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 |
|---|---|---|---|---|
| Transvrs a-arch grf hypthrm CPT 33871 | not published | not published | $3,160.87 – $11,395.80 | 6 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $161.45 | $283.24 | $29.98 – $283.24 | 6 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $52.07 – $191.42 | 10 |
| Treat ankle dislocation CPT 27842 | not published | not published | $520.52 – $1,765.69 | 7 |
| Treat ankle dislocation CPT 27846 | not published | not published | $757.83 – $2,565.23 | 7 |
| Treat ankle dislocation CPT 27848 | not published | not published | $822.91 – $2,868.79 | 7 |
| Treat ankle fracture CPT 28445 | not published | not published | $1,093.04 – $3,733.84 | 7 |
| Treat big toe fracture CPT 28505 | not published | not published | $527.42 – $2,430.64 | 7 |
| Treat cheek bone fracturemalar 21360 CPT 21360 | not published | not published | $555.15 – $1,847.59 | 7 |
| Treat chest lining CPT 32215 | not published | not published | $798.14 – $2,797.99 | 7 |
| Treat clavicle dislocation 23545 CPT 23545 | not published | not published | $349.66 – $1,232.33 | 7 |
| Treat each add spine fx CPT 22328 | not published | not published | $271.38 – $964.80 | 7 |
| Treat ectopic pregnancy CPT 59150 | not published | not published | $788.96 – $2,724.19 | 7 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $771.28 – $2,657.81 | 7 |
| Treat ectopic pregnancy CPT 59140 | not published | not published | $420.04 – $1,434.04 | 7 |
| Treat elbow dislocation CPT 24605 | not published | not published | $507.88 – $1,698.26 | 7 |
| Treat elbow dislocation CPT 24615 | not published | not published | $744.60 – $2,554.05 | 7 |
| Treat elbow fracture CPT 24586 | not published | not published | $1,122.88 – $3,885.08 | 7 |
| Treat elbow fracture CPT 24620 | not published | not published | $622.00 – $1,985.55 | 7 |
| Treat elbow fracture CPT 24635 | not published | not published | $708.84 – $2,412.79 | 7 |
| Treat eyelid by injection CPT 68200 | not published | not published | $35.89 – $151.99 | 7 |
| Treat eyelid lesion 67850 CPT 67850 | not published | not published | $138.56 – $786.98 | 7 |
| Treat finger fracture each CPT 26727 | not published | not published | $506.17 – $1,696.65 | 7 |
| Treat finger fracture each CPT 26742 | $757.53 | $1,329.00 | $360.68 – $802.78 | 7 |
| Treat foot bone lesion CPT 28005 | not published | not published | $608.64 – $2,125.91 | 7 |
| Treat foot dislocation CPT 28540 | not published | not published | $193.28 – $715.20 | 7 |
| Treat foot dislocation CPT 28545 | not published | not published | $292.93 – $1,087.35 | 7 |
| Treat foot dislocation CPT 28546 | not published | not published | $377.07 – $2,118.30 | 7 |
| Treat foot dislocation CPT 28570 | not published | not published | $214.32 – $826.28 | 7 |
| Treat foot dislocation CPT 28576 | not published | not published | $411.92 – $1,386.15 | 7 |
| Treat foot dislocation CPT 28600 | not published | not published | $176.11 – $786.04 | 7 |
| Treat foot dislocation CPT 28605 | not published | not published | $329.81 – $1,201.99 | 7 |
| Treat foot dislocation CPT 28606 | not published | not published | $415.54 – $1,401.04 | 7 |
| Treat fracture of radius CPT 25505 | $1,465.47 | $2,571.00 | $493.64 – $1,809.53 | 7 |
| Treat fracture of radius CPT 25520 | not published | not published | $579.98 – $2,052.83 | 7 |
| Treat fracture of ulna CPT 25535 | not published | not published | $490.26 – $1,760.93 | 7 |
| Treat/graft heel fracture CPT 28420 | not published | not published | $1,342.45 – $4,592.21 | 7 |
| Treat hand bone lesion CPT 26034 | not published | not published | $583.48 – $1,961.21 | 7 |
| Treat hand dislocation CPT 26675 | not published | not published | $452.63 – $1,645.91 | 7 |
| Treat hand dislocation CPT 26685 | not published | not published | $612.59 – $2,065.76 | 7 |
| Treat hand dislocation CPT 26686 | not published | not published | $652.50 – $2,229.90 | 7 |
| Treat heel fracture CPT 28415 | $1,857.06 | $3,258.00 | $1,171.85 – $2,408.15 | 7 |
| Treat hip dislocation CPT 27252 | not published | not published | $774.85 – $2,694.41 | 7 |
| Treat hip dislocation CPT 27257 | not published | not published | $371.87 – $1,288.88 | 7 |
| Treat hip dislocation CPT 27258 | not published | not published | $1,145.49 – $3,962.85 | 7 |
| Treat hip dislocation CPT 27253 | not published | not published | $969.94 – $3,359.74 | 7 |
| Treat hip dislocation CPT 27254 | not published | not published | $1,305.97 – $4,539.34 | 7 |
| Treat hip dislocation CPT 27259 | not published | not published | $1,581.35 – $5,514.64 | 7 |
| Treat hip fracture(s) CPT 27227 | not published | not published | $1,687.87 – $5,896.65 | 7 |
| Treat hip fracture(s) CPT 27228 | not published | not published | $1,914.67 – $6,697.05 | 7 |
