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 eyelid defect CPT 67916 | not published | not published | $454.26 – $2,204.40 | 7 |
| Repair eyelid defect CPT 67917 | not published | not published | $481.88 – $2,247.79 | 7 |
| Repair eyelid defect CPT 67921 | not published | not published | $332.15 – $1,719.49 | 7 |
| Repair eyelid defect CPT 67922 | not published | not published | $212.88 – $1,084.39 | 7 |
| Repair eyelid defect CPT 67923 | not published | not published | $454.85 – $2,205.26 | 7 |
| Repair eyelid defect CPT 67924 | not published | not published | $482.11 – $2,347.54 | 7 |
| Repair eyelid wound CPT 67930 | not published | not published | $247.78 – $1,343.55 | 7 |
| Repair eyelid wound CPT 67935 | not published | not published | $460.48 – $2,171.18 | 7 |
| Repair facial nerve CPT 69740 | not published | not published | $1,217.62 – $4,174.65 | 7 |
| Repair facial nerve CPT 69745 | not published | not published | $1,298.32 – $4,447.50 | 7 |
| Repair fibula nonunion CPT 27726 | not published | not published | $988.38 – $3,426.60 | 7 |
| Repair finger deformity CPT 26590 | not published | not published | $1,483.55 – $5,051.59 | 7 |
| Repair finger/hand tendon CPT 26350 | not published | not published | $792.57 – $2,618.85 | 7 |
| Repair finger/hand tendon CPT 26356 | $971.85 | $1,705.00 | $838.76 – $2,377.01 | 7 |
| Repair finger/hand tendon CPT 26357 | not published | not published | $933.57 – $3,182.25 | 7 |
| Repair finger/hand tendon CPT 26370 | not published | not published | $828.50 – $2,762.06 | 7 |
| Repair finger/hand tendon CPT 26373 | not published | not published | $927.04 – $3,089.93 | 7 |
| Repair finger/hand tendon CPT 26426 | not published | not published | $533.13 – $1,803.19 | 7 |
| Repair finger tendon CPT 26433 | not published | not published | $607.93 – $1,966.46 | 7 |
| Repair fistula w/colostomy CPT 45805 | not published | not published | $1,467.35 – $5,179.76 | 7 |
| Repair fistula w/colostomy CPT 45825 | not published | not published | $1,538.02 – $5,415.71 | 7 |
| Repair foot dislocation CPT 28555 | not published | not published | $696.08 – $3,105.60 | 7 |
| Repair foot dislocation CPT 28585 | not published | not published | $749.99 – $3,177.30 | 7 |
| Repair foot dislocation CPT 28615 | $1,135.44 | $1,992.00 | $872.81 – $1,721.84 | 7 |
| Repair forearm tendon/muscle CPT 25265 | not published | not published | $786.60 – $2,689.01 | 7 |
| Repair forearm tendon/muscle CPT 25272 | not published | not published | $588.44 – $1,995.79 | 7 |
| Repair forearm tendon/muscle CPT 25274 | not published | not published | $699.03 – $2,389.73 | 7 |
| Repair forearm tendon/muscle sec 25263 CPT 25263 | not published | not published | $666.32 – $2,255.10 | 7 |
| Repair forearm tendon sheath CPT 25275 | not published | not published | $706.23 – $2,412.98 | 7 |
| Repair/graft achilles tendon CPT 27652 | not published | not published | $709.84 – $2,425.73 | 7 |
| Repair/graft eye lesion CPT 66225 | not published | not published | $988.19 – $3,399.75 | 7 |
| Repair/graft femur head/neck CPT 27170 | not published | not published | $1,199.78 – $4,188.30 | 7 |
| Repair/graft finger tendon CPT 26420 | not published | not published | $785.95 – $2,596.58 | 7 |
| Repair/graft finger tendon CPT 26428 | not published | not published | $840.30 – $2,769.41 | 7 |
