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
I&d abscess posterior spine l/s/ls-22015 CPT 22015 not published not published $965.33 – $3,310.05 7
I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 not published not published $402.75 – $1,634.63 7
I&d/bursa/foot 28001 CPT 28001 not published not published $101.28 – $1,031.44 7
Identify sperm tissue CPT 89264 not published not published $63.73 – $76.99 3
Idet 1 or more levels CPT 22527 not published not published $158.89 – $6,824.66 6
Idet single level CPT 22526 not published not published $344.55 – $8,148.34 6
I&d frarm&/wrst deep absc/hematoma CPT 25028 not published not published $732.46 – $2,141.33 7
Idh1 common variants CPT 81120 not published not published $202.91 – $745.95 7
Idh2 common variants CPT 81121 not published not published $310.58 – $1,141.75 7
I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 not published not published $456.29 – $1,567.20 7
I&d lacrimal gland CPT 68400 not published not published $139.03 – $1,066.99 7
I&d lacrimal sac CPT 68420 not published not published $175.71 – $1,200.94 7
I&d upper arm/elbow deep abscess/hematoma CPT 23930 not published not published $223.07 – $1,286.14 7
I & d vag hematoma non-ob 57023 CPT 57023 not published not published $332.78 – $1,143.49 7
I&d vag hemtma obst/postpart CPT 57022 not published not published $189.39 – $636.53 7
Ifnl3 gene CPT 81283 not published not published $77.04 – $283.21 7
Igh@/bcl2 translocation alys CPT 81278 not published not published $217.68 – $800.22 7
Igh gene rearrang dir probe CPT 81262 not published not published $62.43 – $264.60 10
Igh gene rearrange amp meth CPT 81261 not published not published $207.89 – $764.24 10
Igh@ var region somatic mutation analy CPT 81263 not published not published $309.25 – $1,136.85 10
Igk rearrangeabn clonal pop CPT 81264 not published not published $181.37 – $666.74 10
Ihc/icc per specimen each additional single antibody stain CPT 88341 $190.38 $334.00 $29.56 – $62.05 7
Ihc/icc per specimen each multiplex antibody stain CPT 88344 $205.20 $360.00 $40.60 – $105.03 7
Ihc/icc per specimen initial single antibody stain CPT 88342 $182.97 $321.00 $36.92 – $100.21 8
Iiv3 vacc no prsv 0.25 ml im CPT 90655 not published not published $21.25 – $21.25 2
Ikbkap gene CPT 81260 not published not published $41.28 – $151.74 7
Ileostomy/jejunostomy non-tube 44310 CPT 44310 not published not published $1,048.89 – $3,698.93 7
Iliac bone graft microvasc CPT 20956 not published not published $2,687.11 – $9,419.55 7
Iliac revasc add-on 37222 CPT 37222 not published not published $179.03 – $2,686.24 7
Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 not published not published $891.05 – $3,139.54 7
Img rta detcj/mntr ds staff CPT 92227 not published not published $18.68 – $43.23 7
Img rta detc/mntr ds phy/qhp CPT 92228 not published not published $17.76 – $42.08 7
Img rta detc/mntr ds poc aly CPT 92229 not published not published $43.65 – $50.33 6
Immntx 1 sting insect CPT 95130 not published not published $60.87 – $60.87 2
Immntx 4 sting insects CPT 95133 not published not published $113.53 – $113.53 2
Immntx 5 sting insects CPT 95134 not published not published $135.13 – $135.13 2
Immob elbow child sm HCPCS L3762 $269.04 $472.00 $98.02 – $98.02 2
Immobilizer shldr cntor adlt HCPCS L3670 $86.57 $151.88 $103.65 – $103.65 2
Immobilizer shldr dlx str 24-36in med HCPCS L1830 $157.32 $276.00 $83.34 – $83.34 2
Immt breast prosthesis 19340 CPT 19340 not published not published $784.70 – $3,547.43 7
Immune complex assay CPT 86332 not published not published $25.59 – $94.07 11
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 $138.93 $243.73 $46.82 – $243.73 7
Immune globulin ig human im use 90281 CPT 90281 not published not published $91.34 – $91.34 2
Immunoassay tumor antigen quantitative ca 125 CPT 86304 $73.53 $129.00 $21.85 – $80.33 11
Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 $73.53 $129.00 $21.85 – $80.33 11
Immunoassay tumor qual CPT 86294 not published not published $22.77 – $98.70 11
Immunodiff gel qual ea antigen/ab CPT 86331 $18.24 $32.00 $12.58 – $46.24 11
Immunodiffusion nes CPT 86329 not published not published $14.75 – $54.23 11
Immunoelectrophoresis assay CPT 86327 not published not published $31.01 – $115.49 11
Immunofixation electrophoresis serum CPT 86334 $102.60 $180.00 $23.46 – $86.23 11
