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 |
|---|---|---|---|---|
| Repair arm/leg nerve CPT 64857 | not published | not published | $1,081.09 – $3,777.71 | 7 |
| Repair arterial trunk CPT 33786 | not published | not published | $2,213.93 – $7,953.56 | 7 |
| Repair artery rupture aorta CPT 35092 | not published | not published | $2,494.88 – $9,049.28 | 7 |
| Repair artery rupture aorta CPT 35103 | not published | not published | $2,129.31 – $7,767.68 | 7 |
| Repair artery rupture belly CPT 35122 | not published | not published | $1,814.79 – $6,545.93 | 7 |
| Repair artery rupture neck CPT 35002 | not published | not published | $1,097.66 – $3,939.49 | 7 |
| Repair artery rupture spleen CPT 35112 | not published | not published | $1,570.17 – $5,659.73 | 7 |
| Repair artery rupture thigh 35142 CPT 35142 | not published | not published | $1,273.22 – $4,631.89 | 7 |
| Repair artery translocation CPT 33506 | not published | not published | $1,994.98 – $7,170.34 | 7 |
| Repair artery w/tunnel CPT 33505 | not published | not published | $1,998.31 – $7,200.34 | 7 |
| Repair art intramural CPT 33507 | not published | not published | $1,676.72 – $6,016.73 | 7 |
| Repair art rupture aorta 35082 CPT 35082 | not published | not published | $2,080.51 – $7,599.60 | 7 |
| Repair art rupture arm 35013 CPT 35013 | not published | not published | $1,230.45 – $4,398.64 | 7 |
| Repair art rupture chest 35022 CPT 35022 | not published | not published | $1,413.82 – $5,043.45 | 7 |
| Repair art rupture groin 35132 CPT 35132 | not published | not published | $1,570.17 – $5,659.73 | 7 |
| Repair av fistula ext 35190 CPT 35190 | not published | not published | $739.08 – $2,668.01 | 7 |
| Repair biceps tendon CPT 23430 | $1,158.81 | $2,033.00 | $776.81 – $1,617.63 | 7 |
| Repair bladder defect CPT 57288 | not published | not published | $776.19 – $2,661.83 | 7 |
| Repair bladder neck CPT 51845 | not published | not published | $610.16 – $2,129.33 | 7 |
| Repair bladder & vagina CPT 57289 | not published | not published | $825.10 – $2,827.65 | 7 |
| Repair bladder-vagina lesion CPT 57320 | not published | not published | $588.75 – $1,998.53 | 7 |
| Repair bladder-vagina lesion CPT 57330 | not published | not published | $804.57 – $2,772.75 | 7 |
| Repair bladder/vagina lesion CPT 51900 | not published | not published | $860.20 – $3,015.15 | 7 |
| Repair blood ves direct neck 35201 CPT 35201 | not published | not published | $915.67 – $3,301.54 | 7 |
| Repair blood vess/direct/intra/abd 35221 CPT 35221 | not published | not published | $1,442.90 – $5,132.36 | 7 |
| Repair blood vessel direct hand finger CPT 35207 | not published | not published | $780.69 – $2,703.90 | 7 |
| Repair blood vessel direct intrathoracic without bypass 35216 CPT 35216 | not published | not published | $2,074.25 – $7,271.93 | 7 |
| Repair blood vessel dir lower extr CPT 35226 | not published | not published | $806.49 – $2,907.75 | 7 |
| Repair blood vessel dir upper extr CPT 35206 | not published | not published | $781.21 – $2,743.65 | 7 |
| Repair blood vessel lesion CPT 35180 | not published | not published | $759.44 – $3,078.38 | 7 |
| Repair blood vessel lesion CPT 35184 | not published | not published | $930.89 – $3,342.08 | 7 |
| Repair blood vessel lesion CPT 35188 | not published | not published | $1,249.57 – $4,310.29 | 7 |
