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
Apheresis immunoads slctv CPT 36516 not published not published $85.89 – $7,109.93 7
Apheresis plasma CPT 36514 not published not published $97.52 – $2,461.84 7
Apheresis platelets CPT 36513 not published not published $110.45 – $397.99 7
Apheresis rbc CPT 36512 not published not published $111.72 – $403.50 7
Apheresis wbc CPT 36511 not published not published $117.20 – $407.33 7
Apl(pml-rara) quant - sendout CPT 81315 $458.85 $805.00 $217.68 – $800.22 10
Appendectomy CPT 44950 not published not published $645.40 – $2,268.30 7
Appendectomy add-on 44955 CPT 44955 $182.40 $320.00 $83.00 – $295.50 7
Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 not published not published $878.66 – $3,090.94 7
Appendix Removal (Laparoscopic) CPT 44970 $1,072.74 $1,882.00 $609.18 – $1,285.32 7
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 not published not published $225.45 – $1,225.58 7
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 not published not published $55.81 – $331.99 7
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 not published not published $25.57 – $122.51 7
App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 not published not published $197.61 – $1,117.61 7
App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 not published not published $44.41 – $282.19 7
App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 not published not published $17.20 – $93.53 7
Appl bdy cst sho to hip 1thi CPT 29044 not published not published $173.54 – $1,006.91 7
Appl bdy cst sho to hip b th CPT 29046 not published not published $194.73 – $1,103.55 7
Appl bdy cst sho to hip head CPT 29040 not published not published $179.66 – $1,027.28 7
Appl body cast sho to hips CPT 29035 not published not published $149.41 – $898.24 7
Appl cast figure-of-eight CPT 29049 not published not published $72.51 – $349.20 7
Appl cast plaster velpeau CPT 29058 not published not published $96.65 – $436.95 7
Appl cast shoulder spica CPT 29055 not published not published $142.64 – $781.46 7
Appl halo type body cast CPT 29000 not published not published $197.53 – $1,190.48 7
Appl hip spica cast1&1/2 CPT 29325 not published not published $183.63 – $962.51 7
Appl hip spica cast 1 leg CPT 29305 not published not published $164.23 – $869.25 7
Application clubfoot cast CPT 29450 not published not published $118.20 – $523.54 7
Application finger splntstatic 29130 CPT 29130 $156.18 $274.00 $29.74 – $90.35 7
Application halo femoral CPT 20663 not published not published $506.03 – $1,690.88 7
Application halo pelvic CPT 20662 not published not published $547.66 – $1,837.95 7
Application long leg splint 29505 CPT 29505 $305.52 $536.00 $54.68 – $186.63 7
Application lower leg splint 29515 CPT 29515 $305.52 $536.00 $52.12 – $160.41 7
Application multi layer compression below knee (both sides) CPT 29581 $375.06 $658.00 $28.91 – $328.65 7
Application of body cast CPT 29010 not published not published $166.19 – $959.36 7
Application of body cast CPT 29015 not published not published $186.52 – $1,031.63 7
Application of cylinder cast 29365 CPT 29365 not published not published $90.84 – $434.29 7
Application of forearm cast 29075 CPT 29075 $273.03 $479.00 $65.17 – $192.56 7
Application of long arm cast 29065 CPT 29065 $291.84 $512.00 $70.93 – $213.71 7
Application of long leg cast CPT 29355 not published not published $109.62 – $504.38 7
Application of long leg cast 29345 CPT 29345 not published not published $102.50 – $481.24 7
Application of paste boot 29580 CPT 29580 $164.73 $289.00 $27.08 – $117.15 7
Application short leg cast 29405 CPT 29405 $274.17 $481.00 $61.40 – $181.78 7
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 not published not published $97.33 – $571.88 7
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 not published not published $86.47 – $541.80 7
Appl long leg cast brace CPT 29358 not published not published $106.25 – $565.35 7
Appl mltpln uni ext fixj sys CPT 20692 not published not published $1,175.16 – $4,020.56 7
Appl modality 1/> areas paraffin bath 97018 CPT 97018 $45.03 $79.00 $7.08 – $22.64 7
Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 $42.75 $75.00 $14.99 – $40.22 7
Appl multlay comprs arm/hand CPT 29584 $195.51 $343.00 $16.74 – $305.96 7
Appl patllr tdn bearing cast CPT 29435 not published not published $89.41 – $407.74 7
Appl unipln uni ext fixj sys CPT 20690 not published not published $617.58 – $2,132.21 7
