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 windpipe injury CPT 31800 | not published | not published | $744.48 – $2,576.33 | 7 |
| Repair of windpipe injury CPT 31805 | not published | not published | $812.81 – $2,858.03 | 7 |
| Repair oronasal fistula 30600 CPT 30600 | not published | not published | $408.55 – $2,147.25 | 7 |
| Repair palate CPT 42182 | not published | not published | $271.43 – $1,181.33 | 7 |
| Repair palate CPT 42235 | not published | not published | $783.44 – $2,621.36 | 7 |
| Repair palate pharynx/uvula CPT 42145 | not published | not published | $723.83 – $2,498.48 | 7 |
| Repair paravag defect lap CPT 57423 | not published | not published | $961.84 – $3,351.53 | 7 |
| Repair paravag defect vag 57285 CPT 57285 | not published | not published | $720.74 – $2,489.93 | 7 |
| Repair pda by ligation CPT 33820 | not published | not published | $953.16 – $3,387.60 | 7 |
| Repair pda div<18 years CPT 33822 | not published | not published | $1,004.26 – $3,570.34 | 7 |
| Repair pda div 18 yrs&older CPT 33824 | not published | not published | $1,165.80 – $4,132.31 | 7 |
| Repair penis CPT 54380 | not published | not published | $834.60 – $2,925.11 | 7 |
| Repair penis CPT 54385 | not published | not published | $970.92 – $3,401.10 | 7 |
| Repair penis and bladder CPT 54390 | not published | not published | $1,289.48 – $4,542.19 | 7 |
| Repair pm/icd lead dual CPT 33220 | not published | not published | $379.46 – $1,329.94 | 7 |
| Repair pm/icd lead sgl CPT 33218 | not published | not published | $389.54 – $1,370.85 | 7 |
| Repair prosth valve clot 33496 CPT 33496 | not published | not published | $1,630.66 – $5,826.64 | 7 |
| Repair pulm artery stenosis w/patch/graft 33917 CPT 33917 | not published | not published | $1,435.31 – $5,097.19 | 7 |
| Repair pulmonary atresia CPT 33920 | not published | not published | $1,765.72 – $6,327.60 | 7 |
| Repair pul venous stenosis CPT 33726 | not published | not published | $1,977.91 – $7,097.96 | 7 |
| Repair radius or ulna CPT 25400 | not published | not published | $835.99 – $2,877.19 | 7 |
| Repair radius & ulna CPT 25415 | not published | not published | $1,001.82 – $3,455.03 | 7 |
| Repair rect/bladder fistula CPT 45800 | not published | not published | $1,271.88 – $4,468.31 | 7 |
| Repair rectourethral fistula CPT 45820 | not published | not published | $1,275.08 – $4,479.90 | 7 |
| Repair rectum; remove sigmoid 45550 CPT 45550 | not published | not published | $1,482.65 – $5,242.54 | 7 |
| Repair rectum & vagina CPT 57250 | not published | not published | $641.39 – $2,201.03 | 7 |
| Repair rectum-vagina fistula CPT 57300 | not published | not published | $640.33 – $2,126.03 | 7 |
| Repair rectum-vagina fistula abd appr 57305 CPT 57305 | not published | not published | $1,008.03 – $3,454.28 | 7 |
| Repair recur fem hernia reduce 49555 CPT 49555 | not published | not published | $611.02 – $2,126.63 | 7 |
| Repair recur ventrl hern incar 49566 CPT 49566 | not published | not published | $1,997.71 – $4,194.71 | 3 |
| Repair recur ventrl hern reduce 49565 CPT 49565 | not published | not published | $1,636.91 – $3,442.72 | 3 |
| Repair retinal detach cplx CPT 67113 | not published | not published | $1,398.70 – $4,871.85 | 7 |
| Repair & revise nerve add-on CPT 64874 | not published | not published | $173.57 – $619.95 | 7 |
| Repair/revise wrist joint CPT 25320 | not published | not published | $1,038.97 – $3,532.65 | 7 |
