 not published not published $49.61 – $182.39 7
Gemcitabine 1 gram intravenous solution HCPCS J9201 $18.95 $33.25 $5.12 – $31.44 6
General health panel CPT 80050 $135.66 $238.00 $55.18 – $61.92 3
Genetic counseling 30 min CPT 96040 not published not published $145.51 – $145.51 2
Genetic tstg severe inh cond CPT 81443 not published not published $2,570.99 – $9,451.44 7
Genioplasty augmentation CPT 21120 not published not published $532.25 – $2,428.16 7
Geniop sldg augmentation CPT 21123 not published not published $892.60 – $3,221.40 7
Geniop sldg osteot 1 CPT 21121 not published not published $562.31 – $2,496.34 7
Geniop sldg osteot 2/> CPT 21122 not published not published $779.52 – $2,774.66 7
Genome re-evaluation CPT 81427 not published not published $2,454.53 – $9,023.33 7
Genome sequence analysis CPT 81425 not published not published $5,282.76 – $19,420.43 7
Genome sequence analysis CPT 81426 not published not published $2,845.45 – $10,460.41 7
Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 $3.99 $7.00 $3.21 – $7.00 6
Gentamicin peak therapeutic drug level CPT 80170 $58.71 $103.00 $17.20 – $63.23 11
G-esoph reflx tst w/electrod CPT 91035 $865.26 $1,518.00 $85.02 – $275.84 7
Gfrg autol fat lipo ea addl CPT 15774 not published not published $145.59 – $632.55 6
Ghs abscess perianal iandd CPT 46050 $1,472.88 $2,584.00 $105.92 – $792.64 7
Ghs abscess postoperative iandd complex CPT 10180 not published not published $184.09 – $911.85 7
Ghs acetylcholinesterase, rbc CPT 82482 not published not published $10.30 – $37.87 11
Ghs alcohol, methyl (methanol)-medtox CPT 84600 $155.04 $272.00 $17.97 – $66.04 11
Ghs alpha thalasemia, 7 deletions CPT 81257 not published not published $107.37 – $394.72 7
Ghs analysis neurostim without reprogramming CPT 95970 $357.39 $627.00 $19.13 – $145.63 7
Ghs antibodies (torch) igm CPT 86694 $46.17 $81.00 $15.11 – $55.55 11
Ghs aspiration bladder - needle CPT 51100 not published not published $40.30 – $248.18 7
Ghs bladder cath - complex-foley CPT 51703 $450.30 $790.00 $78.79 – $281.32 7
Ghs bleeding time (ivy) CPT 85002 not published not published $4.85 – $18.61 11
Ghs block ilioinguinal/gentitofemoral CPT 64425 $438.90 $770.00 $57.07 – $407.29 7
Ghs central line insert < age 5, failed CPT 36555 not published not published $87.84 – $687.71 7
Ghs change cysto/gastrost CPT 43762 $487.92 $856.00 $37.54 – $172.86 6
Ghs chemo >8 hrs CPT 96416 $557.46 $978.00 $135.00 – $467.71 7
Ghs chemo infusion >8 hrs CPT 96425 not published not published $177.88 – $603.72 7
Ghs chemo IV push, ea addtl CPT 96411 $246.24 $432.00 $57.78 – $196.32 7
Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 not published not published $36.84 – $135.45 11
Ghs closd tx interphalang jt disloc w/ma CPT 26770 $487.92 $856.00 $284.93 – $609.03 7
Ghs closed reduction ankle dislocation CPT 27840 $441.18 $774.00 $413.15 – $818.71 7
Ghs closed tx bimalleolar fracture w/manip CPT 27810 $1,465.47 $2,571.00 $456.31 – $1,680.60 7
Ghs closed tx radiocarpal disloc w manip CPT 25660 not published not published $480.72 – $1,487.25 7
Ghs closed tx tibial fracture w/manip CPT 27752 $706.23 $1,239.00 $518.70 – $1,173.15 7
Ghs closure surg wound/dehiscence-13160 CPT 13160 $725.61 $1,273.00 $823.36 – $1,747.61 7
Ghs clsd red med malleolus fx without manip CPT 27760 $473.67 $831.00 $335.07 – $740.87 7
Ghs clsd red med malleolus fx w manip CPT 27762 not published not published $469.77 – $1,716.75 7
Ghs clsd tx frac distal tibia w/manipulation CPT 27825 $758.10 $1,330.00 $519.74 – $1,182.58 7
Ghs cl tx knee disl; wo anesth CPT 27550 not published not published $498.58 – $1,874.06 7
Ghs cl tx metacarpophal disloc without anes CPT 26700 $473.67 $831.00 $338.06 – $712.00 7
Ghs community re-entry 15 minutes CPT 97537 $92.91 $163.00 $40.03 – $61.68 7
Ghs conjunctiva foreign body-embed bil CPT 65210 not published not published $38.10 – $168.64 7
Ghs conjunctiva foreign body-superf bil CPT 65205 $251.94 $442.00 $30.77 – $137.81 7
Ghs corneal fb without slit lamp bilat CPT 65220 $281.58 $494.00 $42.92 – $215.59 7
Ghs corneal fb with slit lamp bilat CPT 65222 $342.57 $601.00 $53.34 – $249.45 7
Ghs cricothyroidotomy CPT 31605 not published not published $330.23 – $1,185.11 7
Ghs cutdown placement age 1 and over CPT 36425 not published not published $40.40 – $145.31 7
Ghs cutdown placement under 1 yr CPT 36420 not published not published $46.79 – $167.66 7
Ghs diphtheria toxoid ab igg CPT 86648 $55.29 $97.00 $8.32 – $58.71 11
Ghs dislocation elbow closed treatment CPT 24600 $441.18 $774.00 $366.10 – $803.41 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.