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 |
|---|---|---|---|---|
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $401.04 – $66,765.00 | 8 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $370.62 – $66,765.00 | 8 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $215.81 – $762.11 | 7 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $104.85 – $359.85 | 6 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $475.88 – $1,723.99 | 6 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,280.12 – $8,213.70 | 7 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $161.68 – $665.89 | 7 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | $324.90 | $570.00 | $197.37 – $714.04 | 6 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $235.13 – $821.93 | 7 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $156.88 – $576.90 | 6 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $217.78 – $217.78 | 4 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $569.20 – $569.20 | 4 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $345.22 – $345.22 | 4 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $371.30 – $26,705.00 | 8 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $338.04 – $26,705.00 | 8 |
| Rmvl pq iabp CPT 33968 | not published | not published | $33.08 – $119.25 | 7 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $183.02 – $698.66 | 7 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $1,291.76 – $4,499.74 | 7 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $5,771.55 – $5,771.55 | 2 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $8,965.01 – $8,965.01 | 2 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $345.81 – $1,229.78 | 6 |
| Rmvl subq card rhythm mntr CPT 33286 | not published | not published | $84.38 – $470.85 | 6 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $576.39 – $1,741.16 | 7 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $104.51 – $411.45 | 7 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $2,008.29 – $6,950.63 | 7 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $2,198.85 – $7,590.86 | 7 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $1,232.06 – $4,270.01 | 7 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $632.82 – $2,258.51 | 7 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $481.40 – $1,719.11 | 7 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $501.91 – $1,570.54 | 6 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $628.76 – $2,240.85 | 6 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $559.04 – $1,796.36 | 6 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $267.59 – $962.25 | 7 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $505.94 – $505.94 | 4 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $385.42 – $385.42 | 4 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $873.66 – $873.66 | 4 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $189.45 – $189.45 | 2 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $2,442.06 – $8,529.49 | 7 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $2,924.87 – $10,145.78 | 7 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $2,062.72 – $7,096.20 | 7 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $0.61 | $1.06 | $0.10 – $0.54 | 6 |
| Rotavirus antibody CPT 86759 | not published | not published | $18.87 – $70.37 | 11 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $675.13 – $2,309.63 | 6 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $3,303.79 – $11,968.35 | 6 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $588.70 – $3,988.09 | 7 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $726.84 – $2,594.33 | 6 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | not published | not published | $66.28 – $795.19 | 7 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | not published | not published | $35.92 – $88.55 | 7 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,440.74 | $4,282.00 | $71.63 – $176.70 | 6 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $2,594.07 | $4,551.00 | $102.63 – $250.96 | 6 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | not published | not published | $60.13 – $1,273.01 | 7 |
| Rpl tun-cvad w subq port CPT 36582 | $661.77 | $1,161.00 | $290.49 – $3,593.10 | 7 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $329.05 – $4,560.90 | 7 |
| Rpl tun cvc wo subq port CPT 36581 | not published | not published | $187.33 – $2,931.64 | 7 |
| Rpm tx mgmt 1st 20 min CPT 99457 | not published | not published | $31.80 – $110.67 | 6 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | not published | not published | $31.80 – $90.54 | 6 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $1,015.51 – $3,671.89 | 6 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $1,205.55 | $2,115.00 | $764.94 – $2,763.79 | 6 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $1,164.51 | $2,043.00 | $739.05 – $2,671.39 | 6 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $887.49 | $1,557.00 | $568.59 – $2,055.30 | 6 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $515.85 | $905.00 | $340.49 – $1,228.13 | 6 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $731.31 | $1,283.00 | $471.92 – $1,704.38 | 6 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $1,230.02 – $4,446.00 | 6 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $879.33 – $3,177.98 | 6 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $850.97 – $3,075.75 | 6 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $991.23 | $1,739.00 | $634.50 – $2,293.28 | 6 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | $886.92 | $1,556.00 | $567.26 – $2,050.09 | 6 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $642.39 | $1,127.00 | $420.04 – $1,515.45 | 6 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $1,451.57 – $5,226.94 | 7 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $980.09 – $3,528.41 | 7 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $898.83 – $3,264.11 | 7 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $1,360.84 – $4,833.45 | 7 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $1,431.16 – $5,099.63 | 7 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $1,570.89 – $5,682.90 | 7 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $1,696.49 – $6,106.05 | 7 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $1,407.90 – $5,022.08 | 7 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $1,755.63 – $6,256.09 | 7 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $783.17 – $2,562.53 | 7 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $1,059.19 – $3,496.46 | 7 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $1,115.34 – $3,836.10 | 7 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $929.66 – $3,308.25 | 7 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $855.82 – $3,011.78 | 7 |
| Rpr fem hernia init blocked CPT 49553 | $1,126.32 | $1,976.00 | $639.49 – $1,347.75 | 7 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $804.80 – $2,806.50 | 7 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $1,796.84 – $6,407.74 | 7 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $1,376.34 – $4,893.56 | 7 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $1,051.26 – $3,702.79 | 7 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $597.31 – $2,083.43 | 7 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $623.32 – $2,167.09 | 7 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $414.54 – $1,442.59 | 7 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $613.70 – $2,135.44 | 7 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $425.10 – $1,459.73 | 7 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $964.27 – $3,375.45 | 7 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $175.69 – $11,436.11 | 6 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $156.42 – $9,689.03 | 6 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $742.73 – $2,685.60 | 6 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $916.70 – $3,315.11 | 6 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $1,671.68 – $5,998.46 | 7 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $16.46 – $101.57 | 6 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $36.27 – $36.27 | 2 |
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.