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 |
|---|---|---|---|---|
| Remove shoulder fb deep CPT 23333 | not published | not published | $497.90 – $1,655.89 | 6 |
| Remove shoulder foreign body subq 23330 CPT 23330 | not published | not published | $176.26 – $1,045.58 | 7 |
| Remove skin nerve lesion CPT 64774 | not published | not published | $446.41 – $1,475.36 | 7 |
| Remove skin nerve lesion 64788 CPT 64788 | not published | not published | $427.27 – $1,436.89 | 7 |
| Remove skull plate/flap 62142 CPT 62142 | not published | not published | $885.65 – $3,012.68 | 7 |
| Remove sperm duct pouch CPT 55650 | not published | not published | $750.84 – $2,626.28 | 7 |
| Remove sperm pouch lesion CPT 55680 | not published | not published | $366.19 – $1,267.88 | 7 |
| Remove spinal canal catheter 62355 CPT 62355 | not published | not published | $284.84 – $958.80 | 7 |
| Remove spinal cord lesion CPT 63600 | not published | not published | $1,071.85 – $3,674.81 | 7 |
| Remove spinal lamina add-on 63048 CPT 63048 | not published | not published | $204.43 – $726.41 | 7 |
| Remove spine eltrd perq aray CPT 63661 | $3,014.73 | $5,289.00 | $339.34 – $2,315.85 | 7 |
| Remove spine eltrd plate CPT 63662 | not published | not published | $853.21 – $2,899.01 | 7 |
| Remove spine fixation device CPT 22850 | not published | not published | $744.92 – $2,545.65 | 7 |
| Remove spine fixation device CPT 22852 | not published | not published | $718.69 – $2,448.23 | 7 |
| Remove spine infusion device CPT 62365 | not published | not published | $305.98 – $1,039.88 | 7 |
| Remove spine lamieieiotina >2 crvcl 63015 CPT 63015 | not published | not published | $1,459.47 – $5,038.80 | 7 |
| Remove spine lamina 1/2 crvl CPT 63001 | not published | not published | $1,214.45 – $4,213.65 | 7 |
| Remove spine lamina 1/2 lmbr CPT 63005 | not published | not published | $1,190.99 – $4,086.08 | 7 |
| Remove spine lamina 1/2 scrl CPT 63011 | not published | not published | $1,104.78 – $3,812.59 | 7 |
| Remove spine lamina 1/2 thrc CPT 63003 | not published | not published | $1,220.12 – $4,230.26 | 7 |
| Remove spine lamina >2 lmbr CPT 63017 | not published | not published | $1,250.60 – $4,297.76 | 7 |
| Remove spine lamina >2 thrc CPT 63016 | not published | not published | $1,503.17 – $5,200.24 | 7 |
| Remove stent via transureth CPT 50386 | not published | not published | $167.16 – $2,703.45 | 7 |
| Remove sympathetic nerves CPT 64804 | not published | not published | $1,173.28 – $4,000.73 | 7 |
| Remove sympathetic nerves CPT 64821 | not published | not published | $727.97 – $2,482.50 | 7 |
| Remove sympathetic nerves CPT 64822 | not published | not published | $727.97 – $2,482.50 | 7 |
| Remove tear gland lesion CPT 68540 | not published | not published | $1,042.16 – $3,476.70 | 7 |
| Remove tear gland lesion CPT 68550 | not published | not published | $1,296.92 – $4,292.03 | 7 |
| Remove thyroid duct lesion CPT 60280 | not published | not published | $479.36 – $1,603.69 | 7 |
| Remove thyroid duct lesion CPT 60281 | not published | not published | $627.56 – $2,123.59 | 7 |
| Remove thyroid lesion 60200 CPT 60200 | not published | not published | $689.06 – $2,366.18 | 7 |
| Remove tonsils and adenoids CPT 42820 | not published | not published | $308.29 – $1,041.64 | 7 |
| Remove tonsils and adenoids CPT 42821 | not published | not published | $321.96 – $1,086.26 | 7 |