| Repair blood vessel lesion CPT 35261 | not published | not published | $947.90 – $3,396.15 | 7 |
| Repair blood vessel lesion CPT 35266 | not published | not published | $844.14 – $3,025.80 | 7 |
| Repair blood vessel lesion 35211 CPT 35211 | not published | not published | $1,367.29 – $4,866.90 | 7 |
| Repair blood vessel w/graft intra-abd 35281 CPT 35246 | not published | not published | $1,529.45 – $5,472.79 | 7 |
| Repair blood vessel w/graft lower extremity 35286 CPT 35256 | not published | not published | $982.27 – $3,577.88 | 7 |
| Repair blood vessel w/vein graft lower extremity 35256 CPT 35231 | not published | not published | $1,264.91 – $4,482.04 | 7 |
| Repair bowel-bladder fistula 44660 CPT 44660 | not published | not published | $1,357.44 – $4,788.38 | 7 |
| Repair bowel-bladder fistula 44661 CPT 44661 | not published | not published | $1,549.66 – $5,507.18 | 7 |
| Repair bowel fistula 44650 CPT 44650 | not published | not published | $1,445.36 – $5,125.58 | 7 |
| Repair brain fluid leakage CPT 62100 | not published | not published | $1,558.22 – $5,403.41 | 7 |
| Repair bronchus add-on CPT 32501 | not published | not published | $234.94 – $847.39 | 7 |
| Repair brow defect CPT 67900 | not published | not published | $532.36 – $2,346.49 | 7 |
| Repair by enlargement CPT 33610 | not published | not published | $1,740.94 – $6,205.54 | 7 |
| Repair cardiac wound without bypass CPT 33300 | not published | not published | $2,380.15 – $8,565.45 | 7 |
| Repair carpal bone shorten CPT 25394 | not published | not published | $816.65 – $2,800.61 | 7 |
| Repair cleft hand CPT 26580 | not published | not published | $1,598.72 – $5,427.38 | 7 |
| Repair cleft lip/nasal CPT 40700 | not published | not published | $1,042.28 – $3,640.65 | 7 |
| Repair cleft lip/nasal CPT 40701 | not published | not published | $1,227.26 – $4,307.33 | 7 |
| Repair cleft lip/nasal CPT 40702 | not published | not published | $1,032.34 – $3,615.68 | 7 |
| Repair cleft lip/nasal CPT 40720 | not published | not published | $1,059.26 – $3,712.99 | 7 |
| Repair cleft lip/nasal CPT 40761 | not published | not published | $1,110.98 – $3,912.26 | 7 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $976.98 | $1,714.00 | $269.46 – $1,563.15 | 7 |
| Repair corporeal tear CPT 54437 | not published | not published | $712.18 – $2,468.81 | 6 |
| Repair defect arm art 35045 CPT 35045 | not published | not published | $943.37 – $3,423.11 | 7 |
| Repair defect of artery CPT 35131 | not published | not published | $1,333.50 – $4,788.83 | 7 |
| Repair defect of artery CPT 35005 | not published | not published | $962.38 – $3,449.44 | 7 |
| Repair defect of artery CPT 35021 | not published | not published | $1,238.07 – $4,408.88 | 7 |
| Repair defect of artery CPT 35091 | not published | not published | $1,708.72 – $6,210.64 | 7 |
| Repair defect of artery CPT 35111 | not published | not published | $1,278.60 – $4,600.50 | 7 |
| Repair defect of artery 35011 CPT 35011 | not published | not published | $980.21 – $3,495.75 | 7 |
| Repair defect of artery 35081 CPT 35081 | not published | not published | $1,667.19 – $6,020.89 | 7 |
| Repair defect of artery 35102 CPT 35102 | not published | not published | $1,812.20 – $6,531.53 | 7 |
| Repair defect of artery 35121 CPT 35121 | not published | not published | $1,518.54 – $5,474.59 | 7 |
| Repair defect of artery aneurysm 35151 CPT 35151 | not published | not published | $1,197.86 – $4,304.89 | 7 |
