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 |
|---|---|---|---|---|
| Tone decay hearing test CPT 92563 | not published | not published | $36.87 – $98.80 | 7 |
| Tongue and neck surgery CPT 41135 | not published | not published | $2,250.50 – $7,827.79 | 7 |
| Tongue base vol reduction CPT 41530 | not published | not published | $399.01 – $7,665.79 | 7 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $116.73 – $643.46 | 7 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $3,093.02 – $10,871.85 | 7 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $2,284.41 – $7,922.18 | 7 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $2,483.30 – $8,625.56 | 7 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $2,855.04 – $9,959.10 | 7 |
| Tongue suspension CPT 41512 | not published | not published | $701.48 – $2,385.56 | 7 |
| Tongue to lip surgery CPT 41510 | not published | not published | $481.69 – $1,623.60 | 7 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $271.44 – $907.80 | 7 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $285.45 – $949.31 | 7 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,394.81 – $4,865.03 | 7 |
| Total hip arthroplasty CPT 27132 | not published | not published | $1,707.61 – $5,969.70 | 7 |
| Total Hip Replacement CPT 27130 | $2,561.01 | $4,493.00 | $1,315.64 – $3,094.63 | 7 |
| Total hysterectomy CPT 58150 | not published | not published | $1,052.32 – $3,643.65 | 7 |
| Total Knee Replacement CPT 27447 | $4,798.83 | $8,419.00 | $1,313.97 – $3,304.10 | 7 |
| Total lung lavage CPT 32997 | not published | not published | $350.92 – $1,269.26 | 7 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $2,695.47 – $6,202.63 | 7 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $1,615.60 – $5,645.33 | 7 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $1,782.85 – $6,318.53 | 7 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $360.17 – $360.17 | 4 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $493.29 – $1,760.29 | 6 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $2,928.88 – $10,449.34 | 7 |
| Tot estradiol response panel CPT 80415 | not published | not published | $58.68 – $215.74 | 11 |
| Toxoplasma antibody igg CPT 86777 | $52.44 | $92.00 | $15.11 – $55.55 | 11 |
| Toxoplasma antibody igm CPT 86778 | $46.74 | $82.00 | $15.13 – $55.62 | 11 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $673.94 – $2,477.54 | 7 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $323.40 – $1,188.88 | 7 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $345.99 – $1,271.91 | 7 |
| Tpmt gene com vrnts CPT 81335 | not published | not published | $183.55 – $674.77 | 7 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $79.16 – $79.16 | 2 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $2,699.03 – $2,699.03 | 2 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $2,298.30 – $2,298.30 | 2 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $1,350.41 – $1,350.41 | 2 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $171.15 – $11,183.33 | 6 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $216.49 – $898.95 | 7 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $393.46 – $1,305.08 | 7 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | not published | not published | $120.56 – $618.23 | 7 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $3,081.83 – $10,283.44 | 7 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $1,356.91 – $4,799.21 | 7 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $446.27 – $1,569.56 | 7 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $301.45 – $1,406.36 | 7 |
| Transab esoph hiat hern repair 43332 CPT 43332 | $2,368.35 | $4,155.00 | $1,144.31 – $4,071.19 | 7 |
| Transab esoph hiat hern rpr CPT 43333 | not published | not published | $1,253.08 – $4,446.83 | 7 |
| Transcath biopsy CPT 37200 | not published | not published | $218.60 – $805.76 | 7 |
| Transcath closure of asd CPT 93580 | not published | not published | $952.08 – $3,094.90 | 7 |
| Transcath closure of vsd CPT 93581 | not published | not published | $1,288.24 – $4,192.15 | 7 |
| Transcatheter bx s&i CPT 75970 | not published | not published | $39.53 – $96.97 | 7 |
| Transcath mv repair addl prosthesis CPT 33419 | not published | not published | $412.17 – $1,493.63 | 6 |
| Transcath mv repair init prosthesis CPT 33418 | not published | not published | $1,763.80 – $6,325.16 | 6 |
| Transcath occlusion cns CPT 61624 | not published | not published | $1,126.01 – $3,982.99 | 7 |
| Transcath occlusion non-cns CPT 61626 | not published | not published | $893.40 – $3,150.90 | 7 |
