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 |
|---|---|---|---|---|
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $302.33 – $1,078.80 | 7 |
| Thoracoscopy for lvrs CPT 32672 | not published | not published | $1,486.50 – $5,320.69 | 7 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $207.70 – $749.66 | 7 |
| Thoracoscopy pneumonectomy CPT 32671 | not published | not published | $1,731.25 – $6,196.35 | 7 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $1,080.52 – $3,828.79 | 7 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $1,317.26 – $4,692.11 | 7 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $1,048.35 – $3,715.73 | 7 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $945.95 – $3,341.14 | 7 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $666.80 – $2,336.63 | 7 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $1,171.62 – $4,102.28 | 7 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $838.54 – $2,963.44 | 7 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $1,632.96 – $5,802.45 | 7 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $450.25 – $1,614.26 | 7 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $466.84 – $1,673.89 | 7 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | not published | $1,371.48 – $4,889.14 | 7 |
| Thoracoscopy w/mediast exc CPT 32662 | not published | not published | $884.47 – $3,121.28 | 7 |
| Thoracoscopy w/pericard exc CPT 32661 | not published | not published | $790.66 – $2,791.88 | 7 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | not published | not published | $797.17 – $2,809.35 | 7 |
| Thoracoscopy w/sac drng 32659 CPT 32659 | not published | not published | $730.69 – $2,562.00 | 7 |
| Thoracoscopy w/sac fb remove CPT 32658 | not published | not published | $709.73 – $2,498.29 | 7 |
| Thoracoscopy w/thymus resect CPT 32673 | not published | not published | $1,195.05 – $4,254.71 | 7 |
| Thoracoscopy w/wedge resect CPT 32666 | not published | not published | $861.39 – $3,042.04 | 7 |
| Thoracoscopy w w resect addl 32667 CPT 32667 | not published | not published | $151.30 – $546.53 | 7 |
| Thoracoscopy w w resect diag 32668 CPT 32668 | not published | not published | $151.30 – $546.53 | 7 |
| Thoracostomy w/flap drng 32036 CPT 32036 | not published | not published | $793.01 – $2,737.05 | 7 |
| Thoracostomy w/rib resection 32035 CPT 32035 | not published | not published | $735.30 – $2,556.11 | 7 |
| Thoracotomy opn free adhesions 32124 CPT 32124 | not published | not published | $917.29 – $3,244.39 | 7 |
| Thoracotomy w/expl CPT 32100 | not published | not published | $804.52 – $2,835.94 | 7 |
| Thoracotomy with cardiac massage CPT 32160 | not published | not published | $796.71 – $2,791.91 | 7 |
| Thorax spine fusion CPT 22610 | not published | not published | $1,284.75 – $4,392.34 | 7 |
| Thorax stereo rad targetw/tx CPT 32701 | not published | not published | $208.05 – $758.51 | 7 |
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $253.61 – $905.25 | 7 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $301.62 – $1,077.53 | 7 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $369.58 – $1,322.48 | 7 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $16.10 – $36.58 | 7 |
| Thrombectmy crnry perq mechanical CPT 92973 | not published | not published | $171.73 – $558.04 | 7 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | not published | not published | $368.36 – $6,997.80 | 6 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | not published | not published | $444.68 – $8,794.35 | 6 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | not published | not published | $511.65 – $23,286.11 | 6 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | not published | not published | $1,090.03 – $3,941.29 | 7 |
| Thrombin time CPT 85670 | $40.47 | $71.00 | $6.06 – $22.27 | 11 |
| Thrombin time titer CPT 85675 | not published | not published | $7.19 – $26.44 | 11 |
| Thromboendarterectomy common femoral CPT 35371 | not published | not published | $787.75 – $2,847.11 | 7 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $871.65 – $3,111.75 | 7 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | not published | not published | $1,239.57 – $4,467.04 | 7 |
| Thromboendarterectomy sfa CPT 35302 | not published | not published | $1,078.77 – $3,904.09 | 7 |
| Thrombomodulin CPT 85337 | not published | not published | $14.91 – $66.66 | 11 |
| Thromboplastin inhibition CPT 85705 | $18.24 | $32.00 | $8.32 – $37.17 | 11 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $21.09 | $37.00 | $6.79 – $24.97 | 11 |
