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
Nfct agt gntyp alys sarscov2 CPT 87913 not published not published $270.32 – $993.76 7
Nfct ds bv&vaginitis dna alg CPT 81514 not published not published $276.14 – $1,015.14 7
Nfros nfrot w/drg CPT 50040 not published not published $963.74 – $3,372.41 7
N. gonorrhoeae assay w/optic CPT 87850 not published not published $17.15 – $94.80 11
N.gonorrhoeae dna quant CPT 87592 not published not published $44.98 – $165.36 11
Nikaidoh proc CPT 33782 not published not published $3,128.88 – $11,271.08 7
Nikaidoh proc w/ostia implt CPT 33783 not published not published $3,379.85 – $12,181.58 7
N-invas est c ffr sw aly cta CPT 75580 $1,402.20 $2,460.00 $37.61 – $37.61 4
Nipple/areola reconst 19350 CPT 19350 not published not published $698.85 – $2,985.56 7
Nipple exploration CPT 19110 not published not published $362.28 – $1,740.90 7
Nitroblue tetrazolium dye CPT 86384 not published not published $14.29 – $52.53 11
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 $42.96 $75.37 $1.81 – $75.37 6
Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 $56.15 $98.51 $30.06 – $98.51 7
Njx aa&/strd lmbr plex nfs CPT 64449 not published not published $66.20 – $228.49 7
Njx aa&/strd nrv nrvtg si jt CPT 64451 not published not published $85.87 – $767.10 6
Njx aa&/strd sc nrv nfs img CPT 64446 not published not published $78.87 – $219.68 7
Njx aa&/strd vagus nrv CPT 64408 not published not published $46.44 – $250.54 7
Njx cath slct p angrph mapca CPT 93575 not published not published $96.86 – $317.28 6
Njx cath slct p-art angrp bi CPT 93573 not published not published $65.63 – $214.60 6
Njx cath slct pulm vn angrph CPT 93574 not published not published $72.88 – $237.48 6
Njx chemonucleolysis lmbr CPT 62292 not published not published $614.89 – $2,125.01 7
Njx cth slct p-art angrp uni CPT 93569 not published not published $39.45 – $128.74 6
Njx interlaminar crv/thrc CPT 62324 not published not published $93.49 – $521.78 6
Njx interlaminar crv/thrc CPT 62325 not published not published $115.89 – $890.40 6
Njx interlaminar lmbr/sac CPT 62326 not published not published $89.39 – $536.40 6
Njx interlaminar lmbr/sac CPT 62327 not published not published $112.55 – $905.85 6
Njx px nfrosgrm &/urtrgrm CPT 50430 not published not published $157.97 – $2,073.86 6
Njx px peyronie ds exps plaq CPT 54205 not published not published $558.98 – $1,947.26 7
Nl comp cgen kdn abnormality CPT 50070 not published not published $1,228.97 – $4,333.69 7
Nl removal calculus CPT 50060 not published not published $1,182.64 – $4,168.99 7
Nl rmvl lg staghorn calculus CPT 50075 not published not published $1,509.29 – $5,331.00 7
Nl sec surg operj calculus CPT 50065 not published not published $1,252.82 – $4,420.46 7
Nm imaging bone/joint 3 phase study CPT 78315 $870.96 $1,528.00 $50.78 – $123.31 7
Nm imaging bone/joint whole body CPT 78306 $820.23 $1,439.00 $42.55 – $103.89 7
Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 $2,350.11 $4,123.00 $48.80 – $118.03 7
Nm imaging gastric emptying study CPT 78264 $825.93 $1,449.00 $39.22 – $95.36 7
Nm imaging gastrointestinal acute blood loss CPT 78278 $991.23 $1,739.00 $49.30 – $119.78 7
Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 $1,078.44 $1,892.00 $44.75 – $109.17 7
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 $1,173.63 $2,059.00 $59.64 – $144.56 7
Nm imaging pulmonary ventilation/perfusion CPT 78582 $1,549.26 $2,718.00 $53.00 – $128.64 7
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 $706.80 $1,240.00 $24.60 – $59.77 7
Nm radiopharmaceutical therapy oral administration CPT 79005 not published not published $89.38 – $119.49 7
Non-card vasc flow imaging CPT 78445 not published not published $25.31 – $60.59 7
Non-imaging heart function CPT 78414 not published not published $22.61 – $54.17 7
Noninv pace analysis CPT 93724 not published not published $58.32 – $250.15 7
Noonan spectrum disorders CPT 81442 not published not published $2,250.78 – $8,274.30 7
Npm1 gene CPT 81310 not published not published $258.85 – $951.57 10
Nps surg dilat eust tube bi CPT 69706 not published not published $251.05 – $12,565.95 6
Nps surg dilat eust tube uni CPT 69705 not published not published $179.95 – $12,211.99 6
Npsy fam hlth interv ea addl 15 min CPT 96168 not published not published $24.24 – $85.24 6