| Repair rotator cuff acute CPT 23410 | $1,313.85 | $2,305.00 | $852.02 – $1,771.81 | 7 |
| Repair rotator cuff chronic CPT 23412 | $1,378.83 | $2,419.00 | $885.05 – $1,837.98 | 7 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $656.64 | $1,152.00 | $217.59 – $961.12 | 7 |
| Repair rpr lip full thickness vermilion only CPT 40650 | not published | not published | $332.02 – $1,672.69 | 7 |
| Repair ruptd popliteal art CPT 35152 | not published | not published | $1,344.70 – $4,839.75 | 7 |
| Repair salivary duct CPT 42500 | not published | not published | $366.41 – $1,585.01 | 7 |
| Repair salivary duct CPT 42505 | not published | not published | $484.83 – $2,027.74 | 7 |
| Repair sciatic nerve CPT 64858 | not published | not published | $1,203.34 – $4,194.08 | 7 |
| Repair septal defect CPT 33813 | not published | not published | $1,223.16 – $4,340.66 | 7 |
| Repair shoulder capsule CPT 23450 | not published | not published | $977.15 – $3,380.70 | 7 |
| Repair shoulder capsule CPT 23455 | not published | not published | $1,019.30 – $3,554.81 | 7 |
| Repair shoulder capsule CPT 23460 | not published | not published | $1,124.66 – $3,888.38 | 7 |
| Repair shoulder capsule CPT 23462 | not published | not published | $1,099.64 – $3,814.05 | 7 |
| Repair shoulder capsule CPT 23465 | not published | not published | $1,152.71 – $3,989.85 | 7 |
| Repair shoulder capsule CPT 23466 | not published | not published | $1,162.42 – $3,969.53 | 7 |
| Repair single ventricle CPT 33617 | not published | not published | $2,112.70 – $7,558.43 | 7 |
| Repair single ventricle CPT 33619 | not published | not published | $2,686.94 – $9,570.94 | 7 |
| Repair skull cavity lesion CPT 62120 | not published | not published | $2,055.46 – $7,186.16 | 7 |
| Repair spigelian hernia 49590 CPT 49590 | not published | not published | $1,225.04 – $2,565.88 | 3 |
| Repair spinal fluid leakage 63707 CPT 63707 | not published | not published | $939.98 – $3,209.48 | 7 |
| Repair stern/nuss without scope CPT 21742 | not published | not published | $3,400.20 – $3,400.20 | 2 |
| Repair sternum/nuss w/scope CPT 21743 | not published | not published | $5,648.29 – $5,648.29 | 2 |
| Repair stomach-bowel fistula 43880 CPT 43880 | not published | not published | $1,599.09 – $5,619.56 | 7 |
| Repair stomach opening CPT 43870 | not published | not published | $716.01 – $2,516.06 | 7 |
| Repair tear ducts CPT 68700 | not published | not published | $636.80 – $2,195.78 | 7 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | not published | not published | $342.50 – $1,772.25 | 7 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | not published | not published | $669.12 – $2,268.23 | 7 |
| Repair testis injury CPT 54670 | not published | not published | $431.32 – $1,489.65 | 7 |
| Repair throat esophagus 42953 CPT 42953 | not published | not published | $1,006.01 – $3,467.18 | 7 |
| Repair throat wound CPT 42900 | not published | not published | $347.30 – $1,203.26 | 7 |
| Repair toe dislocation CPT 28645 | not published | not published | $518.83 – $2,411.33 | 7 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | not published | not published | $189.94 – $1,109.36 | 7 |
| Repair/transpose mp nerve 64856 CPT 64856 | not published | not published | $1,032.41 – $3,620.55 | 7 |
| Repair umbil hern incar > 5 yr 49587 CPT 49587 | not published | not published | $1,021.67 – $2,135.85 | 3 |
