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
Artery-vein nonautograft CPT 36830 not published not published $648.56 – $2,332.39 7
Artery xray each vessel 7577426 CPT 75774 not published not published $40.65 – $116.78 7
Artery xray of abdomen 75726-26 CPT 75726 not published not published $98.26 – $205.00 7
Artery x-rays adrenal gland CPT 75731 not published not published $57.51 – $140.00 7
Artery x-rays adrenals CPT 75733 not published not published $65.39 – $156.91 7
Artery x-rays arm/leg 75710-26 CPT 75710 not published not published $84.14 – $184.61 7
Artery x-rays arms/legs 75716-26 CPT 75716 not published not published $95.30 – $188.28 7
Artery x-rays chest CPT 75756 not published not published $56.70 – $133.58 7
Artery x-rays lung CPT 75741 not published not published $63.15 – $152.97 7
Artery x-rays lung CPT 75746 not published not published $55.50 – $135.19 7
Artery x-rays lungs CPT 75743 not published not published $80.49 – $192.25 7
Artery xrays of pelvis 75736 26 CPT 75736 not published not published $54.32 – $130.97 7
Artery x-rays spine CPT 75705 not published not published $115.96 – $272.01 7
Art expos/graft artery perfusion 33987 CPT 33987 not published not published $200.75 – $727.24 6
Arthrd ant ntrbd min dsc crv CPT 22554 not published not published $1,259.29 – $4,342.61 7
Arthrd ant ntrbd min dsc lum CPT 22558 not published not published $1,528.57 – $5,358.71 7
Arthrd ant ntrbdy cervical CPT 22551 not published not published $1,683.13 – $5,864.63 7
Arthrd cmbn 1ntrspc lumbar CPT 22633 not published not published $1,797.03 – $6,414.23 7
Arthrd dst rad/ul jt sgm rsc CPT 25830 not published not published $1,079.06 – $3,521.21 7
Arthrd elbow jt autog graft CPT 24802 not published not published $1,036.48 – $3,576.00 7
Arthrd glenohumeral jt w/grf CPT 23802 not published not published $1,323.40 – $4,573.31 7
Arthrd pst tq 1ntrspc lum CPT 22630 not published not published $1,541.63 – $5,403.60 7
Arthrd si jt perq/min nvas CPT 27279 not published not published $824.73 – $3,062.44 6
Arthrd si jt prq wo tfxj dev CPT 27278 not published not published $494.50 – $494.50 4
Arthrd wrist complete wo grf CPT 25800 not published not published $764.94 – $2,625.86 7
Arthrd wrist lmtd without b1 grf CPT 25820 not published not published $683.79 – $2,272.69 7
Arthrd wrist with autograft CPT 25825 not published not published $834.35 – $2,789.29 7
Arthrd wrist w/sliding graft CPT 25805 not published not published $881.29 – $3,022.61 7
Arthrd wrst iliac/oth agrft CPT 25810 not published not published $906.19 – $3,109.61 7
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 $843.60 $1,480.00 $38.24 – $142.06 7
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 $599.07 $1,051.00 $53.87 – $118.37 6
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 not published not published $61.06 – $340.76 6
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 $650.37 $1,141.00 $37.13 – $102.67 7
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 $939.93 $1,649.00 $46.76 – $130.36 7
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 $650.37 $1,141.00 $47.62 – $108.43 6
Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 not published not published $383.50 – $1,361.96 7
Arthrodesis big toe joint 28760 CPT 28760 $1,293.90 $2,270.00 $607.75 – $1,745.88 7
Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 not published not published $316.77 – $1,134.75 7
Arthrodesis/combine app/ea add 22634 CPT 22634 not published not published $469.53 – $1,707.64 7
Arthrodesis elbw joint local CPT 24800 not published not published $867.55 – $2,968.95 7
Arthrodesis glenohumeral jt CPT 23800 not published not published $1,061.21 – $3,662.40 7
Arthrodesis pantalar CPT 28705 not published not published $1,270.37 – $4,445.55 7
Arthrodesis/post interbdy/ea add 22632 CPT 22632 not published not published $308.66 – $1,096.46 7
Arthrodesis presacral intrbod with instr l5-s1 22586 CPT 22586 not published not published $1,982.93 – $6,824.55 7
Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 not published not published $1,301.51 – $4,446.08 7
Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 not published not published $379.21 – $1,348.13 7
Arthrodesis subtalar CPT 28725 $1,322.97 $2,321.00 $815.64 – $1,689.94 7
Arthrodesis triple CPT 28715 $1,603.41 $2,813.00 $980.76 – $2,031.51 7
Arthroplasty finger joint 26535 CPT 26535 not published not published $466.04 – $1,562.96 7
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 $1,022.58 $1,794.00 $707.71 – $1,467.87 7