Npsy grp hlth intrv ea addl 15 min CPT 96165 not published not published $4.44 – $15.68 6
Npsy indiv hlth intrv ea addl 15 min CPT 96159 not published not published $21.65 – $77.98 6
Npsy tst eval phsy/qhp 1st hr CPT 96132 not published not published $114.04 – $446.63 6
Npsy tst eval phsy/qhp ea l hr CPT 96133 not published not published $82.61 – $334.82 6
Nqhp ol dig assmt&mgmt 11-20 CPT 98971 not published not published $22.36 – $47.26 6
Nqhp ol dig assmt&mgmt 21+ CPT 98972 not published not published $33.11 – $74.11 6
Nqhp ol dig assmt&mgmt 5-10 CPT 98970 not published not published $12.65 – $26.85 6
Nras gene variants exon 2&3 CPT 81311 $621.87 $1,091.00 $310.58 – $1,141.75 10
Nr lnr acclrtr tx max 5 sessions CPT 77373 not published not published $1,059.18 – $2,957.29 7
Nrv grf 1strnd arm/leg >4 cm CPT 64893 not published not published $1,147.61 – $3,995.55 7
Nrv grf 1strnd arm/leg <4cm CPT 64892 not published not published $1,076.96 – $3,746.14 7
Nrv grf 1strnd hnd/foot <4cm CPT 64890 not published not published $1,106.11 – $3,851.14 7
Nrv grf 1strnd hnd/foot >4cm CPT 64891 not published not published $1,175.66 – $4,095.71 7
Nrv grf mltst arm/leg <4 cm CPT 64897 not published not published $1,293.87 – $4,518.86 7
Nrv grf mltst arm/leg >4 cm CPT 64898 not published not published $1,401.10 – $4,893.15 7
Nrv grf mltst hnd/foot <4 cm CPT 64895 not published not published $1,352.54 – $4,729.76 7
Nrv grf mltst hnd/foot >4 cm CPT 64896 not published not published $1,458.80 – $5,100.04 7
Nrv rpr w/nrv algrft 1st CPT 64912 not published not published $926.99 – $3,234.56 6
Nrv rpr w/nrv algrft ea addl CPT 64913 not published not published $175.12 – $642.71 6
Nsl/sins ndsc med&inf dcmprn CPT 31293 not published not published $1,118.07 – $3,863.66 7
Nsl/sins ndsc med/inf dcmprn CPT 31292 not published not published $1,030.64 – $3,576.56 7
Nsl/sins ndsc sphn tiss rmvl CPT 31259 not published not published $485.46 – $1,702.95 6
Nsl/sins ndsc surg frnt sins CPT 31296 not published not published $185.58 – $6,955.01 7
Nsl/sins ndsc surg frnt&sphn CPT 31298 not published not published $264.04 – $13,092.83 6
Nsl/sins ndsc surg max sins CPT 31295 not published not published $163.27 – $6,863.59 7
Nsl/sins ndsc surg on dcmprn CPT 31294 not published not published $1,275.98 – $4,421.29 7
Nsl/sins ndsc surg sphn sins CPT 31297 not published not published $148.93 – $6,810.41 7
Nsl/sins ndsc total CPT 31253 not published not published $514.76 – $1,806.34 6
Nsl/sins ndsc tot w/sphendt CPT 31257 not published not published $459.10 – $1,609.24 6
Nsl/sinus endoscopy surg dcr CPT 31239 not published not published $639.56 – $2,221.20 7
Nsl/sinus ndsc cryoabltj pnn CPT 31243 not published not published $163.40 – $163.40 4
Nsl/sinus ndsc rf abltj pnn CPT 31242 not published not published $163.40 – $163.40 4
Nsl/sns ndsc lig sphnptn art CPT 31241 not published not published $458.28 – $1,602.83 6
Ntrk1 translocation analysis CPT 81191 not published not published $217.68 – $800.22 7
Ntrk2 translocation analysis CPT 81192 not published not published $217.68 – $800.22 7
Ntrk3 translocation analysis CPT 81193 not published not published $217.68 – $800.22 7
Ntrk translocation analysis CPT 81194 not published not published $544.19 – $2,000.56 7
Ntrprof ph1/ntrnet/ehr 11-20 CPT 99447 $76.95 $135.00 $37.40 – $79.57 6
Ntrprof ph1/ntrnet/ehr 21-30 CPT 99448 not published not published $56.67 – $118.97 6
Ntrprof ph1/ntrnet/ehr 31/> CPT 99449 not published not published $75.67 – $158.88 6
Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 not published not published $37.06 – $80.86 6
Ntrprof ph1/ntrnet/ehr 5-10 CPT 99446 not published not published $18.77 – $39.39 6
Ntrprof ph1/ntrnet/ehr rfrl CPT 99452 not published not published $36.22 – $80.86 6
Ntsty modul rad tx dlvr cplx CPT 77386 not published not published $867.80 – $867.80 2
Ntsty modul rad tx dlvr smpl CPT 77385 not published not published $866.66 – $866.66 2
Nuclear exam of tear flow CPT 78660 not published not published $22.74 – $65.00 7
Nuclear localization/abscess CPT 78807 not published not published $117.32 – $229.55 3
Nuclear matrix protein 22 CPT 86386 not published not published $22.85 – $84.07 11
Nuclear rx intra-arterial CPT 79445 not published not published $115.11 – $264.60 7
Nuclear rx intra-articular CPT 79440 not published not published $85.50 – $112.36 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.