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
Ko w/0 joint rigid molded to HCPCS L1834 $1,993.86 $3,498.00 $727.16 – $727.16 2
Kras gene addl variants CPT 81276 $395.58 $694.00 $202.91 – $745.95 10
Kras gene variants exon 2 CPT 81275 $417.24 $732.00 $202.91 – $745.95 10
Kyleena, 19.5 mg HCPCS J7296 $926.25 $1,625.00 $1,475.18 – $1,475.18 2
Kyphectomy 1-2 segments CPT 22818 not published not published $2,187.41 – $7,706.74 7
Kyphectomy 3 or more CPT 22819 not published not published $2,518.39 – $8,866.61 7
Lab draw < 3 yrs fem/jugular 36400 CPT 36400 not published not published $19.53 – $97.69 7
Lab draw <3 yrs scalp vein 36405 CPT 36405 not published not published $15.73 – $85.20 7
Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 $9.55 $16.75 $0.25 – $16.75 6
Labioplasty 56800 CPT 56800 not published not published $264.66 – $897.08 7
Lab pathology consultation CPT 80500 not published not published $23.29 – $111.71 4
Lab pathology consultation CPT 80502 not published not published $15.07 – $401.16 4
Lactate dehydrogenase (ldh) CPT 83615 $22.80 $40.00 $6.34 – $23.31 11
Lactated ringers intravenous solution HCPCS J7120 $4.56 $8.00 $2.56 – $8.00 6
Lactic acid CPT 83605 $53.58 $94.00 $12.15 – $44.66 11
Lactoferrin fecal qualitative CPT 83630 $62.13 $109.00 $20.69 – $76.04 11
Lactoferrin fecal quant CPT 83631 not published not published $20.61 – $75.77 11
Lam facetc/frmt arthrd lum 1 CPT 63052 not published not published $250.51 – $898.54 6
Lam facetec & foramot crv CPT 63045 not published not published $1,277.55 – $4,405.65 7
Lam facetec & foramot lumbar CPT 63047 not published not published $1,108.98 – $3,820.43 7
Lam facetec & foramot thrc CPT 63046 not published not published $1,226.68 – $4,230.83 7
Lam factc/frmt arthrd lum ea CPT 63053 not published not published $222.58 – $673.46 6
Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 not published not published $1,931.01 – $6,662.33 7
Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 not published not published $2,044.49 – $7,053.19 7
Lamie excise intrspinl lesion thrc 63266 CPT 63266 not published not published $1,684.72 – $5,843.74 7
Laminotomy single cervical CPT 63040 not published not published $1,377.56 – $4,808.21 7
Laminotomy single lumbar CPT 63042 not published not published $1,300.50 – $4,508.78 7
Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 not published not published $1,147.50 – $1,147.50 2
Lam w/cordotomy 1stg thrc CPT 63197 not published not published $1,668.86 – $5,752.61 7
Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 $142.62 $250.21 $57.81 – $250.21 7
Laparo ablate liver tumor rf CPT 47370 not published not published $1,254.95 – $4,402.35 7
Laparo ablate renal cyst CPT 50541 not published not published $951.46 – $3,353.55 7
Laparo ablate renal mass CPT 50542 not published not published $1,204.50 – $4,262.63 7
Laparo-asst vag hysterectomy CPT 58550 not published not published $913.99 – $3,189.75 7
Laparo cholecystectomy/explr CPT 47564 $1,599.42 $2,806.00 $1,123.03 – $2,373.43 7
Laparo cholecystectomy/graph CPT 47563 $1,379.97 $2,421.00 $723.39 – $1,524.09 7
Laparo cholecystoenterostomy CPT 47570 not published not published $778.57 – $2,732.21 7
Laparo drng lymphocele 49323 CPT 49323 not published not published $649.07 – $2,271.15 7
Laparo ligate spermatic vein CPT 55550 not published not published $452.33 – $1,568.85 7
Laparo-myomectomy complex CPT 58546 not published not published $1,148.32 – $4,049.10 7
Laparo new ureter/bladder CPT 50947 not published not published $1,433.05 – $5,067.15 7
Laparo new ureter/bladder CPT 50948 not published not published $1,315.47 – $4,656.98 7
Laparo partial colectomy 44204 CPT 44204 $3,053.49 $5,357.00 $1,542.72 – $3,289.91 7
Laparo partial nephrectomy CPT 50543 not published not published $1,544.56 – $5,443.69 7
Laparo radical nephrectomy CPT 50545 not published not published $1,380.83 – $4,889.59 7
Laparo removal donor kidney CPT 50547 not published not published $1,637.66 – $5,698.01 7
Laparo remove w/ureter CPT 50548 not published not published $1,387.87 – $4,918.24 7
Laparoscopic myomectomy CPT 58545 not published not published $932.02 – $3,245.18 7
Laparoscopic nephrectomy CPT 50546 not published not published $1,244.81 – $4,385.36 7
Laparoscopic proc CPT 45400 not published not published $1,159.49 – $4,085.10 7
