healthcosts.net

Ascension Calumet Hospital, Inc.

614 Memorial Dr, Chilton, WI · Ascension · · NPI 1376541748

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

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
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 $296.40 $520.00 $77.31 – $357.35 7
Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 not published not published $99.94 – $673.16 7
Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 $165.87 $291.00 $39.25 – $218.90 7
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 $226.29 $397.00 $51.17 – $269.61 7
Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 $268.47 $471.00 $65.13 – $318.67 7
Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 not published not published $73.16 – $561.15 7
Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 $164.73 $289.00 $35.36 – $217.65 7
Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 $223.44 $392.00 $53.34 – $266.89 7
Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 $266.76 $468.00 $62.27 – $314.82 7
Shigella antibody CPT 86771 not published not published $16.05 – $94.49 11
Sho arthrs dx +- synovial bx CPT 29805 not published not published $490.91 – $1,683.45 7
Sho arthrs srg bicp tenodsis CPT 29828 $1,516.77 $2,661.00 $949.31 – $1,991.97 7
Sho arthrs srg capsulorraphy CPT 29806 $1,749.33 $3,069.00 $1,096.23 – $2,286.14 7
Sho arthrs srg compl synvct CPT 29821 not published not published $619.53 – $2,122.54 7
Sho arthrs srg lmtd dbrdmt CPT 29822 $852.72 $1,496.00 $567.30 – $1,245.73 7
Sho arthrs srg lss&rescj ads CPT 29825 not published not published $613.17 – $2,098.31 7
Sho arthrs srg prtl synvct CPT 29820 not published not published $558.19 – $1,921.65 7
Sho arthrs srg rmvl loose/fb CPT 29819 not published not published $614.13 – $2,098.31 7
Sho arthrs srg rpr slap les CPT 29807 $1,695.75 $2,975.00 $1,070.81 – $2,229.74 7
Sho arthrs srg xtnsv dbrdmt CPT 29823 $966.15 $1,695.00 $619.80 – $1,359.40 7
Shortening of hand tendon CPT 26479 not published not published $715.40 – $2,316.26 7
Shortening of thigh bone CPT 27465 not published not published $1,281.37 – $4,459.88 7
Shorten/lengthen thighs CPT 27468 not published not published $1,376.57 – $4,785.04 7
Shorten radius or ulna CPT 25390 not published not published $803.23 – $2,761.28 7
Shorten radius & ulna CPT 25392 not published not published $1,047.51 – $3,618.11 7
Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 $1,818.30 $3,190.00 $1,104.34 – $2,313.22 7
Shoulder MRI (with and without contrast) CPT 73223 $2,533.08 $4,444.00 $108.99 – $262.98 7
Shoulder MRI (with contrast) CPT 73222 $2,442.45 $4,285.00 $82.43 – $199.39 7
Shoulder MRI (without contrast) CPT 73221 $2,348.40 $4,120.00 $68.68 – $167.30 7
Shoulder prosthesis removal CPT 23334 not published not published $1,095.95 – $3,815.85 6
Shoulder prosthesis removal CPT 23335 not published not published $1,304.57 – $4,543.05 6
Shoulder X-ray CPT 73030 $153.90 $270.00 $9.69 – $23.19 7
Shunt as-aort to pulm art CPT 33755 not published not published $1,299.74 – $4,608.45 7
Shunt central w/prostc graft CPT 33764 not published not published $1,299.74 – $4,608.45 7
Shunt desc aorta to pulm art CPT 33762 not published not published $1,257.64 – $4,486.46 7
Shuntogram nonvascular supervision & interpretation CPT 75809 not published not published $23.96 – $57.36 7
Shunt subclavian to pulm art CPT 33750 not published not published $1,238.31 – $4,418.25 7
Shunt supr v/c p-art 1 lung CPT 33766 not published not published $1,305.92 – $4,664.14 7
Shunt supr v/c p-art bth lng CPT 33767 not published not published $1,392.85 – $4,975.16 7
Sialidase enzyme assay CPT 87905 not published not published $12.83 – $47.17 11
Sialography s&i CPT 70390 not published not published $19.05 – $46.48 7
Sialolithotomy 42330 CPT 42330 not published not published $174.91 – $841.65 7
Sickling rbc CPT 85660 $17.10 $30.00 $5.79 – $21.27 11
Sigmoidoscopy and biopsy CPT 45331 $67.26 $118.00 $75.04 – $1,002.49 7
Sigmoidoscopy flex decompression 45337 CPT 45337 not published not published $117.66 – $420.56 7
Sigmoidoscopy for bleeding CPT 45334 not published not published $121.77 – $1,924.65 7
Sigmoidoscopy/submucosal injection 45335 CPT 45335 $87.78 $154.00 $69.40 – $969.68 7
Sigmoidoscopy w/ablation CPT 45346 not published not published $165.45 – $10,043.48 6