| Remove/transplant tendon CPT 23440 | $1,220.94 | $2,142.00 | $787.15 – $1,627.74 | 7 |
| Remove & treat brain lesion CPT 61544 | not published | not published | $1,840.88 – $6,378.56 | 7 |
| Remove/tx lung lesions 32141 CPT 32141 | not published | not published | $1,493.87 – $5,320.28 | 7 |
| Remove ureter calculus CPT 51065 | not published | not published | $608.65 – $2,119.35 | 7 |
| Remove ureter stent percut CPT 50384 | not published | not published | $231.55 – $3,282.08 | 7 |
| Remove uro sphincter CPT 53446 | not published | not published | $673.33 – $2,349.04 | 7 |
| Remove vaginal foreign body 57415 CPT 57415 | not published | not published | $184.47 – $613.84 | 7 |
| Remove vagina tissue part CPT 57107 | not published | not published | $1,513.76 – $5,194.50 | 7 |
| Remove vagus n eltrd CPT 64570 | not published | not published | $732.71 – $2,485.09 | 7 |
| Remove vc lesion scope/graft CPT 31546 | not published | not published | $563.79 – $1,971.56 | 7 |
| Remove vc lesion w/scope 31545 CPT 31545 | not published | not published | $372.53 – $1,298.06 | 7 |
| Remove ventilating tube CPT 69424 | not published | not published | $63.96 – $461.48 | 7 |
| Remove ventricular device CPT 33978 | not published | not published | $1,289.76 – $4,650.64 | 7 |
| Remove ventricular device 33977 CPT 33977 | not published | not published | $1,094.10 – $3,932.14 | 7 |
| Remove vert bodycerv 63081 CPT 63081 | not published | not published | $1,743.24 – $6,062.81 | 7 |
| Remove vert body dcmprn lmbr CPT 63090 | not published | not published | $1,945.53 – $6,872.21 | 7 |
| Remove vert body dcmprn lmbr CPT 63102 | not published | not published | $2,261.65 – $7,836.19 | 7 |
| Remove vert body dcmprn thrc CPT 63085 | not published | not published | $1,914.11 – $6,643.16 | 7 |
| Remove vert body dcmprn thrc CPT 63101 | not published | not published | $2,285.65 – $7,943.40 | 7 |
| Remove vertebral body add-on CPT 63086 | not published | not published | $185.05 – $657.60 | 7 |
| Remove vertebral body add-on CPT 63088 | not published | not published | $249.83 – $885.64 | 7 |
| Remove vertebral body add-on CPT 63091 | not published | not published | $172.79 – $623.40 | 7 |
| Remove vertebral body add-on CPT 63103 | not published | not published | $284.35 – $1,008.30 | 7 |
| Remove vertebral body add-on CPT 63308 | not published | not published | $308.10 – $1,096.20 | 7 |
| Remove vert idrl body crvcl CPT 63304 | not published | not published | $2,277.18 – $7,888.09 | 7 |
| Remove vert idrl body thrc CPT 63305 | not published | not published | $2,419.78 – $8,393.74 | 7 |
| Remove vert xdrl body crvcl CPT 63300 | not published | not published | $1,790.44 – $6,258.56 | 7 |
| Remove vert xdrl body thrc CPT 63301 | not published | not published | $2,141.81 – $7,407.60 | 7 |
| Remove vert xdrl body thrlmb CPT 63302 | not published | not published | $2,116.79 – $7,319.40 | 7 |
| Remove windpipe lesion CPT 31785 | not published | not published | $1,116.44 – $3,872.44 | 7 |
| Remove windpipe lesion CPT 31786 | not published | not published | $1,414.46 – $5,034.26 | 7 |
| Remove wrist/forearm lesion CPT 25115 | not published | not published | $794.59 – $2,718.04 | 7 |
| Remove wrist/forearm lesion CPT 25116 | not published | not published | $639.16 – $2,160.38 | 7 |