| Thromboxane urine CPT 84431 | not published | not published | $24.03 – $135.52 | 11 |
| Thumb fusion with graft CPT 26820 | not published | not published | $873.35 – $2,877.45 | 7 |
| Thumb fusion with graft CPT 26842 | not published | not published | $875.68 – $2,864.78 | 7 |
| Thumb tendon transfer CPT 26510 | not published | not published | $679.87 – $2,219.81 | 7 |
| Thymectomy prtl/tot rad medstnl dsj 60522 CPT 60522 | not published | not published | $1,347.25 – $4,780.31 | 7 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $1,055.72 – $3,690.19 | 7 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | not published | not published | $1,115.90 – $3,930.08 | 7 |
| Thyroglobulin antibody CPT 86800 | $46.74 | $82.00 | $16.71 – $61.41 | 11 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | not published | not published | $1,386.52 – $4,852.24 | 7 |
| Thyroid imaging CPT 78013 | not published | not published | $18.32 – $44.44 | 7 |
| Thyroid met imaging CPT 78015 | not published | not published | $33.91 – $81.22 | 7 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $35.33 – $85.56 | 7 |
| Thyroid mets imag whole body CPT 78018 | not published | not published | $41.35 – $101.63 | 7 |
| Thyroid met uptake CPT 78020 | not published | not published | $27.97 – $68.72 | 7 |
| Thyroid (TSH) Test CPT 84443 | $87.21 | $153.00 | $17.64 – $64.85 | 11 |
| Thyroid Ultrasound CPT 76536 | $518.13 | $909.00 | $28.38 – $68.82 | 7 |
| Thyroid uptake measurement CPT 78012 | not published | not published | $9.35 – $23.24 | 7 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $2,366.64 | $4,152.00 | $1,400.00 – $4,152.00 | 8 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $52.93 – $194.58 | 11 |
| Thyroxine binding globulin (tbg) CPT 84442 | $43.32 | $76.00 | $15.52 – $57.05 | 11 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $811.23 – $2,797.35 | 7 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $1,025.23 – $3,534.19 | 7 |
| Tib/per revasc stent & ather 37231 CPT 37231 | not published | not published | $722.84 – $51,359.96 | 7 |
| Tib/per revasc stnt & ather CPT 37235 | not published | not published | $368.24 – $14,860.50 | 7 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | not published | not published | $315.20 – $4,518.79 | 7 |
| Tic-brn enceph vac 0.25ml im CPT 90626 | not published | not published | $347.32 – $347.32 | 2 |
| Tic-brn enceph vac 0.5ml im CPT 90627 | not published | not published | $347.32 – $347.32 | 2 |
| Tilt table study CPT 93660 | not published | not published | $96.89 – $209.52 | 7 |
| Tis cgen car anomal 1st shnt CPT 33745 | not published | not published | $1,045.50 – $3,832.88 | 6 |
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $418.01 – $1,520.10 | 6 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $147.32 – $559.76 | 7 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $160.59 – $625.35 | 7 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $106.90 – $417.90 | 7 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $139.23 – $547.24 | 7 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $12.22 – $24.75 | 8 |
| Tissue culture placenta CPT 88235 | not published | not published | $71.24 – $580.16 | 11 |
| Tissue culture skin/biopsy CPT 88233 | not published | not published | $71.24 – $543.22 | 11 |
| Tissue culture tumor CPT 88239 | not published | not published | $71.24 – $569.43 | 11 |
| Tissue exam koh skin/hair/nails CPT 87220 | $17.10 | $30.00 | $4.48 – $16.48 | 11 |
| Tissue transglutaminase iga CPT 86364 | $75.24 | $132.00 | $12.11 – $44.51 | 7 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $838.28 – $2,868.41 | 7 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $1,049.19 – $3,722.66 | 7 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $943.44 – $3,234.41 | 7 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $1,261.07 – $4,365.90 | 7 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $2,326.80 – $8,330.78 | 7 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $2,384.50 – $8,546.74 | 7 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $500.45 – $1,692.64 | 7 |
| Tobramycin peak therapeutic drug level CPT 80200 | not published | not published | $16.94 – $62.26 | 11 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $10.99 | $19.28 | $4.83 – $14.00 | 7 |
| Toe joint transfer CPT 26556 | not published | not published | $3,483.38 – $12,121.05 | 7 |
| Tomosynthesis breast screen bilateral CPT 77063 | not published | not published | $31.04 – $59.44 | 6 |
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.