Sigmoidoscopy w/fb removal 45332 CPT 45332 not published not published $108.90 – $960.19 7
Sigmoidoscopy w/plcmt stent CPT 45347 not published not published $159.00 – $563.55 6
Sigmoidoscopy w/resection CPT 45349 not published not published $204.44 – $727.13 6
Sigmoidoscopy w/tumr remove CPT 45338 not published not published $124.24 – $1,028.55 7
Sigmoidoscopy w/ultrasound CPT 45341 not published not published $128.51 – $452.78 7
Sigmoidoscopy w/us guide bx CPT 45342 not published not published $175.26 – $621.45 7
Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 not published not published $96.78 – $1,137.68 7
Signal avg ecg w or without ecg 93278 CPT 93278 not published not published $13.37 – $42.46 7
Sig w/tndsc balloon dilation CPT 45340 not published not published $80.93 – $1,654.43 7
Simple cystometrogram 51725 CPT 51725 not published not published $78.61 – $279.38 7
Single transfer toe-hand CPT 26553 not published not published $3,346.67 – $11,664.26 7
Sinus CT scan (with and without contrast) CPT 70488 $834.48 $1,464.00 $63.91 – $161.50 7
Sinus CT scan (with contrast) CPT 70487 $670.32 $1,176.00 $56.78 – $147.94 7
Sinus CT scan (without contrast) CPT 70486 $548.91 $963.00 $43.24 – $130.64 7
Sinus/juglr venogram s&i CPT 75860 not published not published $55.74 – $135.21 7
Sinusotomy maxillary sinus 31020 CPT 31020 not published not published $364.60 – $1,722.83 7
Sinusotomy sinus remove polyps 31032 CPT 31032 not published not published $630.28 – $2,097.90 7
Sinusotomy sphenoid w/wo bx 31050 CPT 31050 not published not published $548.42 – $1,796.33 7
Skeletal muscle relaxant 1/2 CPT 80369 not published not published $31.67 – $32.73 3
Skel musc relaxant 3 or more CPT 80370 not published not published $32.73 – $67.71 3
Skin and muscle repair face CPT 15845 not published not published $1,100.69 – $3,682.95 7
Skin Biopsy CPT 11102 $247.95 $435.00 $39.38 – $182.45 6
Skin full graft 20sq cm less 15200 CPT 15200 not published not published $698.66 – $3,010.99 7
Skin full graft add-on 15241 CPT 15241 not published not published $109.21 – $654.38 7
Skin pedicle flap arms/legs CPT 15572 not published not published $764.73 – $3,175.84 7
Skin pedicle flap trunk CPT 15570 not published not published $751.29 – $3,280.16 7
Skin split graft addl 100sq cm 15101 CPT 15101 $169.86 $298.00 $111.63 – $411.17 7
Skin test unlisted antigen ea CPT 86486 not published not published $6.55 – $13.15 8
Skull base/brainstem surgery CPT 61575 not published not published $2,419.04 – $8,403.34 7
Skull base/brainstem surgery CPT 61576 not published not published $4,065.51 – $14,186.10 7
Skyla, 13.5 mg HCPCS J7301 $771.78 $1,354.00 $1,228.33 – $1,228.33 2
Slco1b1 gene com variants CPT 81328 not published not published $183.55 – $674.77 7
Sleep study attended CPT 95807 not published not published $62.97 – $206.72 7
Sleep Study (Polysomnography) CPT 95810 $4,056.12 $7,116.00 $125.71 – $408.03 7
Sleep study unattended CPT 95806 $726.18 $1,274.00 $46.82 – $151.67 7
Sleeve fing rolyan med HCPCS L3933 $533.52 $936.00 $194.54 – $194.54 2
Sleeve pneumonectomy CPT 32442 not published not published $2,969.06 – $10,671.00 7
Sling pelv split sam med HCPCS L0621 $144.21 $253.00 $86.38 – $86.38 2
Slitting of prepuce CPT 54000 not published not published $117.64 – $572.36 7
Slitting of prepuce CPT 54001 not published not published $148.21 – $705.38 7
Slp eval for nonspeech dev ea addl 30 mins CPT 92618 not published not published $111.34 – $111.34 2
Slp eval non-spch gen comm dev CPT 92605 not published not published $313.50 – $313.50 2
Slp pure tone screening CPT 92551 $26.22 $46.00 $13.32 – $37.45 6
Slp stdy unatnd w/anal CPT 95801 not published not published $43.48 – $139.60 7
Slp ther svc non-spch gen CPT 92606 not published not published $276.96 – $276.96 2
Small animal inoculation CPT 87003 not published not published $17.68 – $65.00 11
Small bowel endoscopy CPT 44360 not published not published $148.63 – $525.98 7
Small bowel endoscopy CPT 44364 not published not published $210.80 – $749.74 7
Small bowel endoscopy CPT 44366 not published not published $247.35 – $880.69 7
Small bowel endoscopy CPT 44369 not published not published $253.13 – $902.44 7
Small bowel endoscopy CPT 44376 not published not published $292.64 – $1,042.88 7
Small bowel endoscopy CPT 44378 not published not published $395.64 – $1,412.14 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.