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 of anal stricture CPT 46700 | not published | not published | $681.00 – $2,371.73 | 7 |
| Repair of anal stricture CPT 46705 | not published | not published | $584.46 – $1,997.14 | 7 |
| Repair of aneurysm CPT 35141 | not published | not published | $1,054.12 – $3,840.15 | 7 |
| Repair of ankle ligament CPT 27695 | $775.20 | $1,360.00 | $513.69 – $1,049.84 | 7 |
| Repair of ankle ligament CPT 27698 | $1,122.33 | $1,969.00 | $669.59 – $1,398.89 | 7 |
| Repair of ankle ligaments CPT 27696 | not published | not published | $580.48 – $2,030.70 | 7 |
| Repair of aortic valve CPT 33414 | not published | not published | $2,090.59 – $7,503.45 | 7 |
| Repair of arm nerves CPT 64861 | not published | not published | $1,489.39 – $5,108.06 | 7 |
| Repair of bladder opening CPT 51880 | not published | not published | $487.15 – $1,696.91 | 7 |
| Repair of body cast CPT 29720 | not published | not published | $44.56 – $299.33 | 7 |
| Repair of bowel lesion CPT 44605 | not published | not published | $1,290.57 – $4,611.49 | 7 |
| Repair of circumcision CPT 54163 | not published | not published | $231.82 – $795.11 | 7 |
| Repair of cloacal anomaly CPT 46744 | not published | not published | $3,516.47 – $12,414.49 | 7 |
| Repair of cloacal anomaly CPT 46746 | not published | not published | $3,869.68 – $13,682.93 | 7 |
| Repair of cloacal anomaly CPT 46748 | not published | not published | $4,189.77 – $14,838.08 | 7 |
| Repair of diaphragm hernia CPT 39503 | not published | not published | $5,646.71 – $20,521.20 | 7 |
| Repair of diaphragm hernia CPT 39540 | not published | not published | $866.37 – $3,067.80 | 7 |
| Repair of digit nerve hand/foot 1 nerve CPT 64831 | not published | not published | $725.82 – $2,475.60 | 7 |
| Repair of enterocele abdominal approach 57270 CPT 57270 | not published | not published | $844.95 – $2,926.65 | 7 |
| Repair of enterocele vaginal approach 57268 CPT 57268 | not published | not published | $530.85 – $1,798.99 | 7 |
| Repair of esophagus CPT 43300 | not published | not published | $659.33 – $2,228.63 | 7 |
| Repair of esophagus CPT 43310 | not published | not published | $1,456.58 – $5,187.04 | 7 |
| Repair of eye socket wound CPT 65290 | not published | not published | $517.69 – $1,789.58 | 7 |
| Repair of eye wound CPT 65270 | not published | not published | $148.41 – $1,022.18 | 7 |
| Repair of eye wound CPT 65272 | not published | not published | $373.28 – $1,890.15 | 7 |
| Repair of eye wound CPT 65275 | not published | not published | $486.38 – $2,129.55 | 7 |
| Repair of eye wound CPT 65280 | not published | not published | $707.79 – $2,447.89 | 7 |
| Repair of eye wound CPT 65285 | not published | not published | $1,165.70 – $4,044.68 | 7 |
| Repair of eye wound CPT 65286 | not published | not published | $523.33 – $2,565.15 | 7 |
| Repair of eye wound CPT 65273 | not published | not published | $401.04 – $1,389.60 | 7 |
| Repair of facial nerve CPT 64864 | not published | not published | $890.54 – $3,110.18 | 7 |
| Repair of facial nerve CPT 64865 | not published | not published | $1,133.96 – $3,943.05 | 7 |
| Repair of fibula epiphysis CPT 27732 | not published | not published | $479.51 – $1,611.83 | 7 |
| Repair of foot bones CPT 28320 | not published | not published | $648.13 – $2,221.65 | 7 |
| Repair of foot tendon CPT 28200 | $505.02 | $886.00 | $348.57 – $1,092.71 | 7 |
| Repair of hand or foot nerve CPT 64834 | not published | not published | $777.28 – $2,657.59 | 7 |
| Repair of hand or foot nerve CPT 64835 | not published | not published | $843.47 – $2,912.14 | 7 |
| Repair of heart chambers CPT 33670 | not published | not published | $1,913.33 – $6,888.11 | 7 |
| Repair of heart damage CPT 33545 | not published | not published | $2,982.62 – $10,737.98 | 7 |
| Repair of heart defect CPT 33720 | not published | not published | $1,519.30 – $5,411.18 | 7 |
| Repair of heart defects CPT 33665 | not published | not published | $1,863.53 – $6,682.88 | 7 |
| Repair of heart defects CPT 33702 | not published | not published | $1,518.20 – $5,408.03 | 7 |
| Repair of heart defects CPT 33710 | not published | not published | $1,996.28 – $7,163.14 | 7 |
| Repair of heart defects incplt/prtl without av valve 33660 CPT 33660 | not published | not published | $1,712.31 – $6,136.24 | 7 |
| Repair of humerus CPT 24430 | not published | not published | $1,091.54 – $3,771.30 | 7 |
| Repair of hydrocele 55060 CPT 55060 | not published | not published | $400.29 – $1,388.59 | 7 |
| Repair of imperforated anus CPT 46742 | not published | not published | $2,506.45 – $8,785.16 | 7 |
| Repair of kidney wound CPT 50500 | not published | not published | $1,286.77 – $4,406.36 | 7 |
| Repair of kneecap tendon CPT 27380 | $799.14 | $1,402.00 | $654.24 – $1,289.15 | 7 |
| Repair of knee cartilage CPT 27403 | not published | not published | $674.90 – $2,299.84 | 7 |