| Repair umbil hern reduc < 5 yr 49580 CPT 49580 | not published | not published | $721.45 – $1,484.33 | 3 |
| Repair umbil hern reduc > 5 yr 49585 CPT 49585 | not published | not published | $955.14 – $1,999.87 | 3 |
| Repair umbilical lesion CPT 49600 | not published | not published | $740.79 – $2,585.06 | 7 |
| Repair umbilical lesion CPT 49606 | not published | not published | $1,133.22 – $3,990.26 | 7 |
| Repair umbilical lesion CPT 49605 | not published | not published | $4,847.86 – $17,321.51 | 7 |
| Repair umbilical lesion CPT 49610 | not published | not published | $700.20 – $2,435.81 | 7 |
| Repair umbilical lesion CPT 49611 | not published | not published | $618.90 – $2,147.70 | 7 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | not published | not published | $788.37 – $2,670.23 | 7 |
| Repair upper jaw fistula CPT 30580 | not published | not published | $487.79 – $2,280.60 | 7 |
| Repair urethrovaginal lesion CPT 57311 | not published | not published | $586.23 – $1,988.78 | 7 |
| Repair urethrovaginal lesion 57310 CPT 57310 | not published | not published | $521.23 – $1,757.78 | 7 |
| Repair uro sphincter CPT 53449 | not published | not published | $642.12 – $2,238.79 | 7 |
| Repair vagina CPT 57335 | not published | not published | $1,218.51 – $4,234.20 | 7 |
| Repair vagina/perineum CPT 57210 | not published | not published | $412.27 – $1,385.66 | 7 |
| Repair valve femoral vein CPT 34501 | not published | not published | $868.65 – $3,094.80 | 7 |
| Repair venous anomaly CPT 33724 | not published | not published | $1,501.97 – $5,375.70 | 7 |
| Repair ventral hern init incar 49561 CPT 49561 | not published | not published | $1,977.38 – $4,156.33 | 3 |
| Repair ventral hern init reduc 49560 CPT 49560 | not published | not published | $1,571.27 – $3,304.47 | 3 |
| Repair vessel defect 33802 CPT 33802 | not published | not published | $1,073.78 – $3,797.21 | 7 |
| Repair vessel graft defect CPT 35870 | not published | not published | $1,202.04 – $4,316.44 | 7 |
| Repair webbed toe(s) CPT 28345 | not published | not published | $388.89 – $1,926.53 | 7 |
| Repair windpipe opening CPT 31614 | not published | not published | $749.41 – $2,617.20 | 7 |
| Repeat thyroid surgery CPT 60260 | not published | not published | $1,114.63 – $3,886.09 | 7 |
| Replac av w/bypas/other pros valve 33405 CPT 33405 | not published | not published | $2,216.64 – $7,936.76 | 7 |
| Replace aortic valve allograft freehand 33406 CPT 33406 | not published | not published | $2,805.81 – $10,058.48 | 7 |
| Replace aortic valve annulus enlgment 33411 CPT 33411 | not published | not published | $3,264.20 – $11,733.79 | 7 |
| Replace aortic valve open axillry 33363 CPT 33363 | not published | not published | $1,330.33 – $4,793.51 | 7 |
| Replace aortic valve open femoral 33362 CPT 33362 | not published | not published | $1,282.58 – $4,621.28 | 7 |
| Replace aortic valve open iliac 33364 CPT 33364 | not published | not published | $1,324.24 – $4,786.39 | 7 |
| Replace aortic valve open transaortic 33365 CPT 33365 | not published | not published | $1,387.51 – $5,071.13 | 7 |
| Replace aortic valve w/byp cntrl aprch 33369 CPT 33369 | not published | not published | $943.42 – $3,424.46 | 7 |
| Replace aortic valve w/byp open aprch 33368 CPT 33368 | not published | not published | $714.59 – $2,593.88 | 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.