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 |
|---|---|---|---|---|
| Revise penis/urethra CPT 54336 | not published | not published | $1,235.01 – $4,350.49 | 7 |
| Revise prosth vag graft lap CPT 57426 | not published | not published | $909.84 – $3,114.64 | 7 |
| Revise radius or ulna CPT 25370 | not published | not published | $1,049.43 – $3,602.74 | 7 |
| Revise radius & ulna CPT 25365 | not published | not published | $950.61 – $3,268.95 | 7 |
| Revise radius & ulna CPT 25375 | not published | not published | $987.37 – $3,404.48 | 7 |
| Revise reconst elbow joint CPT 24370 | not published | not published | $1,578.64 – $5,520.79 | 7 |
| Revise reconst elbow joint CPT 24371 | not published | not published | $1,810.60 – $6,364.61 | 7 |
| Revise/remove neuroelectrode CPT 61880 | not published | not published | $588.04 – $1,966.16 | 7 |
| Revise/remove neuroreceiver CPT 61888 | not published | not published | $394.05 – $1,344.53 | 7 |
| Revise/remove sling repair CPT 57287 | not published | not published | $778.23 – $2,604.83 | 7 |
| Revise & repair chest wall CPT 32906 | not published | not published | $1,613.31 – $5,755.69 | 7 |
| Revise/repair chest wall 32905 CPT 32905 | not published | not published | $1,311.74 – $4,663.43 | 7 |
| Revise/replace knee joint CPT 27486 | $2,465.82 | $4,326.00 | $1,439.88 – $3,024.48 | 7 |
| Revise/replace knee joint CPT 27487 | $3,187.44 | $5,592.00 | $1,790.30 – $3,773.32 | 7 |
| Revise/repl vagus n eltrd CPT 64569 | not published | not published | $766.69 – $2,612.85 | 7 |
| Revise spermatic cord veins CPT 55530 | not published | not published | $370.73 – $1,285.58 | 7 |
| Revise spermatic cord veins CPT 55535 | not published | not published | $453.03 – $1,573.91 | 7 |
| Revise spinal cord vsls crvl CPT 63250 | not published | not published | $2,853.82 – $9,948.34 | 7 |
| Revise spinal cord vsls thrc CPT 63251 | not published | not published | $2,919.68 – $10,172.29 | 7 |
| Revise spine cord vsl thrlmb CPT 63252 | not published | not published | $2,919.30 – $10,169.66 | 7 |
| Revise spine eltrd perq aray CPT 63663 | $4,335.99 | $7,607.00 | $469.62 – $3,096.45 | 7 |
| Revise spine eltrd plate CPT 63664 | $21,268.98 | $37,314.00 | $887.19 – $3,011.10 | 7 |
| Revise stomach bowel fusion 43860 CPT 43860 | not published | not published | $1,633.23 – $5,774.89 | 7 |
| Revise temple bone implant CPT 69718 | not published | not published | $2,975.76 – $6,087.34 | 3 |
| Revise thigh muscles/tendons CPT 27400 | not published | not published | $726.54 – $2,482.50 | 7 |
| Revise thumb tendon CPT 26490 | not published | not published | $882.17 – $2,907.19 | 7 |
| Revise thumb tendon CPT 26496 | not published | not published | $951.13 – $3,126.38 | 7 |
| Revise two eye muscles CPT 67312 | not published | not published | $701.19 – $2,612.78 | 7 |
| Revise two eye muscles CPT 67316 | not published | not published | $751.75 – $2,931.56 | 7 |
| Revise ulnar nerve at wrist CPT 64719 | not published | not published | $429.89 – $1,446.49 | 7 |
| Revise ureter CPT 50727 | not published | not published | $537.06 – $1,855.58 | 7 |
| Revise ureter CPT 50728 | not published | not published | $732.58 – $2,650.39 | 7 |
| Revise urethra stage 1 CPT 53400 | not published | not published | $834.77 – $2,932.88 | 7 |
| Revise urethra stage 2 CPT 53405 | not published | not published | $910.20 – $3,194.44 | 7 |
| Revise urine flow CPT 50830 | not published | not published | $1,863.23 – $6,590.51 | 7 |
| Revise vag graft open abd CPT 57296 | not published | not published | $991.13 – $3,431.44 | 7 |
| Revise vag graft via vagina CPT 57295 | not published | not published | $524.96 – $1,785.71 | 7 |
| Revise windpipe scar CPT 31830 | not published | not published | $389.36 – $1,670.44 | 7 |
| Revise wrist/forearm tendon CPT 25280 | not published | not published | $597.13 – $2,033.33 | 7 |
| Revise wrist joint CPT 25332 | not published | not published | $882.89 – $3,020.81 | 7 |
| Revision gastrojejunal anastomosis w/reconstruct-43865 CPT 43865 | not published | not published | $1,699.72 – $6,012.86 | 7 |
| Revision of amputation CPT 24935 | not published | not published | $1,264.64 – $4,240.91 | 7 |
| Revision of ankle joint CPT 27700 | not published | not published | $741.26 – $2,230.91 | 7 |
| Revision of aqueous shunt CPT 66184 | not published | not published | $839.16 – $2,864.36 | 6 |
| Revision of arm nerve(s) CPT 64713 | not published | not published | $821.43 – $2,776.31 | 7 |
| Revision of big toe CPT 28310 | $615.03 | $1,079.00 | $387.76 – $1,224.89 | 7 |
| Revision of bladder & bowel CPT 51960 | not published | not published | $1,436.56 – $5,064.90 | 7 |
| Revision of bladder neck CPT 52500 | not published | not published | $518.24 – $1,789.05 | 7 |
| Revision of bladder/urethra CPT 51800 | not published | not published | $1,079.08 – $3,807.90 | 7 |