| Treat hip socket fracture CPT 27222 | not published | not published | $1,013.16 – $3,477.71 | 7 |
| Treat hip wall fracture CPT 27226 | not published | not published | $1,089.63 – $3,767.21 | 7 |
| Treat humerus fracture CPT 24515 | $1,381.68 | $2,424.00 | $915.82 – $1,889.41 | 7 |
| Treat humerus fracture CPT 24516 | not published | not published | $890.62 – $3,068.18 | 7 |
| Treat humerus fracture CPT 24535 | not published | not published | $608.13 – $2,210.40 | 7 |
| Treat humerus fracture CPT 24545 | not published | not published | $963.24 – $3,320.70 | 7 |
| Treat humerus fracture CPT 24546 | $1,731.66 | $3,038.00 | $1,073.60 – $2,237.65 | 7 |
| Treat humerus fracture CPT 24565 | not published | not published | $528.34 – $1,926.60 | 7 |
| Treat humerus fracture CPT 24575 | not published | not published | $767.59 – $2,623.01 | 7 |
| Treat humerus fracture CPT 24579 | not published | not published | $870.53 – $2,977.24 | 7 |
| Treat humerus fracture CPT 24582 | not published | not published | $856.95 – $2,901.34 | 7 |
| Treat kneecap dislocation CPT 27562 | $441.18 | $774.00 | $519.63 – $1,046.64 | 7 |
| Treat kneecap dislocation CPT 27566 | not published | not published | $924.47 – $3,188.36 | 7 |
| Treat kneecap fracture CPT 27524 | $1,188.45 | $2,085.00 | $784.07 – $1,624.47 | 7 |
| Treat knee dislocation CPT 27552 | $3,024.99 | $5,307.00 | $666.67 – $2,249.63 | 7 |
| Treat knee dislocation CPT 27556 | not published | not published | $901.05 – $3,130.46 | 7 |
| Treat knee dislocation CPT 27557 | not published | not published | $1,070.09 – $3,734.40 | 7 |
| Treat knee dislocation CPT 27558 | not published | not published | $1,215.12 – $4,252.88 | 7 |
| Treat knee fracture CPT 27535 | $1,570.35 | $2,755.00 | $922.31 – $1,925.60 | 7 |
| Treat knee fracture CPT 27536 | $2,021.79 | $3,547.00 | $1,223.29 – $2,559.27 | 7 |
| Treat knee fracture CPT 27540 | $1,305.87 | $2,291.00 | $845.35 – $1,747.86 | 7 |
| Treat knee fracture 27530 CPT 27530 | $446.31 | $783.00 | $315.36 – $668.40 | 7 |
| Treat knee fracture(s) CPT 27538 | not published | not published | $480.89 – $1,714.95 | 7 |
| Treat knuckle dislocation CPT 26705 | not published | not published | $426.42 – $1,517.25 | 7 |
| Treat knuckle dislocation CPT 26715 | not published | not published | $606.64 – $2,056.91 | 7 |
| Treat lower jaw fracture 21462 CPT 21462 | not published | not published | $1,225.67 – $7,857.53 | 7 |
| Treat lower leg bone lesion CPT 27607 | not published | not published | $625.81 – $2,178.08 | 7 |
| Treat lower leg dislocation CPT 27830 | not published | not published | $387.40 – $1,387.20 | 7 |
| Treat lower leg dislocation CPT 27831 | not published | not published | $436.05 – $1,447.43 | 7 |
| Treat lower leg dislocation CPT 27832 | not published | not published | $790.76 – $2,702.93 | 7 |
| Treat lower leg fracture CPT 27826 | not published | not published | $894.49 – $3,059.96 | 7 |
| Treat lower leg fracture CPT 27827 | $1,642.74 | $2,882.00 | $1,165.19 – $2,346.08 | 7 |
| Treat lower leg fracture CPT 27828 | not published | not published | $1,374.00 – $4,722.68 | 7 |
| Treat lower leg joint CPT 27829 | $955.89 | $1,677.00 | $742.21 – $1,489.85 | 7 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | $1,248.30 | $2,190.00 | $867.05 – $1,776.34 | 7 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | $1,627.92 | $2,856.00 | $1,097.76 – $2,255.30 | 7 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | $1,072.17 | $1,881.00 | $778.03 – $1,588.69 | 7 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | not published | not published | $309.21 – $1,197.34 | 7 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $255.36 | $448.00 | $63.40 – $174.04 | 7 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $127.68 | $224.00 | $17.25 – $53.64 | 7 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $144.21 | $253.00 | $8.33 – $57.12 | 7 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | not published | not published | $393.39 – $1,444.61 | 7 |
| Treatment mouth roof lesion CPT 42160 | not published | not published | $149.00 – $854.21 | 7 |
| Treatment of anal fissure CPT 46942 | not published | not published | $136.18 – $853.61 | 7 |
| Treatment of anal fissure w/dilat 46940 CPT 46940 | not published | not published | $151.39 – $894.53 | 7 |
| Treatment of ankle fracture CPT 27792 | $1,100.67 | $1,931.00 | $676.24 – $1,420.33 | 7 |
| Treatment of ankle fracture CPT 27814 | $1,232.91 | $2,163.00 | $796.81 – $1,671.56 | 7 |
| Treatment of ankle fracture CPT 27822 | $1,235.19 | $2,167.00 | $912.80 – $1,824.99 | 7 |
| Treatment of ankle fracture CPT 27823 | not published | not published | $1,025.40 – $3,510.79 | 7 |
| Treatment of ankle fracture 27786 CPT 27786 | $603.63 | $1,059.00 | $312.28 – $701.89 | 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.