Arthrotomy carpometacarpal joint 26070 CPT 26070 not published not published $345.13 – $1,157.44 7
Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 not published not published $504.68 – $1,713.34 7
Arthrotomy glenhumrl jt w/bx CPT 23100 not published not published $534.16 – $1,799.85 7
Arthrotomy glenohumeral jt CPT 23105 not published not published $671.69 – $2,276.14 7
Arthrotomy strnclav joint CPT 23106 not published not published $530.23 – $1,785.68 7
Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 $1,261.98 $2,214.00 $872.00 – $1,783.02 7
Arthrp prostc dstl scph crpl CPT 25443 not published not published $818.83 – $2,797.58 7
Arthrp w/prostc dstl rds CPT 25441 not published not published $971.71 – $3,346.13 7
Arthrp w/prostc dstl ulna CPT 25442 not published not published $845.57 – $2,899.54 7
Arthrp w/prostc dst rds&crps CPT 25446 not published not published $1,213.86 – $4,202.59 7
Arthrp w/prostc lunate CPT 25444 not published not published $858.92 – $2,955.79 7
Arthrp w/prostc trapezium CPT 25445 not published not published $754.17 – $2,587.76 7
Arthrs kne srg drlg ost diss CPT 29885 not published not published $787.74 – $2,695.05 7
Arthrt acrmclv/strnclav jt CPT 23101 not published not published $482.45 – $1,632.94 7
Arthrt ac sc jt exp/rmvl fb CPT 23044 not published not published $589.57 – $2,020.73 7
Arthrt elbow w/synovectomy CPT 24102 not published not published $648.09 – $2,210.74 7
Arthrt elbw capsl exc rls CPT 24006 not published not published $746.93 – $2,551.24 7
Arthrt elbw jt expl bx rmvl CPT 24101 not published not published $531.56 – $1,798.39 7
Arthrt elbw synovial bx only CPT 24100 not published not published $444.72 – $1,496.93 7
Arthrt gh jt expl/drg/rmv fb CPT 23040 not published not published $748.28 – $2,566.80 7
Arthrt glenhumrl jt w/expl CPT 23107 not published not published $695.42 – $2,361.08 7
Arthrt hip expl/rmv loose/fb CPT 27033 not published not published $1,003.17 – $3,473.06 7
Arthrt rdcrpl/midcarpl jt CPT 25040 not published not published $586.63 – $2,013.56 7
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 $1,353.18 $2,374.00 $173.24 – $620.93 7
Artificial insemination CPT 58321 not published not published $49.12 – $285.56 7
Artific inseminationintrauterine 58322 CPT 58322 not published not published $58.70 – $321.11 7
Artiss fibrin sealant HCPCS C9250 $668.30 $1,172.46 $297.89 – $297.89 2
Art pressure waveform analys CPT 93050 not published not published $8.60 – $24.67 6
Art trnsposj subclav carotid 35694 CPT 35694 not published not published $953.45 – $3,423.68 7
Asc aort gft/cp/root rem/cor recon 33864 CPT 33864 not published not published $3,117.18 – $11,244.90 7
Ascend aorta graft oth dissect 33859 CPT 33859 not published not published $2,370.98 – $8,526.30 6
Ascend aorta graft w/aortic dissection 33858 CPT 33858 not published not published $3,294.92 – $11,864.78 6
Asd repair/cp bypass w without patch 33641 CPT 33641 not published not published $1,599.64 – $5,726.85 7
Aspa gene CPT 81200 not published not published $49.61 – $182.39 7
Asp & inj bone cyst CPT 20615 not published not published $171.09 – $904.20 7
Aspirate bladder/sprapubic cath 51102 CPT 51102 not published not published $147.66 – $863.96 7
Aspirate/inj ganglion cyst 20612 CPT 20612 $473.67 $831.00 $42.67 – $132.09 7
Aspirate pleura without imaging 32554 CPT 32554 $1,509.36 $2,648.00 $91.14 – $1,232.50 7
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 $1,818.87 $3,191.00 $75.67 – $183.01 6
Aspiration orbital contents CPT 67415 not published not published $107.66 – $381.26 7
Aspir/inj thyroid cyst 60300 CPT 60300 $1,549.83 $2,719.00 $50.24 – $415.20 7
Asp pq spinal cord cyst/syrinx CPT 62268 not published not published $317.20 – $944.93 7
Assay acid phosphatase CPT 84060 not published not published $8.02 – $29.49 11
Assay alkaline phosphatase CPT 84078 not published not published $8.67 – $31.88 11
Assay blood catecholamines CPT 82383 not published not published $30.53 – $112.25 11
Assay chondroitin sulfate CPT 82485 not published not published $21.68 – $79.71 11
Assay dir meas fr estradiol CPT 82681 not published not published $29.34 – $107.85 7
Assay duodenal fluid trypsin CPT 84485 not published not published $7.56 – $27.79 11
Assay free hydroxyproline CPT 83500 not published not published $23.78 – $87.43 11
Assay malate dehydrogenase CPT 83775 not published not published $7.74 – $28.45 11

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.