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 |
|---|---|---|---|---|
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $973.55 – $3,426.49 | 7 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $1,519.31 – $5,428.20 | 7 |
| Reconstruct windpipe CPT 31780 | not published | not published | $1,248.32 – $4,301.59 | 7 |
| Reconstruct windpipe CPT 31781 | not published | not published | $1,492.40 – $4,835.85 | 7 |
| Rectal sensation test CPT 91120 | not published | not published | $51.05 – $165.45 | 7 |
| Red cell mass multiple CPT 78121 | not published | not published | $13.84 – $34.03 | 7 |
| Red cell mass single CPT 78120 | not published | not published | $10.13 – $25.81 | 7 |
| Red cell sequestration CPT 78140 | not published | not published | $26.43 – $69.69 | 7 |
| Red cell survival kinetics CPT 78135 | not published | not published | $73.77 – $119.96 | 3 |
| Red cell survival study CPT 78130 | not published | not published | $26.43 – $70.49 | 7 |
| Redo compl cardiac anomaly CPT 33622 | not published | not published | $3,325.55 – $11,984.29 | 7 |
| Redo endovas vena cava filtr CPT 37192 | not published | not published | $329.11 – $4,823.33 | 7 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $939.02 – $3,300.60 | 7 |
| Reduce testis torsion CPT 54600 | not published | not published | $476.26 – $1,657.54 | 7 |
| Reduction of facial bones CPT 21209 | not published | not published | $642.88 – $2,938.76 | 7 |
| Reduction of procidentia 45900 CPT 45900 | not published | not published | $216.11 – $747.26 | 7 |
| Reduction of skull defect CPT 62115 | not published | not published | $1,653.80 – $5,657.29 | 7 |
| Reduction of skull defect CPT 62117 | not published | not published | $1,904.13 – $6,595.88 | 7 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | $867.13 – $3,059.21 | 7 |
| Reexploration pelvic wound 49014 CPT 49014 | not published | not published | $373.46 – $1,297.88 | 6 |
| Re-explore parathyroids CPT 60502 | not published | not published | $1,319.56 – $4,582.09 | 7 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $41.23 – $372.98 | 7 |
| Refill/maint pump/resvr syst CPT 96522 | not published | not published | $124.65 – $407.79 | 7 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $110.94 | $194.64 | $5.25 – $194.64 | 6 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | $139.89 – $512.29 | 7 |
| Reimplant ureter in bladder CPT 50782 | not published | not published | $1,116.39 – $3,931.35 | 7 |
| Reimplant ureter in bladder CPT 50783 | not published | not published | $1,169.74 – $4,123.13 | 7 |
| Reimplant ureter in bladder CPT 50785 | not published | not published | $1,255.00 – $4,425.08 | 7 |
| Reinforce clavicle CPT 23490 | not published | not published | $892.37 – $3,074.85 | 7 |
| Reinforce eye wall CPT 67250 | not published | not published | $960.52 – $3,067.50 | 7 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $729.80 – $2,490.41 | 7 |
| Reinforce hip bones CPT 27187 | not published | not published | $1,030.14 – $3,552.68 | 7 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $1,049.94 – $3,623.36 | 7 |
| Reinforce thigh CPT 27495 | not published | not published | $1,163.81 – $4,024.46 | 7 |
| Reinforce tibia CPT 27745 | not published | not published | $776.37 – $2,718.86 | 7 |
| Reinnervate larynx CPT 31590 | not published | not published | $981.31 – $3,167.81 | 7 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $1,306.22 – $4,535.21 | 7 |
| Reinsert ocular implant CPT 65155 | not published | not published | $1,027.45 – $3,293.14 | 7 |
| Release encircling material CPT 67115 | not published | not published | $528.66 – $1,814.06 | 7 |
| Release eye tissue CPT 67343 | not published | not published | $712.25 – $2,393.03 | 7 |
| Release facial nerve CPT 69720 | not published | not published | $1,239.29 – $4,250.74 | 7 |
| Release facial nerve CPT 69725 | not published | not published | $1,953.98 – $6,725.81 | 7 |
| Release facial nerve CPT 69955 | not published | not published | $2,054.24 – $7,078.20 | 7 |
| Release finger contracture CPT 26525 | not published | not published | $727.98 – $2,394.60 | 7 |
| Release forearm/hand tendon CPT 26449 | not published | not published | $739.49 – $2,492.59 | 7 |
| Release inner ear canal CPT 69960 | not published | not published | $1,965.40 – $6,823.91 | 7 |
| Release knuckle contracture CPT 26520 | not published | not published | $724.12 – $2,388.83 | 7 |
| Release middle ear bone CPT 69650 | not published | not published | $848.03 – $2,878.80 | 7 |
| Release muscles of hand CPT 26593 | not published | not published | $684.92 – $2,223.38 | 7 |
| Release of eye fluid CPT 67015 | not published | not published | $640.83 – $2,155.58 | 7 |
| Release of foot tendon CPT 28220 | not published | not published | $327.37 – $1,665.83 | 7 |
