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 |
|---|---|---|---|---|
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | not published | not published | $336.18 – $3,148.16 | 7 |
| Insert tunneled cv cath CPT 36560 | not published | not published | $382.74 – $4,725.08 | 7 |
| Insert tunneled cv cath CPT 36563 | not published | not published | $363.37 – $4,281.56 | 7 |
| Insert ureteral support CPT 50605 | not published | not published | $1,014.81 – $3,534.41 | 7 |
| Insert uro/ves nck sphincter CPT 53445 | not published | not published | $792.22 – $2,760.15 | 7 |
| Insert uteri tandem/ovoids CPT 57155 | not published | not published | $300.31 – $1,399.84 | 7 |
| Insert vad art access left hrt arterial access CPT 33990 | not published | not published | $351.29 – $1,490.03 | 7 |
| Insert vad art access left hrt art & vein access CPT 33991 | not published | not published | $438.95 – $2,185.99 | 7 |
| Ins icd gen exist mlt leads CPT 33231 | not published | not published | $399.23 – $66,765.00 | 8 |
| Ins icd gen exist sgl lead CPT 33240 | not published | not published | $366.44 – $66,765.00 | 8 |
| Insitu hybridization auto CPT 88367 | not published | not published | $35.19 – $142.28 | 8 |
| Insitu hybridization (fish) CPT 88366 | not published | not published | $65.03 – $117.75 | 7 |
| Insitu hybridization manual CPT 88368 | $897.75 | $1,575.00 | $44.71 – $146.92 | 8 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $318.63 | $559.00 | $35.85 – $95.75 | 7 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $314.07 | $551.00 | $45.42 – $138.66 | 8 |
| Insj biomechanical device CPT 22859 | not published | not published | $323.57 – $1,152.30 | 6 |
| Insj biomechanical device 22853 CPT 22853 | not published | not published | $250.27 – $889.95 | 6 |
| Insj perq vad r hrt venous CPT 33995 | not published | not published | $346.86 – $1,296.53 | 6 |
| Insj phrnc nrv stim sys CPT 33276 | not published | not published | $573.14 – $573.14 | 4 |
| Insj phrnc nrv stim transvns CPT 33277 | not published | not published | $297.79 – $297.79 | 4 |
| Insj rx elut implt lac canal CPT 68841 | not published | not published | $34.10 – $142.54 | 6 |
| Insj stablj dev w/dcmprn CPT 22867 | not published | not published | $1,072.62 – $3,396.04 | 6 |
| Insj stablj dev w/dcmprn CPT 22868 | not published | not published | $234.98 – $836.78 | 6 |
| Insj stablj dev without dcmprn CPT 22869 | not published | not published | $459.12 – $1,631.85 | 6 |
| Insj stablj dev without dcmprn CPT 22870 | not published | not published | $122.90 – $454.31 | 6 |
| Ins left heart vent thor inscn ecmo CPT 33988 | not published | not published | $748.69 – $2,715.04 | 6 |
| Ins lv lead exist pm/icd CPT 33224 | not published | not published | $501.47 – $26,705.00 | 8 |
| Ins mark abd/pel for right perq CPT 49411 | not published | not published | $191.88 – $1,786.99 | 7 |
| Ins mark thor for right perq CPT 32553 | not published | not published | $180.32 – $1,936.69 | 7 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | $202.35 | $355.00 | $73.89 – $73.89 | 2 |
| Ins picad w subq port 5yr> CPT 36571 | not published | not published | $314.88 – $4,711.31 | 7 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | not published | not published | $82.47 – $1,584.71 | 6 |
| Ins pm gen exist dual lead CPT 33230 | not published | not published | $371.31 – $66,765.00 | 8 |
| Ins pm gen w/exist mlt leads CPT 33221 | not published | not published | $356.49 – $26,705.00 | 8 |
| Ins pq tunnld ip cath w/img CPT 49418 | not published | not published | $205.03 – $4,375.13 | 7 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $48,484.77 | $85,061.00 | $349.19 – $1,280.29 | 7 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | not published | not published | $473.55 – $1,721.36 | 6 |
| Ins/rpl pm gen exist dual lead CPT 33213 | not published | not published | $337.01 – $26,705.00 | 8 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | not published | not published | $321.93 – $26,705.00 | 8 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | not published | not published | $452.32 – $26,705.00 | 8 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $306.18 – $961.58 | 7 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | not published | not published | $327.41 – $1,161.90 | 6 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $531.92 – $1,779.38 | 7 |
| Ins sk-mnt crnl nstm pg/rcvr CPT 61889 | not published | not published | $1,324.91 – $1,324.91 | 4 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $115.06 – $419.21 | 7 |
| Install spinal shunt CPT 63740 | not published | not published | $977.60 – $3,310.13 | 7 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | $682.34 – $2,324.29 | 7 |