Apply finger cast 29086 CPT 29086 not published not published $52.52 – $281.78 7
Apply forearm splintdynamic 29126 CPT 29126 $156.18 $274.00 $51.92 – $224.69 7
Apply halo w/removal cranial CPT 20661 not published not published $538.03 – $1,749.60 7
Apply hand/wrist cast 29085 CPT 29085 $272.46 $478.00 $70.45 – $211.37 7
Apply interstit radiat compl CPT 77778 not published not published $494.24 – $961.84 7
Apply intrcav radiat compl CPT 77763 not published not published $488.57 – $705.61 7
Apply intrcav radiat interm CPT 77762 not published not published $325.10 – $546.76 7
Apply intrcav radiat simple CPT 77761 not published not published $217.22 – $477.40 7
Apply of finger splint 29131 CPT 29131 $76.38 $134.00 $35.89 – $115.34 7
Apply rem fixation device CPT 20660 not published not published $233.43 – $829.05 7
Apply rigid leg cast 29445 CPT 29445 not published not published $103.44 – $471.38 7
Apply short leg castambul type 29425 CPT 29425 $294.12 $516.00 $57.11 – $257.89 7
Apply surf ldr radionuclide CPT 77789 not published not published $64.53 – $150.19 7
App mltpln uni xtrnl fix 1st CPT 20696 not published not published $1,208.94 – $4,263.04 7
App mltpln uni xtrnl fix xch CPT 20697 not published not published $1,893.85 – $7,422.23 7
#aptt mix-1:1 incubated CPT 87532 not published not published $36.84 – $135.45 11
Aqaprn-4 antb flo cytmtry ea CPT 86053 not published not published $16.63 – $145.64 7
Aquaporin-4 antibody cba each CPT 86052 not published not published $12.65 – $46.51 7
Aquaporin-4 antibody elisa CPT 86051 $118.56 $208.00 $12.11 – $44.51 7
Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 $90.06 $158.00 $47.24 – $89.25 7
Aquatic exercise - group charge CPT 97150 $46.74 $82.00 $22.47 – $35.71 7
Aqueous shunt eye w/graft CPT 66180 not published not published $1,203.65 – $4,147.91 7
Aqueous shunt eye without graft CPT 66179 not published not published $1,142.67 – $3,929.48 6
Art byp aor celiac msn and renal 35631 CPT 35631 not published not published $1,785.02 – $6,432.94 7
Art byp aortofemoral 35647 CPT 35647 not published not published $1,493.94 – $5,385.23 7
Art byp aortoiliac 35637 CPT 35637 not published not published $1,593.12 – $5,746.61 7
Art bypass aorsubcl/carot/innom 35626 CPT 35626 not published not published $1,541.38 – $5,555.96 7
Art bypass aortobifemoral 35646 CPT 35646 not published not published $1,641.86 – $5,973.75 7
Art bypass aortobi-iliac 35638 CPT 35638 not published not published $1,670.16 – $6,070.61 7
Art bypass axillary-femoral 35621 CPT 35621 not published not published $1,057.65 – $3,816.64 7
Art bypass axill-fem-femoral 35654 CPT 35654 not published not published $1,313.91 – $4,767.41 7
Art bypass carotid-subclavian 35606 CPT 35606 not published not published $1,135.15 – $4,083.60 7
Art bypass common ipsi carotid 35601 CPT 35601 not published not published $1,348.73 – $4,859.25 7
Art bypass fem-ant-post tib/prl 35666 CPT 35666 not published not published $1,246.15 – $4,441.88 7
Art bypass femoral-femoral 35661 CPT 35661 not published not published $1,046.37 – $3,778.39 7
Art bypass femoral-popliteal 35656 CPT 35656 not published not published $1,034.57 – $3,764.70 7
Art bypass iliofemoral 35665 CPT 35665 not published not published $1,134.57 – $4,087.99 7
Art bypass subclav-subclavian 35612 CPT 35612 not published not published $1,008.93 – $3,619.61 7
Art byp axillary-axillary 35650 CPT 35650 not published not published $983.62 – $3,539.93 7
Art byp grft aortbifemoral 35540 CPT 35540 not published not published $2,340.68 – $8,461.05 7
Art byp grft aortobi-iliac 35538 CPT 35538 not published not published $2,238.86 – $8,087.29 7
Art byp grft fem-femoral 35558 CPT 35558 not published not published $1,198.49 – $4,288.69 7
Art byp grft fem-popliteal 35556 CPT 35556 not published not published $1,342.42 – $4,876.91 7
Art byp ilioiliac 35663 CPT 35663 not published not published $1,173.84 – $4,217.81 7
Art byp pop-tibl-prl-other 35571 CPT 35571 not published not published $1,274.79 – $4,611.34 7
Arterial blood draw/perc 36620 CPT 36620 $294.12 $516.00 $45.89 – $163.65 7
Artery by graft; iliofemoral 35565 CPT 35565 not published not published $1,266.60 – $4,556.33 7
Artery to vein shunt CPT 36835 not published not published $483.23 – $1,688.51 7
Artery transpose/endovas taa CPT 33889 not published not published $762.26 – $2,741.78 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.