| Repair of knee ligament CPT 27405 | not published | not published | $707.42 – $2,417.78 | 7 |
| Repair of knee ligament CPT 27407 | not published | not published | $829.85 – $2,839.16 | 7 |
| Repair of knee ligaments CPT 27409 | not published | not published | $1,001.08 – $3,450.11 | 7 |
| Repair of leg epiphyses CPT 27740 | not published | not published | $738.56 – $2,529.00 | 7 |
| Repair of leg epiphyses CPT 27742 | not published | not published | $809.14 – $2,777.21 | 7 |
| Repair of leg nerve CPT 64840 | not published | not published | $991.38 – $3,431.33 | 7 |
| Repair of leg tendon each CPT 27658 | $600.78 | $1,054.00 | $392.20 – $826.55 | 7 |
| Repair of leg tendon each CPT 27659 | not published | not published | $500.97 – $1,711.61 | 7 |
| Repair of leg tendon each CPT 27665 | $624.72 | $1,096.00 | $448.90 – $908.39 | 7 |
| Repair of low back nerves CPT 64862 | not published | not published | $1,402.97 – $4,903.39 | 7 |
| Repair of lower leg CPT 27725 | not published | not published | $1,255.09 – $4,338.00 | 7 |
| Repair of lower leg CPT 27727 | not published | not published | $1,073.40 – $3,702.11 | 7 |
| Repair of mesentery 44850 CPT 44850 | not published | not published | $755.80 – $2,635.54 | 7 |
| Repair of metatarsals CPT 28322 | not published | not published | $608.55 – $2,852.40 | 7 |
| Repair of mitral valve w/bypass 33425 CPT 33425 | not published | not published | $2,662.78 – $9,546.00 | 7 |
| Repair of nasal septum CPT 30520 | $1,235.76 | $2,168.00 | $715.89 – $1,392.53 | 7 |
| Repair of penis CPT 54440 | not published | not published | $2,374.69 – $2,374.69 | 2 |
| Repair of rectocele 45560 CPT 45560 | not published | not published | $716.31 – $2,506.35 | 7 |
| Repair of rectum CPT 45500 | not published | not published | $580.11 – $1,996.28 | 7 |
| Repair of rectum CPT 45505 | not published | not published | $626.67 – $2,150.55 | 7 |
| Repair of ruptured spleen 38115 CPT 38115 | not published | not published | $1,283.86 – $4,509.56 | 7 |
| Repair of ruptured tendon CPT 24342 | $1,251.15 | $2,195.00 | $806.74 – $1,674.30 | 7 |
| Repair of ruptured uterus CPT 58520 | not published | not published | $828.14 – $2,877.83 | 7 |
| Repair of shoulder CPT 23420 | not published | not published | $1,010.89 – $3,472.01 | 7 |
| Repair of skull & brain CPT 62145 | not published | not published | $1,386.23 – $4,794.45 | 7 |
| Repair of skull defect 62140 CPT 62140 | not published | not published | $1,016.63 – $3,506.63 | 7 |
| Repair of sperm duct CPT 55400 | not published | not published | $524.37 – $1,827.45 | 7 |
| Repair of spinal herniation CPT 63702 | not published | not published | $1,408.36 – $4,813.58 | 7 |
| Repair of spinal herniation CPT 63704 | not published | not published | $1,638.79 – $5,590.05 | 7 |
| Repair of spinal herniation CPT 63706 | not published | not published | $1,812.79 – $6,208.28 | 7 |
| Repair of thigh CPT 27470 | not published | not published | $1,217.40 – $4,203.38 | 7 |
| Repair of thigh muscle CPT 27385 | $813.39 | $1,427.00 | $640.03 – $1,253.30 | 7 |
| Repair of tibia CPT 27720 | not published | not published | $906.44 – $3,131.85 | 7 |
| Repair of tibia epiphysis CPT 27730 | not published | not published | $616.74 – $2,098.54 | 7 |
| Repair of toe dislocation CPT 28675 | not published | not published | $440.70 – $2,092.50 | 7 |
| Repair of ulnar motor nerve 64836 CPT 64836 | not published | not published | $843.47 – $2,912.14 | 7 |
| Repair of ureter CPT 50900 | not published | not published | $879.32 – $3,081.79 | 7 |
| Repair of urethra defect CPT 53275 | not published | not published | $273.88 – $959.25 | 7 |
| Repair of urethra defect CPT 53520 | not published | not published | $586.94 – $2,038.99 | 7 |
| Repair of urethra injury CPT 53505 | not published | not published | $510.35 – $1,776.19 | 7 |
| Repair of urethra injury CPT 53510 | not published | not published | $662.64 – $2,310.94 | 7 |
| Repair of urethra injury CPT 53515 | not published | not published | $829.67 – $2,911.24 | 7 |
| Repair of urethra injury 53502 CPT 53502 | not published | not published | $510.70 – $1,777.46 | 7 |
| Repair of urethral lesion CPT 57230 | not published | not published | $438.02 – $1,481.40 | 7 |
| Repair of web finger CPT 26560 | not published | not published | $673.23 – $2,181.64 | 7 |
| Repair of web finger CPT 26561 | not published | not published | $1,028.17 – $3,428.29 | 7 |
| Repair of web finger CPT 26562 | not published | not published | $1,433.67 – $4,828.16 | 7 |
| Repair of windpipe CPT 31750 | not published | not published | $1,420.24 – $4,932.41 | 7 |
| Repair of windpipe CPT 31755 | not published | not published | $1,824.74 – $6,236.78 | 7 |
| Repair of windpipe defect CPT 31825 | not published | not published | $511.07 – $2,167.43 | 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.