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 stomach partial CPT 43634 | not published | not published | $2,106.06 – $7,470.45 | 7 |
| Removal of stomach partial 43631 CPT 43631 | not published | not published | $1,448.36 – $5,113.16 | 7 |
| Removal of stomachpartial 43632 CPT 43632 | $3,898.23 | $6,839.00 | $2,023.10 – $4,297.31 | 7 |
| Removal of suture from anus 46754 CPT 46754 | not published | not published | $257.02 – $1,182.11 | 7 |
| Removal of tail bone CPT 27080 | not published | not published | $524.38 – $1,813.88 | 7 |
| Removal of tear gland CPT 68500 | not published | not published | $1,125.90 – $3,692.70 | 7 |
| Removal of tear sac CPT 68520 | not published | not published | $782.80 – $2,581.84 | 7 |
| Removal of tendon for graft CPT 20924 | not published | not published | $528.37 – $1,817.70 | 7 |
| Removal of tendon lesion CPT 27630 | not published | not published | $379.54 – $2,005.24 | 7 |
| Removal of testis CPT 54520 | not published | not published | $344.56 – $1,188.71 | 7 |
| Removal of testis CPT 54530 | not published | not published | $534.24 – $1,852.54 | 7 |
| Removal of thyroid CPT 60240 | $1,849.65 | $3,245.00 | $937.31 – $1,981.16 | 7 |
| Removal of thyroid CPT 60252 | not published | not published | $1,347.84 – $4,696.09 | 7 |
| Removal of thyroid CPT 60271 | not published | not published | $1,078.39 – $3,759.64 | 7 |
| Removal of toe lesions CPT 28092 | not published | not published | $292.38 – $1,562.03 | 7 |
| Removal of toe lesions CPT 28108 | not published | not published | $309.75 – $1,621.73 | 7 |
| Removal of tongue CPT 41140 | not published | not published | $2,269.52 – $7,876.01 | 7 |
| Removal of upper jaw CPT 31225 | not published | not published | $1,881.41 – $6,576.23 | 7 |
| Removal of upper jaw CPT 31230 | not published | not published | $2,096.77 – $7,291.35 | 7 |
| Removal of ureter CPT 50650 | not published | not published | $1,077.49 – $3,789.45 | 7 |
| Removal of ureter CPT 50660 | not published | not published | $1,186.44 – $4,182.30 | 7 |
| Removal of ureter stone CPT 51060 | not published | not published | $611.50 – $2,128.76 | 7 |
| Removal of ureter stone CPT 50610 | not published | not published | $981.58 – $3,456.00 | 7 |
| Removal of ureter stone CPT 50620 | not published | not published | $939.42 – $3,305.14 | 7 |
| Removal of ureter stone CPT 50630 | not published | not published | $928.24 – $3,263.78 | 7 |
| Removal of urethra CPT 53210 | not published | not published | $809.37 – $2,847.49 | 7 |
| Removal of urethra CPT 53215 | not published | not published | $963.91 – $3,394.58 | 7 |
| Removal of urethra gland CPT 53250 | not published | not published | $417.31 – $1,447.24 | 7 |
| Removal of urethra gland CPT 53270 | not published | not published | $194.18 – $760.01 | 7 |
| Removal of urethra lesion CPT 53230 | not published | not published | $636.29 – $2,221.31 | 7 |
| Removal of urethra lesion CPT 53235 | not published | not published | $664.24 – $2,316.26 | 7 |
| Removal of vein clot CPT 34421 | not published | not published | $672.28 – $2,598.26 | 7 |
| Removal of vein clot CPT 34471 | not published | not published | $1,040.91 – $3,737.59 | 7 |
| Removal of vein clot CPT 34401 | not published | not published | $1,476.82 – $5,120.14 | 7 |
| Removal of vein clot CPT 34451 | not published | not published | $1,381.15 – $4,972.58 | 7 |
| Removal of vein clot 34490 CPT 34490 | not published | not published | $557.93 – $2,235.38 | 7 |
| Removal of wrist bone CPT 25210 | $623.01 | $1,093.00 | $522.68 – $1,056.93 | 7 |
| Removal of wrist bones CPT 25215 | not published | not published | $652.51 – $2,220.56 | 7 |
| Removal of wrist lesion CPT 25130 | not published | not published | $479.77 – $1,614.94 | 7 |
| Removal of wrist prosthesis CPT 25250 | not published | not published | $562.12 – $1,902.75 | 7 |
| Removal of wrist prosthesis CPT 25251 | not published | not published | $750.45 – $2,569.88 | 7 |
| Removal prosth radial head CPT 24164 | not published | not published | $754.67 – $2,586.04 | 7 |
| Removal/replacement ppm generator dual lead system CPT 33228 | not published | not published | $353.00 – $26,705.00 | 8 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $202.35 | $355.00 | $81.63 – $193.68 | 7 |
| Removal sutr and stapl no anes CPT 15854 | $34.77 | $61.00 | $16.66 – $59.96 | 6 |
| Removal sutr or stapl no anes CPT 15853 | $25.08 | $44.00 | $12.25 – $42.83 | 6 |
| Removal sutr/staple req anes CPT 15851 | not published | not published | $68.54 – $374.63 | 7 |
| Removal tunnled intprtnl cath CPT 49422 | not published | not published | $219.01 – $816.15 | 7 |
| Removal w/reinsrt nonbiogrdble CPT 11983 | $369.36 | $648.00 | $105.02 – $461.61 | 7 |
| Remove abdomen lymph nodes 38780 CPT 38780 | not published | not published | $1,075.39 – $3,719.66 | 7 |
| Remove abdominal lymph nodes 38747 CPT 38747 | not published | not published | $262.63 – $937.88 | 7 |
