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 |
|---|---|---|---|---|
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $376.21 – $1,802.55 | 7 |
| Viper venom prothrombin time CPT 85612 | not published | not published | $13.70 – $67.51 | 11 |
| Virus isolation addl studies ea CPT 87253 | not published | not published | $19.95 – $77.97 | 11 |
| Visc & infraren abd 1 prosth CPT 34845 | not published | not published | $9,713.55 – $9,713.55 | 2 |
| Visc & infraren abd 2 prosth CPT 34846 | not published | not published | $11,082.34 – $11,082.34 | 2 |
| Visc & infraren abd 3 prosth CPT 34847 | not published | not published | $12,454.95 – $12,454.95 | 2 |
| Visc & infraren abd 4+ prost CPT 34848 | not published | not published | $13,827.60 – $13,827.60 | 2 |
| Visual audiometry (vra) CPT 92579 | $41.61 | $73.00 | $39.55 – $85.26 | 7 |
| Vital capacity test CPT 94150 | $232.56 | $408.00 | $12.41 – $12.41 | 2 |
| Vitamin b-12 CPT 82607 | $61.56 | $108.00 | $15.83 – $58.21 | 11 |
| Vitamin D Test CPT 82306 | $127.11 | $223.00 | $31.08 – $114.26 | 11 |
| Vit for macular hole CPT 67042 | not published | not published | $1,202.61 – $4,187.14 | 7 |
| Vit for macular pucker CPT 67041 | not published | not published | $1,202.61 – $4,188.41 | 7 |
| Vit for membrane dissect CPT 67043 | not published | not published | $1,268.11 – $4,420.61 | 7 |
| Vkorc1 gene CPT 81355 | not published | not published | $92.61 – $340.45 | 7 |
| Vlvctmy rad comp bi lymphad CPT 56637 | not published | not published | $1,578.48 – $5,342.85 | 7 |
| Vlvctmy rad comp uni lymphad CPT 56634 | not published | not published | $1,349.33 – $4,602.60 | 7 |
| Vlvctmy rad prtl uni lymphad CPT 56631 | not published | not published | $1,235.92 – $4,221.41 | 7 |
| Vlvt pv clsd hrt via p-art CPT 33471 | not published | not published | $1,303.57 – $4,630.73 | 7 |
| Vngrph chd anom/persist svc CPT 93584 | not published | not published | $61.31 – $61.31 | 4 |
| Vngrph chd azygs/hemiazygs CPT 93585 | not published | not published | $57.63 – $57.63 | 4 |
| Vngrph chd coronary sinus CPT 93586 | not published | not published | $72.99 – $72.99 | 4 |
| Vngrph chd vnvn cltrl at/abv CPT 93587 | not published | not published | $107.65 – $107.65 | 4 |
| Vngrph chd vnvn cltrl below CPT 93588 | not published | not published | $108.75 – $108.75 | 4 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | $438.90 | $770.00 | $41.16 – $85.99 | 7 |
| Vol reduction of blood/prod CPT 86960 | not published | not published | $20.38 – $44.42 | 3 |
| Volume deplete of harvest CPT 38214 | not published | not published | $42.25 – $152.93 | 6 |
| Volume measurement urine timed CPT 81050 | $11.97 | $21.00 | $3.82 – $14.05 | 11 |
| Vulvectomy radical 56640 CPT 56640 | not published | not published | $1,587.09 – $5,410.28 | 7 |
| Vulvectomy radical complete CPT 56633 | not published | not published | $1,290.03 – $4,362.41 | 7 |
| Vulvectomy radical partial CPT 56630 | not published | not published | $1,002.56 – $3,380.74 | 7 |
| Vulvectomy simple partial CPT 56620 | $1,586.31 | $2,783.00 | $617.87 – $1,111.47 | 7 |
| Warde 1003990 aldosterone CPT 82088 | $143.07 | $251.00 | $42.79 – $157.30 | 11 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $127.11 | $223.00 | $29.19 – $107.31 | 11 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $46.74 | $82.00 | $13.55 – $49.79 | 11 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $90.06 | $158.00 | $26.51 – $97.47 | 11 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $55.86 | $98.00 | $16.28 – $59.83 | 11 |
| Warde 1015200 kappa light chain free CPT 83521 | $102.60 | $180.00 | $18.13 – $66.66 | 7 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $57.00 | $100.00 | $6.01 – $30.96 | 11 |
| Warde 3008005 oligoclonal bands CPT 83916 | not published | not published | $28.76 – $105.73 | 11 |
| Warde 3016000 west nile virus antibody CPT 86788 | $37.62 | $66.00 | $8.32 – $65.04 | 11 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $45.03 | $79.00 | $15.11 – $55.55 | 11 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $19.38 | $34.00 | $7.28 – $47.29 | 11 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $33.06 | $58.00 | $9.35 – $34.35 | 11 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $63.84 | $112.00 | $18.88 – $69.40 | 11 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | not published | not published | $149.76 – $550.55 | 7 |
| Warde 3400852 arsenic CPT 82175 | $57.00 | $100.00 | $19.92 – $73.22 | 11 |
