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
Osteoplasty humerus CPT 24420 not published not published $1,105.41 – $3,673.65 7
Osteot dsc ant 1 vrt sgm crv CPT 22220 not published not published $1,630.00 – $5,656.73 7
Osteot dsc ant 1vrt sgm ea CPT 22226 not published not published $352.46 – $1,259.55 7
Osteot dsc ant 1vrt sgm lmbr CPT 22224 not published not published $1,612.96 – $5,602.43 7
Osteot dsc ant 1vrt sgm thrc CPT 22222 not published not published $1,731.79 – $5,891.48 7
Osteot humerus w/wo int fixj CPT 24400 not published not published $861.09 – $2,943.11 7
Osteot mlt relignmt imed rod CPT 27712 not published not published $1,137.71 – $3,932.85 7
Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 not published not published $710.57 – $2,441.10 7
Ot evaluation high complexity patient/family CPT 97167 $312.93 $549.00 $110.00 – $110.48 6
Ot evaluation low complexity patient/family CPT 97165 $222.30 $390.00 $110.00 – $110.91 6
Ot evaluation moderate complexity patient/family CPT 97166 $268.47 $471.00 $110.00 – $110.48 6
Other bone graft microvasc CPT 20962 not published not published $2,732.76 – $9,486.19 7
Other immunoelectrophoresis CPT 86325 not published not published $24.29 – $89.28 11
Oth resp proc, group HCPCS G0239 $318.63 $559.00 $13.68 – $38.60 6
Oth resp proc, indiv HCPCS G0238 $72.39 $127.00 $10.83 – $30.49 6
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 $135.09 $237.00 $56.55 – $64.23 6
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 $123.69 $217.00 $51.59 – $78.34 7
Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 $86.64 $152.00 $34.40 – $61.63 7
Otolaryngo binocular microscopy 92504 CPT 92504 not published not published $9.69 – $95.28 7
Otoplasty 69300 CPT 69300 not published not published $495.74 – $2,236.65 7
Ot re-evaluation patient/family CPT 97168 $114.00 $200.00 $75.76 – $76.46 6
Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 $102.60 $180.00 $48.01 – $72.00 7
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 $30.21 $53.00 $23.01 – $28.14 6
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 $60.42 $106.00 $24.12 – $29.46 6
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 $98.61 $173.00 $37.41 – $65.82 7
Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 $113.43 $199.00 $43.05 – $68.58 7
Ot training self care/home management direct contact each 15 minutes CPT 97535 $97.47 $171.00 $41.66 – $71.35 7
Outflow tarct agmntj heart chamber 33478 CPT 33478 not published not published $1,546.53 – $5,500.50 7
Out of office emerg med serv CPT 99060 not published not published $77.81 – $77.81 2
Ovarian cystectomy 58925 CPT 58925 not published not published $791.87 – $2,724.64 7
Ovulation tests CPT 84830 not published not published $13.34 – $49.02 11
Oxaliplatin 5 mg/ml desensitization HCPCS J9263 $0.89 $1.57 $0.10 – $1.57 7
Oxytocin 10 unit/ml injection solution HCPCS J2590 $63.27 $111.00 $3.20 – $3.20 2
Pabpn1 gene detc abnor allel CPT 81312 not published not published $143.85 – $528.82 7
Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 $0.67 $1.17 $0.14 – $1.17 6
Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 $28.64 $50.25 $11.76 – $50.25 7
Palb2 gene full gene seq CPT 81307 not published not published $390.37 – $2,611.29 7
Palb2 gene known famil vrnt CPT 81308 not published not published $316.42 – $1,163.21 7
Palivizumab 50 mg/0.5 ml inj CPT 90378 not published not published $560.47 – $560.47 2
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 $61.51 $107.91 $14.46 – $29.00 6
Pancreas removal/transplant CPT 48160 not published not published $11,242.01 – $11,242.01 2
Pancreatectomy CPT 48146 not published not published $1,879.93 – $6,641.59 7
Pancreatectomy CPT 48152 not published not published $2,862.88 – $10,173.94 7
Pancreatectomy CPT 48154 not published not published $2,875.40 – $10,217.51 7
Pancreatectomy 48153 CPT 48153 not published not published $3,082.78 – $10,926.53 7
Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 not published not published $1,565.75 – $5,512.13 7
Pancreatorrhaphy CPT 48545 not published not published $1,344.64 – $4,740.94 7
Papaverin hcl injection HCPCS J2440 $33.06 $58.00 $48.75 – $48.75 2
Parathormone (pth) intact CPT 83970 $144.21 $253.00 $43.34 – $159.34 11
Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 not published not published $1,432.62 – $4,943.66 7
Parathyrd planar w/spect&ct CPT 78072 not published not published $78.00 – $189.10 7