| Remove anal fist complex CPT 46280 | not published | not published | $502.29 – $1,714.13 | 7 |
| Remove anal fist inter CPT 46275 | not published | not published | $442.62 – $1,997.59 | 7 |
| Remove anal fist subq CPT 46270 | $493.62 | $866.00 | $418.51 – $1,120.06 | 7 |
| Remove aneurysm sinus CPT 61613 | not published | not published | $3,188.44 – $11,123.78 | 7 |
| Remove ankle joint lining CPT 27625 | not published | not published | $604.54 – $2,088.83 | 7 |
| Remove ankle joint lining CPT 27626 | not published | not published | $650.92 – $2,191.54 | 7 |
| Remove armpit lymph nodes CPT 38745 | not published | not published | $890.79 – $3,098.89 | 7 |
| Remove bladder/create pouch CPT 51596 | not published | not published | $2,430.38 – $8,600.25 | 7 |
| Remove bladder/revise tract CPT 51580 | not published | not published | $1,961.75 – $6,934.35 | 7 |
| Remove bladder/revise tract CPT 51590 | not published | not published | $1,991.70 – $7,061.51 | 7 |
| Remove bladder/revise tract CPT 51595 | not published | not published | $2,255.54 – $7,996.20 | 7 |
| Remove bladder stone CPT 52317 | not published | not published | $355.78 – $3,187.13 | 7 |
| Remove bladder stone CPT 52318 | not published | not published | $485.47 – $1,728.68 | 7 |
| Remove blood clot from eye CPT 65930 | not published | not published | $679.16 – $2,331.23 | 7 |
| Remove brain canal fluid CPT 61050 | not published | not published | $83.95 – $311.06 | 7 |
| Remove brain cavity shunt 62256 CPT 62256 | not published | not published | $612.59 – $2,052.71 | 7 |
| Remove brain electrodes CPT 61535 | not published | not published | $994.47 – $3,383.66 | 7 |
| Remove brain lining lesion 61512 CPT 61512 | not published | not published | $2,469.74 – $8,572.28 | 7 |
| Remove brain tumor w/scope CPT 62164 | not published | not published | $2,040.22 – $7,033.05 | 7 |
| Remove cadaver donor kidney CPT 50300 | not published | not published | $3,494.51 – $3,494.51 | 2 |
| Remove carotid body lesion CPT 60605 | not published | not published | $1,589.46 – $5,761.13 | 7 |
| Remove cartilage for graft CPT 20910 | not published | not published | $500.92 – $1,679.55 | 7 |
| Remove cartilage for graft CPT 20912 | not published | not published | $508.07 – $1,714.24 | 7 |
| Remove collar bone lesion CPT 23170 | not published | not published | $593.44 – $2,009.89 | 7 |
| Remove colloid cyst w/scope CPT 62162 | not published | not published | $1,837.86 – $6,348.41 | 7 |
| Remove coronoid process CPT 21070 | not published | not published | $643.28 – $2,288.18 | 7 |
| Remove cranial cavity fluid CPT 61001 | not published | not published | $104.82 – $361.31 | 7 |
| Remove cva lumen obstruct CPT 75902 | not published | not published | $18.83 – $45.95 | 7 |
| Remove digit nerve lesion 64776 CPT 64776 | not published | not published | $426.25 – $1,411.39 | 7 |
| Remove ear canal lesion(s) CPT 69145 | not published | not published | $273.64 – $1,442.81 | 7 |
| Remove ear canal lesion(s) 69140 CPT 69140 | not published | not published | $955.63 – $3,155.29 | 7 |
| Remove electrode/thoracotomy CPT 33237 | not published | not published | $835.55 – $2,939.29 | 7 |
| Remove electrode/thoracotomy CPT 33238 | not published | not published | $945.15 – $3,301.80 | 7 |
| Remove electrode/thoracotomy 33236 CPT 33236 | not published | not published | $780.01 – $2,740.50 | 7 |
| Remove eltrd/thoracotomy 33243 CPT 33243 | not published | not published | $1,355.80 – $4,802.78 | 7 |
| Remove epididymis lesion CPT 54830 | not published | not published | $393.04 – $1,360.58 | 7 |
| Remove epididymis lesion CPT 54840 | not published | not published | $339.60 – $1,176.04 | 7 |
| Remove esophagus obstruction CPT 74235 | not published | not published | $60.09 – $152.92 | 7 |
| Remove exostosis maxilla CPT 21032 | not published | not published | $277.27 – $1,426.65 | 7 |
| Remove ext hem groups 2+ CPT 46250 | not published | not published | $331.26 – $1,711.58 | 7 |
| Remove extra spine segment CPT 22103 | not published | not published | $133.29 – $487.13 | 7 |
| Remove extra spine segment CPT 22116 | not published | not published | $136.42 – $484.01 | 7 |
| Remove eye/attach implant CPT 65105 | not published | not published | $1,016.70 – $3,286.80 | 7 |
| Remove eye implant material CPT 67120 | not published | not published | $587.25 – $2,430.15 | 7 |
| Remove eye implant material CPT 67121 | not published | not published | $953.19 – $3,299.93 | 7 |
| Remove eye/insert implant CPT 65103 | not published | not published | $934.89 – $3,000.49 | 7 |
| Remove eye lesion CPT 65900 | not published | not published | $1,048.05 – $3,573.15 | 7 |
| Remove eye lesion CPT 66130 | not published | not published | $596.29 – $2,565.38 | 7 |
| Remove eyelid lesion CPT 67800 | not published | not published | $108.16 – $467.89 | 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.