| Revision of calf tendon CPT 27687 | $742.14 | $1,302.00 | $480.83 – $999.26 | 7 |
| Revision of cervix CPT 57720 | not published | not published | $351.20 – $1,169.03 | 7 |
| Revision of cervix CPT 59320 | not published | not published | $149.17 – $523.65 | 7 |
| Revision of circulation CPT 37140 | not published | not published | $2,295.58 – $8,144.55 | 7 |
| Revision of circulation CPT 37145 | not published | not published | $2,130.71 – $7,554.34 | 7 |
| Revision of circulation CPT 37160 | not published | not published | $2,188.56 – $7,759.61 | 7 |
| Revision of circulation CPT 37180 | not published | not published | $2,103.68 – $7,459.16 | 7 |
| Revision of collar bone CPT 23480 | not published | not published | $851.23 – $2,929.20 | 7 |
| Revision of collar bone CPT 23485 | not published | not published | $986.05 – $3,416.81 | 7 |
| Revision of colostomy CPT 44340 | not published | not published | $644.00 – $2,217.26 | 7 |
| Revision of colostomy comp in-depth 44345 CPT 44345 | not published | not published | $1,064.42 – $3,732.30 | 7 |
| Revision of colostomy paraclt hernia 44346 CPT 44346 | not published | not published | $1,194.38 – $4,196.33 | 7 |
| Revision of cornea CPT 65600 | not published | not published | $361.76 – $1,507.50 | 7 |
| Revision of cranial nerve CPT 64716 | not published | not published | $536.33 – $1,853.63 | 7 |
| Revision of eyelid CPT 67880 | not published | not published | $389.55 – $1,684.54 | 7 |
| Revision of eyelid CPT 67882 | not published | not published | $497.95 – $2,069.44 | 7 |
| Revision of eyelid CPT 67950 | not published | not published | $487.69 – $2,108.25 | 7 |
| Revision of eyelid CPT 67961 | not published | not published | $479.86 – $2,118.45 | 7 |
| Revision of eyelid CPT 67966 | not published | not published | $689.05 – $2,821.24 | 7 |
| Revision of femur epiphysis CPT 27185 | not published | not published | $748.85 – $2,564.10 | 7 |
| Revision of foot CPT 28116 | $999.78 | $1,754.00 | $615.76 – $1,716.49 | 7 |
| Revision of foot and ankle CPT 28262 | not published | not published | $1,148.89 – $5,050.84 | 7 |
| Revision of foot bones CPT 28737 | not published | not published | $727.77 – $2,516.96 | 7 |
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $436.33 – $2,127.75 | 7 |
| Revision of foot tendon CPT 28238 | not published | not published | $519.21 – $2,449.58 | 7 |
| Revision of foot tendon CPT 28261 | not published | not published | $882.15 – $4,319.66 | 7 |
| Revision of heart chamber CPT 33476 | not published | not published | $1,498.02 – $5,323.69 | 7 |
| Revision of heart chamber CPT 33735 | not published | not published | $1,279.67 – $4,534.99 | 7 |
| Revision of heart chamber CPT 33736 | not published | not published | $1,386.18 – $4,920.30 | 7 |
| Revision of heart chamber CPT 33737 | not published | not published | $1,279.06 – $4,540.76 | 7 |
| Revision of heart veins dir/ptch 33645 CPT 33645 | not published | not published | $1,689.16 – $6,048.56 | 7 |
| Revision of hip bone CPT 27147 | not published | not published | $1,498.83 – $5,226.26 | 7 |
| Revision of hip bones CPT 27156 | not published | not published | $1,740.89 – $6,092.55 | 7 |
| Revision of hip tendon CPT 27097 | not published | not published | $712.64 – $2,437.99 | 7 |
| Revision of horseshoe kidney CPT 50540 | not published | not published | $1,190.26 – $4,196.14 | 7 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $1,023.04 – $3,586.61 | 7 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $611.58 – $2,120.59 | 7 |
| Revision of infusion pump CPT 36261 | not published | not published | $419.87 – $1,432.54 | 7 |
| Revision of iris CPT 66761 | not published | not published | $250.03 – $1,091.59 | 7 |
| Revision of iris CPT 66762 | not published | not published | $449.68 – $1,738.35 | 7 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $211.17 – $682.46 | 7 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $432.32 – $1,469.81 | 7 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $1,198.99 – $4,242.00 | 7 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $1,445.88 – $5,104.50 | 7 |
| Revision of knee joint CPT 27440 | not published | not published | $829.07 – $2,848.99 | 7 |
| Revision of knee joint CPT 27441 | not published | not published | $855.16 – $2,942.06 | 7 |
| Revision of knee joint CPT 27442 | not published | not published | $900.55 – $3,114.86 | 7 |
| Revision of knee joint CPT 27443 | not published | not published | $847.93 – $2,903.85 | 7 |
| Revision of knee joint CPT 27446 | $1,950.54 | $3,422.00 | $1,179.68 – $2,374.54 | 7 |
| Revision of knee joint CPT 27445 | not published | not published | $1,288.60 – $4,475.70 | 7 |
| Revision of larynx CPT 31400 | not published | not published | $1,067.00 – $3,543.86 | 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.