Laparoscopic salpingostomy 58673 CPT 58673 not published not published $818.85 – $2,883.45 7
Laparoscopy adrenalectomy CPT 60650 not published not published $1,201.93 – $4,237.31 7
Laparoscopy aspiration CPT 49322 not published not published $380.37 – $1,325.51 7
Laparoscopy biopsy CPT 49321 $628.71 $1,103.00 $350.95 – $743.86 7
Laparoscopy excise lesions CPT 58662 not published not published $738.15 – $2,567.14 7
Laparoscopy fundoplasty CPT 43280 $2,101.02 $3,686.00 $1,075.97 – $2,300.87 7
Laparoscopy gastrostomy CPT 43653 not published not published $587.32 – $2,036.25 7
Laparoscopy lymphadenectomy CPT 38571 not published not published $688.20 – $2,421.00 7
Laparoscopy lymphadenectomy CPT 38572 not published not published $928.07 – $3,287.78 7
Laparoscopy lymph node biop CPT 38570 not published not published $532.93 – $1,837.65 7
Laparoscopy lysis CPT 58660 not published not published $702.84 – $2,435.70 7
Laparoscopy orchiectomy CPT 54690 not published not published $684.69 – $2,401.28 7
Laparoscopy orchiopexy CPT 54692 not published not published $787.25 – $2,773.46 7
Laparoscopy pyeloplasty CPT 50544 not published not published $1,284.29 – $4,549.84 7
Laparoscopy remove adnexa CPT 58661 not published not published $674.48 – $2,347.88 7
Laparoscopy splenectomy CPT 38120 not published not published $1,063.26 – $3,714.08 7
Laparoscopy surg colpopexy CPT 57425 not published not published $1,008.95 – $3,543.08 7
Laparoscopy tubal block 58671 CPT 58671 not published not published $387.29 – $1,333.13 7
Laparoscopy ureterolithotomy CPT 50945 not published not published $1,007.03 – $3,555.23 7
Laparoscopy vagus nerve CPT 43651 not published not published $663.91 – $2,311.69 7
Laparoscopy vagus nerve CPT 43652 not published not published $770.94 – $2,696.18 7
Laparo sling operation 51992 CPT 51992 not published not published $863.34 – $3,043.69 7
Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 not published not published $1,167.44 – $4,108.73 7
Laparo total proctocolectomy CPT 44212 not published not published $2,064.28 – $7,327.54 7
Laparo urethral suspension CPT 51990 not published not published $774.99 – $2,728.50 7
Laparo-vag hyst incl t/o CPT 58552 not published not published $1,015.01 – $3,553.09 7
Laparo-vag hyst w/t/o compl CPT 58554 not published not published $1,347.01 – $4,747.80 7
Laparscpy ablat 1>lvr tum cryo CPT 47371 not published not published $1,257.63 – $4,424.70 7
Lap close enterostomy with resect 44227 CPT 44227 $3,320.25 $5,825.00 $1,661.48 – $3,560.75 7
Lap colectomy/coloproctostomy 44207 CPT 44207 $3,711.27 $6,511.00 $1,823.46 – $6,464.78 7
Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 not published not published $1,987.52 – $7,058.51 7
Lap colectomy part w/ileum 44205 CPT 44205 $2,653.92 $4,656.00 $1,343.59 – $2,865.04 7
Lap colectomy w/proctectomy 44211 CPT 44211 not published not published $2,178.88 – $7,721.51 7
Lap colostomy 44188 CPT 44188 not published not published $1,227.66 – $4,343.29 7
Lap enterectomy 44202 CPT 44202 $2,697.24 $4,732.00 $1,388.87 – $2,952.94 7
Lap enterolysis CPT 44180 $1,760.73 $3,089.00 $922.64 – $1,958.55 7
Lap esophageal lengthening addl 43283 CPT 43283 not published not published $154.08 – $554.29 7
Lap fimbrioplasty 58672 CPT 58672 not published not published $754.52 – $2,654.63 7
Lap gastr bypass incl smll i CPT 43645 not published not published $1,839.94 – $6,505.99 7
Lap gastric bypass/roux-en-y CPT 43644 not published not published $1,729.44 – $6,109.05 7
Lap ileo/jejuno-stomy 44187 CPT 44187 not published not published $1,111.66 – $3,929.81 7
Lap impl electrode antrum CPT 43647 not published not published $4,335.00 – $4,335.00 2
Lap inc hernia repair 49654 CPT 49654 not published not published $1,719.76 – $3,782.20 3
Lap inc hernia repair recurr 49656 CPT 49656 not published not published $1,863.90 – $4,100.11 3
Lap inc hern recur comp 49657 CPT 49657 not published not published $2,675.24 – $5,895.46 3
Lap inc hern repair comp 49655 CPT 49655 not published not published $2,098.23 – $4,617.69 3
Lap ing hernia repair init CPT 49650 $713.07 $1,251.00 $440.73 – $920.18 7
Lap ing hernia repair recur CPT 49651 $935.37 $1,641.00 $574.55 – $1,196.29 7
Lap ins device for right CPT 49327 not published not published $127.30 – $457.39 7
Lap insert tunnel ip cath CPT 49324 not published not published $387.97 – $1,372.76 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.