| Trans cath replace aortic valve 33366 CPT 33366 | not published | not published | $1,527.19 – $5,512.84 | 6 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | not published | not published | $498.23 – $1,879.84 | 6 |
| Transcochlear approach/skull CPT 61596 | not published | not published | $2,537.14 – $8,816.70 | 7 |
| Transcondylar approach/skull CPT 61597 | not published | not published | $2,896.29 – $9,991.54 | 7 |
| Transcrv abltj utrn fibrd rf CPT 58580 | not published | not published | $421.01 – $421.01 | 4 |
| Transcutaneous carboxyhb CPT 88740 | not published | not published | $7.17 – $36.17 | 11 |
| Transcutaneous hgb 88738 CPT 88738 | $11.40 | $20.00 | $5.27 – $19.38 | 11 |
| Transcutaneous methb CPT 88741 | not published | not published | $7.17 – $36.17 | 11 |
| Transect artery sinus CPT 61611 | not published | not published | $441.16 – $1,560.19 | 7 |
| Transect pulmonary artery CPT 33922 | not published | not published | $1,366.98 – $4,859.66 | 7 |
| Transfer of abdominal muscle CPT 27100 | not published | not published | $863.64 – $2,956.99 | 7 |
| Transfer of embryo CPT 58976 | not published | not published | $217.03 – $916.88 | 7 |
| Transfer of iliopsoas muscle CPT 27110 | not published | not published | $1,004.63 – $3,462.53 | 7 |
| Transfer of iliopsoas muscle CPT 27111 | not published | not published | $936.76 – $3,217.95 | 7 |
| Transfer of spinal muscle CPT 27105 | not published | not published | $904.06 – $3,100.54 | 7 |
| Transferrin CPT 84466 | $46.74 | $82.00 | $13.40 – $49.25 | 11 |
| Transfer skin pedicle flap CPT 15650 | not published | not published | $422.16 – $1,834.54 | 7 |
| Transfer tendon to pelvis CPT 27098 | not published | not published | $726.04 – $2,481.15 | 7 |
| Transfusion blood/blood component(s) CPT 36430 | $378.48 | $664.00 | $44.61 – $125.44 | 7 |
| Transorl lwr esophgl myotomy CPT 43497 | not published | not published | $815.06 – $2,932.46 | 6 |
| Transperi needle place pros CPT 55875 | not published | not published | $819.65 – $2,826.19 | 7 |
| Transpetrosal approach/skull CPT 61598 | not published | not published | $2,792.07 – $9,687.04 | 7 |
| Transpl allograft pancreas CPT 48554 | not published | not published | $2,658.87 – $9,065.03 | 7 |
| Transplantation heart/lung CPT 33935 | not published | not published | $4,792.39 – $17,278.16 | 7 |
| Transplantation of heart CPT 33945 | not published | not published | $4,733.68 – $16,973.10 | 7 |
| Transplantation of liver CPT 47135 | not published | not published | $5,372.91 – $18,920.66 | 7 |
| Transplant femur ridge CPT 27140 | not published | not published | $927.91 – $3,194.40 | 7 |
| Transplant forearm tendon CPT 25310 | not published | not published | $655.02 – $2,226.98 | 7 |
| Transplant forearm tendon CPT 25312 | not published | not published | $751.33 – $2,578.31 | 7 |
| Transplant/graft hand tendon CPT 26483 | not published | not published | $920.08 – $3,071.44 | 7 |
| Transplant/graft palm tendon CPT 26489 | not published | not published | $1,011.80 – $3,392.14 | 7 |
| Transplant hand tendon CPT 26480 | not published | not published | $832.61 – $2,756.40 | 7 |
| Transplant of thigh tendon CPT 27396 | not published | not published | $647.47 – $2,204.48 | 7 |
| Transplant palm tendon CPT 26485 | not published | not published | $883.88 – $2,945.29 | 7 |
| Transplants of thigh tendons CPT 27397 | not published | not published | $950.31 – $3,265.50 | 7 |
| Transplant ureter to skin CPT 50860 | not published | not published | $984.27 – $3,457.80 | 7 |
| Transplj hematopoietic boost CPT 38243 | not published | not published | $131.09 – $451.91 | 7 |
| Transplt allo hct/donor CPT 38240 | not published | not published | $255.81 – $875.48 | 7 |
| Transplt allo lymphocytes CPT 38242 | not published | not published | $133.55 – $469.76 | 7 |
| Transplt autol hct/donor CPT 38241 | not published | not published | $188.88 – $647.63 | 7 |
| Transposition of vein valve CPT 34510 | not published | not published | $985.69 – $3,538.58 | 7 |
| Transposition ovary(s) CPT 58825 | not published | not published | $736.45 – $2,548.65 | 7 |
| Transtemporal approach/skull CPT 61595 | not published | not published | $2,427.03 – $8,353.16 | 7 |
| Transthor cath for stent CPT 33621 | not published | not published | $913.27 – $3,253.88 | 7 |
| Transthor diaphrag hern repair 43334 CPT 43334 | not published | not published | $1,219.79 – $4,376.03 | 7 |
| Transthor diaphrag hern rpr CPT 43335 | not published | not published | $1,306.97 – $4,678.09 | 7 |
| Transurethral rf treatment CPT 53860 | not published | not published | $232.78 – $7,664.85 | 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.