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 |
|---|---|---|---|---|
| Removal of frontal sinus CPT 31087 | not published | not published | $1,180.31 – $3,947.40 | 7 |
| Removal of frontal sinus 31085 CPT 31085 | not published | not published | $1,312.91 – $4,374.86 | 7 |
| Removal of gallbladder 47600 CPT 47600 | $2,017.80 | $3,540.00 | $1,074.52 – $2,274.88 | 7 |
| Removal of gallbladder 47610 CPT 47610 | $2,403.12 | $4,216.00 | $1,247.66 – $2,665.72 | 7 |
| Removal of gallbladder 47620 CPT 47620 | not published | not published | $1,369.16 – $4,848.79 | 7 |
| Removal of gum tissue CPT 41830 | not published | not published | $327.99 – $1,651.54 | 7 |
| Removal of head of humerus CPT 23195 | not published | not published | $779.75 – $2,675.10 | 7 |
| Removal of heel bone CPT 28118 | $667.47 | $1,171.00 | $448.09 – $1,336.12 | 7 |
| Removal of heel spur CPT 28119 | $613.89 | $1,077.00 | $389.86 – $1,183.74 | 7 |
| Removal of hip foreign body 27087 CPT 27087 | not published | not published | $633.03 – $2,192.21 | 7 |
| Removal of hip joint lining CPT 27054 | not published | not published | $718.72 – $2,454.26 | 7 |
| Removal of hip prosthesis CPT 27090 | not published | not published | $860.04 – $2,967.53 | 7 |
| Removal of hip prosthesis CPT 27091 | not published | not published | $1,628.99 – $5,688.86 | 7 |
| Removal of humerus lesion CPT 23150 | not published | not published | $697.64 – $2,382.38 | 7 |
| Removal of humerus lesion CPT 23155 | not published | not published | $830.58 – $2,841.79 | 7 |
| Removal of humerus lesion CPT 23156 | not published | not published | $709.51 – $2,423.59 | 7 |
| Removal of hydrocele CPT 55040 | $658.35 | $1,155.00 | $356.68 – $729.36 | 7 |
| Removal of hydrocele CPT 55500 | not published | not published | $409.87 – $1,424.29 | 7 |
| Removal of hydroceles CPT 55041 | not published | not published | $537.58 – $1,866.79 | 7 |
| Removal of implant deep CPT 20680 | $566.01 | $993.00 | $438.29 – $1,375.33 | 7 |
| Removal of infusion pump CPT 36262 | not published | not published | $321.99 – $1,094.29 | 7 |
| Removal of inner eye fluid CPT 67036 | not published | not published | $945.74 – $3,274.73 | 7 |
| Removal of inner eye lesion CPT 66770 | not published | not published | $509.78 – $1,931.06 | 7 |
| Removal of intranasal lesion CPT 30117 | not published | not published | $439.18 – $3,384.83 | 7 |
| Removal of intranasal lesion CPT 30118 | not published | not published | $750.54 – $2,791.88 | 7 |
| Removal of iris CPT 66605 | not published | not published | $1,150.64 – $3,931.43 | 7 |
| Removal of iris CPT 66625 | not published | not published | $454.55 – $1,560.53 | 7 |
| Removal of iris CPT 66630 | not published | not published | $600.27 – $2,067.08 | 7 |
| Removal of iris CPT 66635 | not published | not published | $605.77 – $2,085.68 | 7 |
| Removal of ischial bursa CPT 27060 | not published | not published | $490.79 – $1,663.09 | 7 |
| Removal of jaw bone lesion CPT 21044 | not published | not published | $904.14 – $3,128.81 | 7 |
| Removal of jaw joint CPT 21050 | not published | not published | $913.04 – $3,227.33 | 7 |
| Removal of kidney & ureter CPT 50234 | not published | not published | $1,345.89 – $4,749.04 | 7 |
| Removal of kidney & ureter CPT 50236 | not published | not published | $1,517.37 – $5,355.64 | 7 |
| Removal of kneecap CPT 27350 | not published | not published | $685.42 – $2,334.79 | 7 |
| Removal of kneecap bursa CPT 27340 | $479.94 | $842.00 | $398.48 – $808.85 | 7 |
| Removal of knee cartilage CPT 27332 | not published | not published | $676.42 – $2,302.13 | 7 |
| Removal of knee cartilage CPT 27333 | not published | not published | $618.99 – $2,097.94 | 7 |
| Removal of knee cyst CPT 27345 | not published | not published | $512.91 – $1,731.41 | 7 |
| Removal of knee prosthesis CPT 27488 | not published | not published | $1,235.89 – $4,284.53 | 7 |
| Removal of larynx CPT 31360 | not published | not published | $2,144.52 – $7,460.59 | 7 |
| Removal of larynx CPT 31365 | not published | not published | $2,641.25 – $9,223.43 | 7 |
| Removal of larynx lesion CPT 31300 | not published | not published | $1,313.83 – $4,566.00 | 7 |
| Removal of larynx lesion 31512 CPT 31512 | not published | not published | $134.75 – $759.86 | 7 |
| Removal of larynx & pharynx CPT 31390 | not published | not published | $2,914.41 – $10,215.53 | 7 |
| Removal of lens lesion CPT 66830 | not published | not published | $750.02 – $2,587.46 | 7 |
| Removal of lens material CPT 66840 | not published | not published | $732.18 – $2,529.79 | 7 |
| Removal of lens material CPT 66850 | not published | not published | $832.66 – $2,880.15 | 7 |
| Removal of lens material CPT 66852 | not published | not published | $885.33 – $3,068.48 | 7 |
| Removal of lung extrapleural CPT 32445 | not published | not published | $3,444.68 – $12,326.93 | 7 |