| Repair/graft finger tendon CPT 26434 | not published | not published | $735.61 – $2,390.21 | 7 |
| Repair/graft hand tendon CPT 26352 | not published | not published | $879.09 – $2,929.76 | 7 |
| Repair/graft hand tendon CPT 26358 | not published | not published | $1,026.67 – $3,517.20 | 7 |
| Repair/graft hand tendon CPT 26372 | not published | not published | $962.07 – $3,215.33 | 7 |
| Repair/graft hand tendon CPT 26392 | not published | not published | $1,049.40 – $3,525.08 | 7 |
| Repair/graft hand tendon CPT 26412 | not published | not published | $757.82 – $2,482.88 | 7 |
| Repair/graft kneecap tendon CPT 27381 | $1,092.69 | $1,917.00 | $855.37 – $1,722.73 | 7 |
| Repair/graft of bronchus CPT 31770 | not published | not published | $1,302.18 – $4,643.81 | 7 |
| Repair/graft of foot tendon CPT 28202 | not published | not published | $456.92 – $2,231.85 | 7 |
| Repair/graft of foot tendon CPT 28210 | not published | not published | $450.83 – $2,167.69 | 7 |
| Repair/graft of thigh CPT 27472 | $1,900.95 | $3,335.00 | $1,300.59 – $2,717.59 | 7 |
| Repair/graft of thigh muscle CPT 27386 | not published | not published | $893.45 – $3,026.03 | 7 |
| Repair/graft of tibia CPT 27722 | not published | not published | $928.30 – $3,187.35 | 7 |
| Repair/graft of tibia CPT 27724 | not published | not published | $1,285.52 – $4,493.06 | 7 |
| Repair/graft radius or ulna CPT 25405 | not published | not published | $1,074.79 – $3,714.30 | 7 |
| Repair/graft radius or ulna CPT 25425 | not published | not published | $997.29 – $3,438.64 | 7 |
| Repair/graft radius & ulna CPT 25420 | not published | not published | $1,201.78 – $4,161.15 | 7 |
| Repair/graft radius & ulna CPT 25426 | not published | not published | $1,156.89 – $4,007.18 | 7 |
| Repair/graft wrist bone CPT 25440 | not published | not published | $803.33 – $2,755.58 | 7 |
| Repair hand joint CPT 26540 | not published | not published | $740.65 – $2,425.91 | 7 |
| Repair hand joint with graft CPT 26541 | not published | not published | $881.03 – $2,924.40 | 7 |
| Repair hand joint with graft CPT 26542 | not published | not published | $764.90 – $2,501.59 | 7 |
| Repair heart septum defect 33681 CPT 33681 | not published | not published | $1,809.87 – $6,439.50 | 7 |
| Repair heart septum defects dir/patch 33647 CPT 33647 | not published | not published | $1,770.57 – $6,346.99 | 7 |
| Repair heart-vein defect 33732 CPT 33732 | not published | not published | $1,618.79 – $5,763.15 | 7 |
| Repair heart-vein defect(s) CPT 33730 | not published | not published | $1,959.46 – $7,007.96 | 7 |
| Repair heart vessel fistula CPT 33500 | not published | not published | $1,528.95 – $5,463.45 | 7 |
| Repair heart vessel fistula CPT 33501 | not published | not published | $1,097.95 – $3,907.99 | 7 |
| Repair heart wound w/bypass 33305 CPT 33305 | not published | not published | $3,978.29 – $14,302.43 | 7 |
| Repair humerus with graft CPT 24435 | not published | not published | $1,121.21 – $3,843.11 | 7 |
| Repair ing hernia sliding CPT 49525 | not published | not published | $580.71 – $2,027.03 | 7 |
| Repair iris & ciliary body CPT 66680 | not published | not published | $552.54 – $1,890.08 | 7 |
| Repair iris & ciliary body CPT 66682 | not published | not published | $756.27 – $2,455.28 | 7 |
