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
Inj, ocriplasmin, 0.125 mg HCPCS J7316 $1,424.43 $2,499.00 $153.48 – $1,225.04 3
Inj peritoneal venous shunt CPT 49427 not published not published $39.53 – $143.63 7
Inj proc ankle arthr CPT 27648 not published not published $52.86 – $731.51 7
Inj proc elbow arthro CPT 24220 not published not published $69.00 – $655.16 7
Inj proc for lymphang CPT 38790 not published not published $84.46 – $295.88 7
Inj proc lumbr disk ea lvl CPT 62290 not published not published $163.70 – $1,291.58 7
Inj proc myelogram lumbar CPT 62284 not published not published $86.27 – $722.29 7
Inj proc sialogram CPT 42550 not published not published $63.66 – $563.10 7
Inj progesterone per 50 mg HCPCS J2675 $2.28 $4.00 $1.12 – $4.00 6
Inj retro urethrocysto CPT 51610 not published not published $67.03 – $438.45 7
Inj, rimabotulinumtoxinb HCPCS J0587 $17.10 $30.00 $13.61 – $30.00 7
Inj scleros sol mult veins CPT 36471 $783.75 $1,375.00 $74.97 – $704.55 7
Inj scleros sol sgl vein CPT 36470 not published not published $37.66 – $392.29 7
Inj testosterone cypionate HCPCS J1071 $0.57 $1.00 $0.02 – $1.00 6
Inj triamcinolone ace X-ray 1mg HCPCS J3304 $36.97 $64.85 $23.98 – $45.00 6
Inj w/fluor eval cv device CPT 36598 not published not published $36.66 – $440.14 7
Inner skull vessel surgery CPT 61702 not published not published $3,855.73 – $13,495.54 7
Inpatient consultation CPT 99251 not published not published $101.30 – $101.30 2
Inpt/ed teleconsult30 HCPCS G0425 $315.21 $553.00 $96.99 – $132.58 6
Inpt/ed teleconsult50 HCPCS G0426 $359.10 $630.00 $137.61 – $447.38 6
Inpt/ed teleconsult70 HCPCS G0427 $463.41 $813.00 $196.35 – $662.41 6
Inpt/tele follow up 15 HCPCS G0406 $91.20 $160.00 $43.00 – $128.24 6
Inpt/tele follow up 25 HCPCS G0407 $160.74 $282.00 $75.78 – $237.51 6
Inpt/tele follow up 35 HCPCS G0408 $241.68 $424.00 $110.32 – $342.06 6
Ins cath ren art 1st bi CPT 36252 not published not published $348.16 – $5,424.26 7
Ins cath ren art 1st uni CPT 36251 not published not published $252.87 – $5,067.90 7
Ins cath ren art 2nd+ bi CPT 36254 not published not published $406.38 – $7,835.85 7
Ins cath ren art 2nd+ uni CPT 36253 not published not published $358.30 – $8,069.55 7
Ins cerv dilator (sep proc) CPT 59200 not published not published $43.35 – $316.43 7
Ins device for right guide open CPT 49412 not published not published $80.36 – $288.49 7
Insemination of oocytes CPT 89268 not published not published $76.99 – $180.91 3
Insert abdomen-venous drain CPT 49425 not published not published $785.95 – $2,565.64 7
Insert and remove bone pin CPT 20650 not published not published $175.56 – $769.46 7
Insert ant drainage device CPT 66183 not published not published $1,089.14 – $3,748.80 6
Insert balloon device CPT 33973 not published not published $483.91 – $1,797.23 7
Insert brain-fluid device 61215 CPT 61215 not published not published $520.19 – $1,732.20 7
Insert cannula hemo oth 36815 CPT 36815 not published not published $130.91 – $468.94 7
Insert cannula vein-to-vein hemodialysis CPT 36800 not published not published $124.14 – $446.40 7
Insert cath pleura with image CPT 32557 not published not published $153.68 – $2,252.63 7
Insert cath pleura without image CPT 32556 $3,045.51 $5,343.00 $125.96 – $2,440.16 7
Insert drug delivery implant CPT 11981 $140.22 $246.00 $63.65 – $298.16 7
Insert electrodes for eeg CPT 95830 not published not published $96.15 – $1,647.92 7
Insert epicard eltrd endo 33203 CPT 33203 not published not published $796.87 – $2,823.38 7
Insert epicardial lead open 33202 CPT 33202 not published not published $761.01 – $2,698.05 7
Insert eye socket implant CPT 67550 not published not published $1,150.80 – $3,727.76 7
Insert hepatic shunt (tips) CPT 37182 not published not published $829.22 – $3,042.26 7
Insert heyman uteri capsule CPT 58346 not published not published $531.16 – $1,759.46 7
Insert intervert bimech device 22854 CPT 22854 not published not published $323.97 – $1,152.30 6
Insert intracorporeal device CPT 33979 not published not published $1,878.77 – $6,794.06 7
Insert intrauterine device iud CPT 58300 $235.41 $413.00 $52.80 – $245.43 6
Insertion catheter artery nfs ther chemotx 36640 CPT 36640 not published not published $124.51 – $426.90 7
Insertion catheter bladder non indwelling CPT 51701 $195.51 $343.00 $26.28 – $119.85 7
Insertion catheter bladder temporary simple CPT 51702 $249.66 $438.00 $26.16 – $155.38 7