| Inst fibrinolysis agent ini day CPT 32561 | not published | not published | $69.14 – $340.20 | 7 |
| Inst fibrinolysis agent sbsq d CPT 32562 | not published | not published | $61.87 – $305.78 | 7 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $1,194.72 | $2,096.00 | $44.85 – $304.05 | 7 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $101.01 – $449.96 | 7 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $360.36 – $16,923.56 | 7 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | not published | not published | $321.18 – $3,960.45 | 7 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $494.19 | $867.00 | $264.65 – $2,956.58 | 7 |
| Ins tun intraperit dia cath CPT 49421 | not published | not published | $223.30 – $802.54 | 7 |
| Inst via cath agent pleurds CPT 32560 | not published | not published | $76.79 – $938.10 | 7 |
| Insulin suppression panel CPT 80432 | not published | not published | $81.74 – $639.25 | 11 |
| Insulin tolerance panel CPT 80434 | not published | not published | $144.71 – $1,100.22 | 11 |
| Insulin tolerance panel CPT 80435 | not published | not published | $108.15 – $397.58 | 11 |
| Insulin total CPT 83525 | $41.04 | $72.00 | $12.00 – $44.12 | 11 |
| Ins vag brachytx device CPT 57156 | not published | not published | $160.45 – $789.75 | 7 |
| Intercalary algrft compl CPT 20934 | not published | not published | $757.62 – $2,565.79 | 6 |
| Interdental fixation CPT 21110 | not published | not published | $756.51 – $3,026.14 | 7 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $626.54 – $2,515.39 | 7 |
| Interdiscal perq aspir dx CPT 62267 | not published | not published | $160.15 – $973.88 | 7 |
| Interferon alfa-2b inj HCPCS J9214 | $46.74 | $82.00 | $29.58 – $82.00 | 5 |
| Interferon beta-1a inj HCPCS J1826 | $1,631.91 | $2,863.00 | $2,583.07 – $2,583.07 | 2 |
| Intermediate visual field xm CPT 92082 | not published | not published | $22.17 – $72.33 | 7 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $187.08 – $645.64 | 7 |
| Interrogate subq defib CPT 93261 | not published | not published | $37.83 – $93.02 | 6 |
| Interrogation vad in person CPT 93750 | not published | not published | $40.50 – $187.15 | 7 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $19.70 – $72.91 | 7 |
| Interrog dev eval scrms ip CPT 93291 | $33.06 | $58.00 | $18.91 – $52.32 | 7 |
| Interrog device eval heart CPT 93289 | $80.94 | $142.00 | $38.32 – $91.83 | 7 |
| Interrog evl pm/ldls pm ip CPT 93288 | $35.91 | $63.00 | $21.86 – $60.85 | 7 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $42.34 – $42.34 | 4 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $99.07 – $99.07 | 4 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $22.59 – $22.59 | 4 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $1,420.78 – $4,943.18 | 7 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $1,074.88 – $3,804.26 | 7 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $358.22 – $1,208.81 | 7 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $400.24 – $1,363.05 | 7 |
| Intra-atrial pacing CPT 93610 | not published | not published | $159.57 – $16,158.00 | 8 |
| Intra-atrial recording CPT 93602 | not published | not published | $112.98 – $16,158.00 | 8 |
| Intracard echo interv w/s&i CPT 93662 | not published | not published | $74.52 – $482.84 | 7 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $1,457.28 – $5,073.49 | 7 |
| Intracranial angioplasty CPT 61630 | not published | not published | $1,340.98 – $4,724.85 | 7 |
| Intracranial complete study CPT 93886 | not published | not published | $48.82 – $157.34 | 7 |
| Intracranial limited study CPT 93888 | not published | not published | $26.15 – $86.13 | 7 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $2,200.17 – $7,581.49 | 7 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $3,987.60 – $14,095.39 | 7 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,741.51 – $9,536.33 | 7 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $4,299.98 – $15,216.68 | 7 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $2,115.36 – $7,326.75 | 7 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $3,499.55 – $12,246.71 | 7 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $71.97 – $513.90 | 7 |
| Intranasal reconstruction CPT 30620 | not published | not published | $717.43 – $2,314.31 | 7 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $166.00 – $595.24 | 7 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $386.18 – $16,158.00 | 8 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $110.70 – $579.68 | 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.