| Removal of lung lesion 32540 CPT 32540 | not published | not published | $1,695.63 – $6,059.36 | 7 |
| Removal of lung lesion(s) CPT 32140 | not published | not published | $980.10 – $3,464.48 | 7 |
| Removal of lung lesion(s) 32150 CPT 32150 | not published | not published | $1,010.43 – $3,521.59 | 7 |
| Removal of lymph nodes neck CPT 38700 | not published | not published | $841.89 – $2,894.85 | 7 |
| Removal of lymph nodes neck CPT 38724 | not published | not published | $1,506.94 – $5,208.98 | 7 |
| Removal of metatarsal CPT 28140 | not published | not published | $447.86 – $2,152.88 | 7 |
| Removal of metatarsal heads CPT 28114 | not published | not published | $884.23 – $3,866.40 | 7 |
| Removal of neck wrinkles CPT 15825 | not published | not published | $4,505.63 – $4,505.63 | 2 |
| Removal of nerve lesion CPT 64790 | not published | not published | $864.97 – $2,945.03 | 7 |
| Removal of nerve lesion CPT 64792 | not published | not published | $1,091.07 – $3,723.41 | 7 |
| Removal of nose CPT 30160 | not published | not published | $861.07 – $2,857.43 | 7 |
| Removal of nose lesion CPT 30124 | not published | not published | $324.42 – $1,054.61 | 7 |
| Removal of nose lesion CPT 30125 | not published | not published | $693.30 – $2,272.20 | 7 |
| Removal of nose polyp(s) 30115 CPT 30115 | not published | not published | $495.61 – $1,610.85 | 7 |
| Removal of ocular implant CPT 65175 | not published | not published | $830.59 – $2,606.93 | 7 |
| Removal of omentum 49255 CPT 49255 | not published | not published | $808.43 – $2,803.76 | 7 |
| Removal of ovary(s) 58940 CPT 58940 | not published | not published | $576.17 – $1,941.98 | 7 |
| Removal of ovary/tube(s) CPT 58720 | $1,341.21 | $2,353.00 | $788.50 – $1,574.37 | 7 |
| Removal of palm tendon each CPT 26170 | not published | not published | $434.53 – $1,464.86 | 7 |
| Removal of pancreas CPT 48155 | not published | not published | $1,821.71 – $6,400.35 | 7 |
| Removal of pancreas lesion CPT 48120 | not published | not published | $1,112.81 – $3,910.91 | 7 |
| Removal of pancreatic duct CPT 48148 | not published | not published | $1,250.85 – $4,404.26 | 7 |
| Removal of pancreatic stone CPT 48020 | not published | not published | $1,181.18 – $4,154.44 | 7 |
| Removal of pelvic structures CPT 51597 | not published | not published | $2,369.76 – $8,370.56 | 7 |
| Removal of pelvis contents CPT 58240 | not published | not published | $3,017.19 – $10,446.90 | 7 |
| Removal of penis CPT 54125 | not published | not published | $856.69 – $2,975.74 | 7 |
| Removal of pituitary gland CPT 61546 | not published | not published | $2,233.64 – $7,743.86 | 7 |
| Removal of pituitary gland CPT 61548 | not published | not published | $1,545.01 – $5,346.23 | 7 |
| Removal of prostate CPT 55801 | not published | not published | $1,139.34 – $4,005.11 | 7 |
| Removal of prostate CPT 55821 | not published | not published | $873.84 – $3,196.01 | 7 |
| Removal of prostate CPT 55831 | not published | not published | $895.36 – $3,459.45 | 7 |
| Removal of rectum CPT 45120 | not published | not published | $1,596.80 – $5,616.90 | 7 |
| Removal of rectum and colon CPT 45121 | not published | not published | $1,740.56 – $6,132.08 | 7 |
| Removal of rib CPT 21615 | not published | not published | $622.07 – $2,158.50 | 7 |
| Removal of salivary stone CPT 42340 | not published | not published | $365.02 – $1,801.61 | 7 |
| Removal of salivary stone 42335 CPT 42335 | not published | not published | $279.34 – $1,467.90 | 7 |
| Removal of scrotum CPT 55150 | not published | not published | $517.43 – $1,795.95 | 7 |
| Removal of scrotum lesion CPT 55120 | not published | not published | $375.31 – $1,293.90 | 7 |
| Removal of sesamoid bone CPT 28315 | $550.62 | $966.00 | $348.26 – $1,083.35 | 7 |
| Removal of shunt CPT 49429 | not published | not published | $458.17 – $1,614.49 | 7 |
| Removal of skin tags each add'l 10 CPT 11201 | $47.31 | $83.00 | $16.89 – $67.54 | 7 |
| Removal of skin wrinkles CPT 15829 | not published | not published | $9,512.18 – $9,512.18 | 2 |
| Removal of small intestine 44125 CPT 44125 | not published | not published | $1,180.88 – $4,173.19 | 7 |
| Removal of sperm cord lesion CPT 55520 | not published | not published | $468.09 – $1,613.18 | 7 |
| Removal of spinal shunt CPT 63746 | not published | not published | $611.92 – $2,054.55 | 7 |
| Removal of spleen partial CPT 38101 | not published | not published | $1,158.78 – $4,094.33 | 7 |
| Removal of spleen total 38102 CPT 38102 | not published | not published | $259.71 – $924.75 | 7 |
| Removal of stomach CPT 43620 | not published | not published | $1,966.49 – $6,969.94 | 7 |
| Removal of stomach CPT 43622 | not published | not published | $2,287.55 – $8,122.95 | 7 |
| Removal of stomach 43621 CPT 43621 | not published | not published | $2,257.30 – $7,982.63 | 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.