| Repair defect of artery carotid subclav 35001 CPT 35001 | not published | not published | $1,085.97 – $3,910.54 | 7 |
| Repair deformity of toe CPT 28313 | $573.42 | $1,006.00 | $383.67 – $1,178.12 | 7 |
| Repair degenerated kneecap CPT 27418 | not published | not published | $857.19 – $2,966.36 | 7 |
| Repair detached retina CPT 67107 | not published | not published | $1,182.44 – $4,116.34 | 7 |
| Repair detached retina CPT 67108 | not published | not published | $1,251.37 – $4,361.36 | 7 |
| Repair detached retina CPT 67110 | not published | not published | $860.12 – $3,230.40 | 7 |
| Repair detached retina crtx CPT 67101 | not published | not published | $301.51 – $1,771.11 | 7 |
| Repair detached retina pc CPT 67105 | not published | not published | $290.86 – $1,610.65 | 7 |
| Repair double ventricle CPT 33611 | not published | not published | $1,899.61 – $6,814.28 | 7 |
| Repair double ventricle CPT 33612 | not published | not published | $1,950.09 – $6,995.18 | 7 |
| Repair dura CPT 61618 | not published | not published | $1,279.47 – $4,397.21 | 7 |
| Repair dura CPT 61619 | not published | not published | $1,437.29 – $4,940.59 | 7 |
| Repair eardrum structures CPT 69631 | not published | not published | $940.74 – $3,175.54 | 7 |
| Repair elbow deb/attch open CPT 24359 | $1,014.60 | $1,780.00 | $695.69 – $1,422.21 | 7 |
| Repair elbow perc CPT 24357 | not published | not published | $446.22 – $1,515.08 | 7 |
| Repair elbow w/deb open CPT 24358 | $746.70 | $1,310.00 | $559.64 – $1,133.11 | 7 |
| Repair epigastric hernia reduce 49570 CPT 49570 | not published | not published | $897.88 – $1,877.20 | 3 |
| Repair epigastric hern incar 49572 CPT 49572 | not published | not published | $1,105.60 – $2,314.94 | 3 |
| Repair esophagus and fistula CPT 43305 | not published | not published | $1,142.66 – $3,932.74 | 7 |
| Repair esophagus and fistula CPT 43312 | not published | not published | $1,549.60 – $5,563.99 | 7 |
| Repair esophagus opening CPT 43420 | not published | not published | $1,062.44 – $3,658.91 | 7 |
| Repair esophagus opening CPT 43425 | not published | not published | $1,422.61 – $5,049.98 | 7 |
| Repair esophagus wound 43410 CPT 43410 | not published | not published | $1,081.93 – $3,696.15 | 7 |
| Repair esophagus wound 43415 CPT 43415 | not published | not published | $2,544.45 – $9,009.23 | 7 |
| Repair extns tendon finger without grft ea CPT 26418 | $972.42 | $1,706.00 | $666.42 – $1,267.35 | 7 |
| Repair extra toe(s) CPT 28344 | not published | not published | $300.73 – $1,576.13 | 7 |
| Repair eyelid defect CPT 67901 | not published | not published | $622.56 – $2,842.01 | 7 |
| Repair eyelid defect CPT 67902 | not published | not published | $766.29 – $2,633.63 | 7 |
| Repair eyelid defect CPT 67903 | not published | not published | $507.08 – $2,184.19 | 7 |
| Repair eyelid defect CPT 67904 | not published | not published | $628.07 – $2,688.38 | 7 |
| Repair eyelid defect CPT 67906 | not published | not published | $532.98 – $1,845.00 | 7 |
| Repair eyelid defect CPT 67908 | not published | not published | $457.76 – $1,879.50 | 7 |
| Repair eyelid defect CPT 67914 | not published | not published | $348.80 – $1,753.54 | 7 |
| Repair eyelid defect CPT 67915 | not published | not published | $212.88 – $1,113.53 | 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.