| Repair lac palate<2 cm CPT 42180 | not published | not published | $197.75 – $908.78 | 7 |
| Repair laminectomy defect CPT 63295 | not published | not published | $311.91 – $1,104.94 | 7 |
| Repair leg fascia defect CPT 27656 | not published | not published | $363.19 – $2,298.38 | 7 |
| Repair lip full thkns =<one-half vert height CPT 40652 | not published | not published | $380.17 – $1,836.08 | 7 |
| Repair lip full thkns >one-half vert height/cmplx CPT 40654 | not published | not published | $449.69 – $2,093.81 | 7 |
| Repair liver wound 47350 CPT 47350 | not published | not published | $1,369.27 – $4,837.61 | 7 |
| Repair liver wound 47360 CPT 47360 | not published | not published | $1,863.67 – $6,608.51 | 7 |
| Repair lower leg epiphyses CPT 27734 | not published | not published | $687.63 – $2,347.13 | 7 |
| Repair lower leg tendons CPT 27675 | $847.02 | $1,486.00 | $524.48 – $1,071.50 | 7 |
| Repair lower leg tendons CPT 27676 | not published | not published | $639.98 – $2,162.03 | 7 |
| Repair lumbar hernia CPT 49540 | not published | not published | $678.92 – $2,382.75 | 7 |
| Repair lung hernia 32800 CPT 32800 | not published | not published | $932.57 – $3,312.56 | 7 |
| Repair major blood vessel(s) w/bypass 33322 CPT 33322 | not published | not published | $1,371.69 – $4,867.01 | 7 |
| Repair major blood vessel(s) without bypass 33320 CPT 33320 | not published | not published | $1,051.59 – $3,685.76 | 7 |
| Repair major vessel CPT 33321 | not published | not published | $1,168.31 – $4,157.78 | 7 |
| Repair meningocele <5cm diam 63700 CPT 63700 | not published | not published | $1,292.75 – $4,405.80 | 7 |
| Repair middle ear structures CPT 69666 | not published | not published | $853.29 – $2,903.81 | 7 |
| Repair middle ear structures CPT 69667 | not published | not published | $855.23 – $2,899.61 | 7 |
| Repair modified fontan CPT 33615 | not published | not published | $1,952.13 – $6,978.38 | 7 |
| Repair multi-comp penis pros CPT 54408 | not published | not published | $826.79 – $2,891.55 | 7 |
| Repair muscles of hand CPT 26591 | not published | not published | $522.92 – $1,647.19 | 7 |
| Repair nasal septum defect CPT 30630 | not published | not published | $708.39 – $2,334.23 | 7 |
| Repair nasal stenosis CPT 30465 | not published | not published | $1,083.38 – $3,606.56 | 7 |
| Repair nerve add-on CPT 64837 | not published | not published | $364.17 – $1,303.61 | 7 |
| Repair nerve add-on 64832 CPT 64832 | not published | not published | $336.00 – $1,202.96 | 7 |
| Repair nerve/shorten bone CPT 64876 | not published | not published | $196.36 – $701.48 | 7 |
| Repair nonunion carpal bone CPT 25431 | not published | not published | $820.05 – $2,815.46 | 7 |
| Repair nonunion hand CPT 26546 | not published | not published | $1,094.12 – $3,626.18 | 7 |
| Repair nose to lip fistula CPT 42260 | not published | not published | $704.23 – $3,009.30 | 7 |
| Repair of achilles tendon CPT 27654 | $1,208.97 | $2,121.00 | $754.11 – $1,538.66 | 7 |
| Repair of anal sphincter CPT 46760 | not published | not published | $1,152.08 – $3,992.29 | 7 |
| Repair of anal sphincter CPT 46761 | not published | not published | $942.00 – $3,327.64 | 7 |
| Repair of anal sphincter CPT 46751 | not published | not published | $680.43 – $2,343.04 | 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.