Immunofluorescence per specimen each additional single antibody stain CPT 88350 not published not published $30.68 – $59.65 7
Immunofluorescence per specimen initial single antibody stain CPT 88346 not published not published $38.06 – $100.12 8
Immunoglobulin assay CPT 86023 $21.09 $37.00 $13.08 – $48.10 11
Immunotherapy 2/> injections CPT 95125 not published not published $42.82 – $42.82 2
Impedence cardiogram CPT 93701 not published not published $28.67 – $84.91 7
Impl absrb msh/prsth dly cls CPT 15778 not published not published $383.44 – $1,385.55 6
Implant biventricular device 33976 CPT 33976 not published not published $1,526.85 – $5,541.56 7
Implant brain electrodes CPT 61531 not published not published $1,207.11 – $4,124.18 7
Implant brain electrodes CPT 61533 not published not published $1,489.11 – $5,134.88 7
Implant brain electrodes CPT 61760 not published not published $1,537.33 – $5,315.74 7
Implant cochlear device CPT 69930 not published not published $1,272.16 – $4,380.11 7
Implant eye drug system CPT 67027 not published not published $893.77 – $3,098.63 7
Implant hormone pellet(s) 11980 CPT 11980 not published not published $57.13 – $342.04 7
Implant nerve end CPT 64787 not published not published $237.22 – $866.66 7
Implant neuroelectrde addl CPT 61864 not published not published $266.94 – $944.14 7
Implant neuroelectrde addl CPT 61868 not published not published $471.08 – $1,663.54 7
Implant neuroelectrode CPT 61863 not published not published $1,473.61 – $5,063.10 7
Implant neuroelectrode CPT 61867 not published not published $2,207.57 – $7,656.98 7
Implant neuroelectrodes CPT 63655 $1,752.18 $3,074.00 $841.73 – $2,866.31 7
Implant neuroelectrodes CPT 64553 not published not published $440.54 – $7,350.90 7
Implant neuroelectrodes CPT 64555 not published not published $340.14 – $6,811.84 7
Implant neuroelectrodes CPT 64561 not published not published $314.70 – $2,724.90 7
Implant neuroelectrodes CPT 61850 not published not published $969.72 – $3,318.26 7
Implant neuroelectrodes CPT 61860 not published not published $1,520.74 – $5,255.78 7
Implant neurostim arrays CPT 61886 not published not published $884.63 – $2,930.70 7
Implant open hernia repair w/mesh 49568 CPT 49568 not published not published $562.51 – $1,191.39 3
Implant single ventricular device 33975 CPT 33975 not published not published $1,261.09 – $4,564.99 7
Implant spinal canal cath CPT 62351 not published not published $911.77 – $3,019.09 7
Implant spine infusion pump CPT 62361 not published not published $436.14 – $1,459.84 7
Implant spine infusion pump CPT 62362 not published not published $394.90 – $1,356.00 7
Implant tcat pulm vlv perq CPT 33477 not published not published $1,308.02 – $4,761.08 6
Implant ureter in bowel CPT 50800 not published not published $961.16 – $3,379.16 7
Implant ureth bulk agent HCPCS L8606 $664.93 $1,166.55 $206.14 – $206.14 2
Impl neurostim electr perc CPT 63650 $4,159.86 $7,298.00 $435.46 – $6,942.56 7
Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 not published not published $216.56 – $773.59 7
Implnt spinl canal catheter 62350 CPT 62350 not published not published $411.03 – $1,417.28 7
Impl oi implt sk tc esp<100 CPT 69716 not published not published $650.38 – $2,309.63 6
Impl oi implt sk tc esp>=100 CPT 69729 not published not published $704.06 – $2,537.14 6
Impl oi implt skull perq esp CPT 69714 not published not published $520.29 – $3,800.14 7
Impl/rplcmt gstr nstim eltrd CPT 43881 not published not published $4,335.00 – $4,335.00 2
Implt brain chemotx add-on 61517 CPT 61517 not published not published $82.39 – $291.19 7
Impltj ntrstrml crnl rng seg CPT 65785 not published not published $470.16 – $8,665.28 6
Impltj tot rplcmt hrt sys CPT 33927 not published not published $2,456.87 – $8,897.10 6
Imp neurosti pls gn any type HCPCS L8679 $9,423.81 $16,533.00 $8,600.98 – $8,600.98 2
Impres&prep auricular prosth CPT 21086 not published not published $1,347.04 – $6,110.85 7
Impres&prep def obt prosth CPT 21080 not published not published $1,386.59 – $6,389.96 7
Impres&prep facial prosth CPT 21088 not published not published $11,162.78 – $11,162.78 2
Impres&prep intrm obt prosth CPT 21079 not published not published $1,228.76 – $5,590.35 7
Impres&prep mndbl res prosth CPT 21081 not published not published $1,272.36 – $5,870.70 7
Impres&prep nasal prosth CPT 21087 not published not published $1,347.04 – $6,110.85 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.