Insertion catheter pleural indwelling tunneled with cuff CPT 32550 not published not published $207.75 – $2,865.41 7
Insertion intra aortic balloon assist device percutaneous CPT 33967 not published not published $251.94 – $908.85 7
Insertion intra-aortic circulation dev 33970 CPT 33970 not published not published $343.30 – $1,238.25 7
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 not published not published $221.51 – $8,719.80 7
Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 $5,366.55 $9,415.00 $86.28 – $774.30 7
Insertion of cannula CPT 36810 not published not published $217.63 – $768.79 7
Insertion of cannula(s) CPT 36823 not published not published $1,399.81 – $4,914.53 7
Insertion of catheter vein CPT 36481 not published not published $331.40 – $7,008.53 7
Insertion of catheter vein CPT 36500 not published not published $180.16 – $652.73 7
Insertion of heart electrode 33211 CPT 33211 not published not published $165.65 – $596.70 7
Insertion of infusion pump CPT 36260 not published not published $662.46 – $2,296.01 7
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 not published not published $512.72 – $26,705.00 8
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 not published not published $473.91 – $26,705.00 8
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 not published not published $451.27 – $26,705.00 8
Insertion palate prosthesis CPT 42281 not published not published $171.19 – $834.49 7
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 $2,636.25 $4,625.00 $95.82 – $550.52 7
Insertion picc without port or pump with imaging guidance=>5y CPT 36573 $173.85 $305.00 $85.81 – $1,457.18 6
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 not published not published $902.55 – $66,765.00 8
Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 not published not published $158.59 – $577.20 7
Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 not published not published $371.12 – $1,318.54 7
Insertion subcutaneous cardiac rhythm monitor CPT 33285 not published not published $85.98 – $18,342.60 6
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 $771.21 $1,353.00 $336.89 – $3,892.43 7
Insertion ureth cath CPT 51045 not published not published $516.88 – $1,797.75 7
Insert lens prosthesis CPT 66985 not published not published $813.29 – $2,797.39 7
Insert major vessel graft CPT 33330 not published not published $1,397.53 – $4,985.33 7
Insert major vessel graft with bypass 33335 CPT 33335 not published not published $1,825.52 – $6,539.18 7
Insert multi-comp penis pros CPT 54405 not published not published $842.78 – $2,960.03 7
Insert nasal septal button CPT 30220 not published not published $135.97 – $1,108.84 7
Insert ocular implant CPT 65130 not published not published $909.10 – $2,878.58 7
Insert ocular implant CPT 65135 not published not published $920.22 – $2,917.05 7
Insert pelv fixation device CPT 22848 not published not published $352.18 – $1,253.66 7
Insert pessary/other device CPT 57160 $140.22 $246.00 $47.04 – $168.52 7
Insert picvad cath CPT 36570 not published not published $332.98 – $5,364.53 7
Insert pm/icd lead dual CPT 33217 not published not published $368.22 – $1,298.63 7
Insert prost urethral stent CPT 53855 not published not published $84.30 – $2,703.86 7
Insert/repl sq defib w/eltrd CPT 33270 not published not published $555.21 – $66,765.00 7
Insert self-contd prosthesis CPT 54401 not published not published $701.03 – $2,408.74 7
Insert semi-rigid prosthesis CPT 54400 not published not published $557.76 – $1,945.20 7
Insert spine fixation device CPT 22843 not published not published $792.59 – $2,814.19 7
Insert spine fixation device CPT 22841 not published not published $1,391.81 – $1,391.81 2
Insert spine fixation device CPT 22844 not published not published $964.04 – $3,432.75 7
Insert spine fixation device CPT 22847 not published not published $802.70 – $2,871.83 7
Insert spine infusion device 62360 CPT 62360 not published not published $319.81 – $1,113.71 7
Insert sq defib electrode CPT 33271 not published not published $451.05 – $1,599.83 6
Insert swan-ganz cath CPT 93503 not published not published $90.70 – $293.86 7
Insert tandem cuff CPT 53444 not published not published $827.84 – $2,903.33 7
Insert tissue expander(s) CPT 11960 not published not published $1,062.69 – $3,518.18 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.