| Warde 3708165 mercury urine CPT 83825 | $48.45 | $85.00 | $17.07 – $62.76 | 11 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | not published | not published | $71.02 – $81.14 | 5 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $43.32 | $76.00 | $12.65 – $46.51 | 7 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $27.36 | $48.00 | $8.51 – $31.27 | 11 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $135.66 | $238.00 | $40.55 – $149.07 | 11 |
| Warde aldolase CPT 82085 | $35.34 | $62.00 | $10.20 – $37.48 | 11 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $79.80 | $140.00 | $17.71 – $65.12 | 11 |
| Warde amiodarone therapeutic drug level CPT 80151 | not published | not published | $19.57 – $71.95 | 7 |
| Warde analysis gene hfe common variants CPT 81256 | $246.81 | $433.00 | $68.63 – $252.29 | 10 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $475.95 | $835.00 | $172.16 – $632.89 | 10 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | $112.86 | $198.00 | $27.51 – $31.67 | 3 |
| Warde anti-mullerian hormone CPT 82166 | not published | not published | $149.07 – $170.31 | 5 |
| Warde apolipoprotein b CPT 82172 | $47.88 | $84.00 | $22.14 – $81.41 | 11 |
| Warde bile acids CPT 82239 | $37.62 | $66.00 | $17.98 – $66.08 | 11 |
| Warde cadmium blood CPT 82300 | not published | not published | $24.82 – $91.25 | 11 |
| Warde calcitonin CPT 82308 | $95.19 | $167.00 | $28.13 – $103.41 | 11 |
| Warde calculus (stone) infrared CPT 82365 | $39.33 | $69.00 | $13.55 – $49.79 | 11 |
| Warde clozapine therapeutic drug level CPT 80159 | $70.68 | $124.00 | $21.16 – $77.78 | 10 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $61.56 | $108.00 | $23.06 – $84.77 | 11 |
| Warde collagen cross links c-telopeptide CPT 82523 | $51.87 | $91.00 | $14.90 – $72.10 | 11 |
| Warde complement total hemolytic CPT 86162 | $67.83 | $119.00 | $21.34 – $78.44 | 11 |
| Warde copper CPT 82525 | $39.33 | $69.00 | $13.03 – $47.90 | 11 |
| Warde cryoglobulin CPT 82595 | $24.51 | $43.00 | $6.79 – $24.97 | 11 |
| Warde erythropoietin CPT 82668 | $66.69 | $117.00 | $19.73 – $72.53 | 11 |
| Warde estrogen fractionated CPT 82671 | $55.29 | $97.00 | $33.92 – $124.68 | 11 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $56.43 | $99.00 | $12.69 – $46.67 | 7 |
| Warde folic acid rbc CPT 82747 | $101.46 | $178.00 | $16.65 – $68.13 | 11 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $35.34 | $62.00 | $10.19 – $37.44 | 11 |
| Warde gastrin CPT 82941 | $63.27 | $111.00 | $18.51 – $68.05 | 11 |
| Warde growth hormone (hgh) CPT 83003 | $59.28 | $104.00 | $17.50 – $64.35 | 11 |
| Warde haloperidol therapeutic drug level CPT 80173 | $35.34 | $62.00 | $16.57 – $60.91 | 11 |
| Warde helminth antibody strongyloides igg CPT 86682 | $42.18 | $74.00 | $8.32 – $50.22 | 11 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $65.55 | $115.00 | $6.52 – $49.68 | 11 |
| Warde hepatitis a antibody CPT 86708 | $33.63 | $59.00 | $13.01 – $47.83 | 11 |
| Warde hepatitis be antibody CPT 86707 | $41.61 | $73.00 | $12.15 – $44.66 | 11 |
| Warde hepatitis delta agent antibody CPT 86692 | $29.64 | $52.00 | $18.02 – $66.24 | 11 |
| Warde immunofixation electrophoresis urine CPT 86335 | $94.05 | $165.00 | $25.36 – $113.29 | 11 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $41.04 | $72.00 | $12.11 – $44.51 | 11 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $892.05 | $1,565.00 | $270.32 – $993.76 | 11 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $117.42 | $206.00 | $20.22 – $90.98 | 11 |
| Warde lipoprotein (a) CPT 83695 | $62.13 | $109.00 | $15.04 – $55.28 | 11 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | not published | not published | $48.55 – $178.76 | 11 |
| Warde mitochondrial antibody each CPT 86381 | $101.46 | $178.00 | $26.72 – $98.24 | 7 |
| Warde neutralization rabies CPT 86382 | not published | not published | $17.76 – $65.27 | 11 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $49.59 | $87.00 | $13.91 – $51.15 | 10 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $63.84 | $112.00 | $24.12 – $88.66 | 7 |
| Warde protein c antigen CPT 85302 | not published | not published | $12.61 – $46.36 | 11 |
| Warde sex hormone binding globulin CPT 84270 | $64.41 | $113.00 | $22.82 – $83.88 | 11 |
| Warde somatomedin CPT 84305 | $220.59 | $387.00 | $22.32 – $82.06 | 11 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $17.10 | $30.00 | $5.78 – $21.23 | 11 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $23.37 | $41.00 | $11.00 – $60.83 | 11 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $122.55 | $215.00 | $33.26 – $196.32 | 11 |
| Warde topiramate therapeutic drug level CPT 80201 | $67.83 | $119.00 | $12.52 – $46.01 | 11 |
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.