Parathyroid autotransplantation 60512 CPT 60512 not published not published $241.94 – $858.00 7
Parathyroid planar imaging CPT 78070 not published not published $39.95 – $95.41 7
Parathyroid planar img w/tomo spect CPT 78071 $686.28 $1,204.00 $59.39 – $143.67 7
Paravaginal defect repair 57284 CPT 57284 not published not published $865.97 – $2,997.04 7
Parial mast w/lymph removal 19302 CPT 19302 $1,365.15 $2,395.00 $915.98 – $1,912.55 7
Paring/cutting benign hyperkeratotic lesion single CPT 11055 $207.48 $364.00 $16.27 – $105.55 7
Parotid duct diversion CPT 42507 not published not published $523.02 – $1,802.48 7
Parotid duct diversion CPT 42509 not published not published $858.78 – $2,985.86 7
Parotid duct diversion CPT 42510 not published not published $640.33 – $2,214.08 7
Part exc/post vert comp/sng/thorac 22101 CPT 22101 not published not published $891.75 – $3,030.38 7
Part hymenectomy/revi hymenal ring 56700 CPT 56700 not published not published $213.01 – $710.06 7
Partial complicated cystectomy 51555 CPT 51555 not published not published $1,304.76 – $4,613.70 7
Partial exc bone humerus CPT 24140 not published not published $734.73 – $2,516.10 7
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 $842.46 $1,478.00 $468.33 – $1,347.16 7
Partial excision of lip CPT 40500 not published not published $394.07 – $1,871.74 7
Partial hip replacement CPT 27125 $1,927.17 $3,381.00 $1,164.81 – $2,435.18 7
Partial hysterectomy CPT 58180 not published not published $994.06 – $3,468.71 7
Partial proctectomy CPT 45113 not published not published $1,922.70 – $6,835.31 7
Partial proctectomy; perineal 45123 CPT 45123 not published not published $1,140.80 – $4,007.81 7
Partial removal donor liver CPT 47140 not published not published $3,556.16 – $12,527.36 7
Partial removal donor liver CPT 47141 not published not published $4,245.45 – $14,982.90 7
Partial removal donor liver CPT 47142 not published not published $4,670.22 – $16,514.14 7
Partial removal finger bone CPT 26235 not published not published $521.25 – $1,770.71 7
Partial removal finger bone CPT 26236 not published not published $468.18 – $1,584.79 7
Partial removal foot fascia CPT 28060 $594.51 $1,043.00 $384.73 – $1,165.15 7
Partial removal leg bone(s) CPT 27360 not published not published $940.88 – $3,141.41 7
Partial removal of bladder CPT 51550 not published not published $997.38 – $3,502.73 7
Partial removal of esophagus CPT 43116 not published not published $4,826.76 – $17,412.41 7
Partial removal of esophagus CPT 43118 not published not published $3,527.75 – $12,686.33 7
Partial removal of esophagus CPT 43121 not published not published $2,796.06 – $9,989.29 7
Partial removal of esophagus CPT 43123 not published not published $4,384.79 – $15,766.54 7
Partial removal of esophagus 43117 CPT 43117 not published not published $3,197.02 – $11,377.13 7
Partial removal of esophagus 43122 CPT 43122 not published not published $2,543.37 – $8,982.56 7
Partial removal of eye fluid CPT 67005 not published not published $505.94 – $1,719.19 7
Partial removal of eye fluid CPT 67010 not published not published $577.91 – $1,972.20 7
Partial removal of fibula CPT 27641 not published not published $683.68 – $2,384.81 7
Partial removal of foot bone CPT 28288 $668.61 $1,173.00 $465.57 – $1,359.80 7
Partial removal of hand bone CPT 26230 not published not published $527.91 – $1,796.51 7
Partial removal of heart sac 33030 CPT 33030 not published not published $1,957.33 – $6,987.68 7
Partial removal of larynx CPT 31367 not published not published $2,270.34 – $7,899.68 7
Partial removal of larynx CPT 31368 not published not published $2,508.53 – $8,761.58 7
Partial removal of larynx CPT 31370 not published not published $2,132.85 – $7,426.16 7
Partial removal of larynx CPT 31375 not published not published $2,028.19 – $7,049.59 7
Partial removal of larynx CPT 31380 not published not published $2,000.48 – $6,951.90 7
Partial removal of larynx CPT 31382 not published not published $2,188.76 – $7,622.36 7
Partial removal of lip CPT 40530 not published not published $426.25 – $1,976.06 7
Partial removal of liver CPT 47125 not published not published $3,052.12 – $10,826.89 7
Partial removal of liver CPT 47130 not published not published $3,272.61 – $11,625.60 7
Partial removal of lung 32480 CPT 32480 not published not published $1,455.65 – $5,169.38 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.