| Release of foot tendon 28225 CPT 28225 | not published | not published | $283.58 – $1,539.79 | 7 |
| Release of foot tendons CPT 28222 | $2,001.27 | $3,511.00 | $394.61 – $1,147.55 | 7 |
| Release of foot tendons CPT 28226 | not published | not published | $420.84 – $2,227.01 | 7 |
| Release of lower leg tendon CPT 27680 | not published | not published | $445.58 – $1,533.68 | 7 |
| Release of lower leg tendons CPT 27681 | not published | not published | $535.11 – $1,863.49 | 7 |
| Release of lung 32220 CPT 32220 | not published | not published | $1,583.38 – $5,563.99 | 7 |
| Release of midfoot joint CPT 28260 | not published | not published | $569.89 – $2,564.33 | 7 |
| Release of midfoot joint CPT 28264 | not published | not published | $705.14 – $3,640.01 | 7 |
| Release of shoulder ligament CPT 23415 | not published | not published | $729.69 – $2,492.93 | 7 |
| Release of skull seams CPT 61550 | not published | not published | $1,183.65 – $4,020.23 | 7 |
| Release of skull seams CPT 61552 | not published | not published | $1,456.40 – $4,994.51 | 7 |
| Release of ureter CPT 50715 | not published | not published | $1,236.42 – $4,323.41 | 7 |
| Release of ureter CPT 50722 | not published | not published | $1,050.90 – $3,713.66 | 7 |
| Release of ureter CPT 50940 | not published | not published | $924.91 – $3,244.69 | 7 |
| Release palm contracture CPT 26040 | not published | not published | $338.84 – $1,128.86 | 7 |
| Release palm contracture CPT 26121 | $875.52 | $1,536.00 | $631.84 – $1,287.79 | 7 |
| Release palm contracture CPT 26123 | $2,569.56 | $4,508.00 | $880.84 – $1,798.30 | 7 |
| Release palm contracture CPT 26125 | $873.24 | $1,532.00 | $272.50 – $581.66 | 7 |
| Release palm contracture 26045 CPT 26045 | not published | not published | $500.51 – $1,686.86 | 7 |
| Release palm & finger tendon CPT 26442 | not published | not published | $1,045.78 – $3,489.64 | 7 |
| Release palm/finger tendon CPT 26440 | not published | not published | $691.36 – $2,276.18 | 7 |
| Release/revise ureter CPT 50725 | not published | not published | $1,144.17 – $4,032.34 | 7 |
| Release spinal cord lumbar CPT 63200 | not published | not published | $1,502.59 – $5,178.56 | 7 |
| Release thumb contracture CPT 26508 | not published | not published | $718.77 – $2,336.93 | 7 |
| Release wrist/forearm tendon CPT 25295 | not published | not published | $556.99 – $1,889.48 | 7 |
| Relieve bladder contracture CPT 52640 | not published | not published | $341.65 – $1,158.56 | 7 |
| Relieve cranial pressure 61345 CPT 61345 | not published | not published | $1,982.54 – $6,855.64 | 7 |
| Relocation of testis(es) CPT 54680 | not published | not published | $821.77 – $2,882.18 | 7 |
| Relocation skin pocket aicd CPT 33223 | not published | not published | $407.62 – $1,451.33 | 7 |
| Relocation skin pocket pm CPT 33222 | not published | not published | $344.85 – $1,206.49 | 7 |
| Rem/biv cast full arm/leg CPT 29705 | $173.28 | $304.00 | $45.87 – $146.54 | 7 |
| Rem/biv cast shldr/hip spica CPT 29710 | not published | not published | $83.62 – $433.28 | 7 |
| Rem endovas vena cava filter CPT 37193 | not published | not published | $346.64 – $5,759.48 | 7 |
| Rem interrog dev eval icpms CPT 93297 | not published | not published | $26.41 – $88.56 | 7 |
| Rem interrog dev eval scrms CPT 93298 | not published | not published | $26.41 – $89.71 | 7 |
| Rem interrog evl pm/ids CPT 93296 | $107.73 | $189.00 | $22.60 – $82.57 | 7 |
| Rem interrog evl pm/ldls pm CPT 93294 | $83.22 | $146.00 | $31.07 – $102.92 | 7 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | not published | not published | $50.43 – $133.39 | 6 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | not published | not published | $20.94 – $39.73 | 6 |
| Rem mntr wrls p-art prs snr CPT 93264 | not published | not published | $36.72 – $166.06 | 6 |
| Remote 30 day ecg rev/report CPT 93228 | not published | not published | $26.47 – $87.37 | 7 |
| Remote 30 day ecg tech supp CPT 93229 | not published | not published | $869.18 – $2,289.44 | 7 |
| Removal abdomen lymph nodes 38564 CPT 38564 | not published | not published | $712.23 – $2,503.05 | 7 |
| Removal allograft pancreas CPT 48556 | not published | not published | $1,301.00 – $4,501.76 | 7 |
| Removal anal seton other marker 46030 CPT 46030 | not published | not published | $89.18 – $520.46 | 7 |
| Removal biliary drg cath CPT 47537 | not published | not published | $98.77 – $1,644.38 | 6 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | not published | not published | $139.51 – $599.93 | 7 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $461.13 | $809.00 | $192.88 – $797.55 | 7 |
| Removal cerclage w/anes CPT 59871 | not published | not published | $131.44 – $459.94 | 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.