| Remove wrist joint cartilage CPT 25107 | not published | not published | $653.78 – $2,211.04 | 7 |
| Remove wrist joint implant CPT 25449 | not published | not published | $1,072.85 – $3,707.78 | 7 |
| Remove wrist joint lining CPT 25105 | not published | not published | $515.98 – $1,744.13 | 7 |
| Remove wrist joint lining CPT 26130 | not published | not published | $496.50 – $1,666.69 | 7 |
| Remove wrist tendon lesion CPT 25110 | not published | not published | $368.84 – $1,227.19 | 7 |
| Remove wrist tendon lesion CPT 25111 | $1,166.22 | $2,046.00 | $348.00 – $697.11 | 7 |
| Remov/replc penis pros comp CPT 54411 | not published | not published | $1,072.71 – $3,763.80 | 7 |
| Remov/replc ur sphinctr comp CPT 53448 | not published | not published | $1,324.60 – $4,677.04 | 7 |
| Remov vertbr dcmprn thrclmbr CPT 63087 | not published | not published | $2,385.08 – $8,310.68 | 7 |
| Remov vert idrl bdy lmbr/sac CPT 63307 | not published | not published | $2,327.22 – $8,075.44 | 7 |
| Remov vert idrl bdy thrclmbr CPT 63306 | not published | not published | $2,378.58 – $8,248.80 | 7 |
| Remov vert xdrl bdy lmbr/sac CPT 63303 | not published | not published | $2,240.02 – $7,767.79 | 7 |
| Remvl peritoneal fb frm cavity CPT 49402 | not published | not published | $858.77 – $3,025.88 | 7 |
| Remv/replc penis pros compl CPT 54417 | not published | not published | $937.69 – $3,288.30 | 7 |
| Remv/repl penis contain pros CPT 54416 | not published | not published | $751.93 – $2,604.30 | 7 |
| Renal abscess open drng 50020 CPT 50020 | not published | not published | $1,058.12 – $3,705.41 | 7 |
| Renal bx surg exposure kdn CPT 50205 | not published | not published | $761.59 – $2,669.33 | 7 |
| Renal cyst study s&i CPT 74470 | not published | not published | $26.21 – $64.48 | 7 |
| Renal endoscopy 50572 CPT 50572 | not published | not published | $544.81 – $1,941.34 | 7 |
| Renal exploration CPT 50010 | not published | not published | $737.63 – $2,644.69 | 7 |
| Renal function panel CPT 80069 | $95.76 | $168.00 | $9.11 – $33.50 | 11 |
| Renal scope w/tumor resect CPT 50562 | not published | not published | $595.83 – $2,117.85 | 7 |
| Renal venogram bil s&i CPT 75833 | not published | not published | $71.45 – $171.67 | 7 |
| Renin stimulation panel CPT 80416 | not published | not published | $188.75 – $807.98 | 11 |
| Renin stimulation panel CPT 80417 | not published | not published | $46.19 – $169.80 | 11 |
| Reopen fallopian tube CPT 58350 | not published | not published | $100.25 – $458.66 | 7 |
| Reopening of recent laparotomy 49002 CPT 49002 | $2,021.22 | $3,546.00 | $1,043.92 – $2,224.08 | 7 |
| Reoperation bypass graft 35700 CPT 35700 | not published | not published | $144.90 – $529.58 | 7 |
| Reoperation carotid add-on 35390 CPT 35390 | not published | not published | $152.10 – $554.74 | 7 |
| Repair achilles tendon CPT 27650 | $1,068.75 | $1,875.00 | $692.83 – $1,450.22 | 7 |
| Repair anal fistula CPT 46288 | not published | not published | $583.27 – $1,994.21 | 7 |
| Repair anomaly w/conduit CPT 33608 | not published | not published | $1,764.96 – $6,293.70 | 7 |
| Repair anorectal fist w/plug CPT 46707 | not published | not published | $516.43 – $1,762.46 | 7 |
| Repair aortic valve supraval stenosis 33417 CPT 33417 | not published | not published | $1,637.39 – $5,829.11 | 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.