Hospital prices in Chilton, Wisconsin

1 hospitals publish price files here.

Hospital Address System Priced procedures
Ascension Calumet Hospital, Inc. 614 Memorial Dr Ascension 7960

Cash prices in Chilton

Procedure Lowest cash Median here Highest National median
Scan duplex aorta/ivc/iliac unilateral/limited $574.56 $574.56 $574.56 $509.35
Scan duplex extracranial arteries unilateral/limited study $654.36 $654.36 $654.36 $589.60
Scan duplex extremity veins unilateral/limited study $661.77 $661.77 $661.77 $759.20
Scan duplex lower extremity arteries complete bilateral $1,584.60 $1,584.60 $1,584.60 $1,006.85
Scan duplex lower extremity arteries unilateral/limited study left $792.30 $792.30 $792.30 $660.00
Scan duplex upper extremity arteries unilateral/limited study left $792.30 $792.30 $792.30 $601.70
Scope plantar fasciotomy $615.60 $615.60 $615.60 $3,821.05
Screening Colonoscopy (average risk) $372.21 $372.21 $372.21 $1,278.72
Screening Colonoscopy (high risk) $372.78 $372.78 $372.78 $1,575.00
Screening Mammogram $309.51 $309.51 $309.51 $303.55
Screening prostate cancer PSA $33.06 $33.06 $33.06 $100.80
Screen/visual acuity/bilat/quant 99173 $9.69 $9.69 $9.69 $28.86
Sedimentation rate erythrocyte automated $11.40 $11.40 $11.40 $44.20
Semen analysis presence/motility $20.52 $20.52 $20.52 $70.85
Semen analysis w/count $29.07 $29.07 $29.07 $56.44
Sertraline (zoloft) - sendout $55.29 $55.29 $55.29 $173.16
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< $201.78 $201.78 $201.78 $284.00
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm $254.79 $254.79 $254.79 $286.89
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm $296.40 $296.40 $296.40 $442.61
Shave sgl skin lsn s/n/h/f/g 0.5cm/< $165.87 $165.87 $165.87 $258.40
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm $226.29 $226.29 $226.29 $235.13
Shave sgl skin lsn s/n/h/f/g 1.1-2cm $268.47 $268.47 $268.47 $275.88
Shave sgl skin lsn t/a/l 0.5cm/< $164.73 $164.73 $164.73 $311.25
Shave sgl skin lsn t/a/l 0.6-1.0cm $223.44 $223.44 $223.44 $235.13
Shave sgl skin lsn t/a/l 1.1-2.0cm $266.76 $266.76 $266.76 $302.55
Sho arthrs srg bicp tenodsis $1,516.77 $1,516.77 $1,516.77 $5,419.00
Sho arthrs srg capsulorraphy $1,749.33 $1,749.33 $1,749.33 $5,419.00
Sho arthrs srg lmtd dbrdmt $852.72 $852.72 $852.72 $3,839.54
Sho arthrs srg rpr slap les $1,695.75 $1,695.75 $1,695.75 $5,419.00
Sho arthrs srg xtnsv dbrdmt $966.15 $966.15 $966.15 $3,839.54
Shoulder Arthroscopy (Rotator Cuff Repair) $1,818.30 $1,818.30 $1,818.30 $6,839.00
Shoulder MRI (with and without contrast) $2,533.08 $2,533.08 $2,533.08 $2,705.30
Shoulder MRI (with contrast) $2,442.45 $2,442.45 $2,442.45 $2,449.80
Shoulder MRI (without contrast) $2,348.40 $2,348.40 $2,348.40 $2,051.28
Shoulder X-ray $153.90 $153.90 $153.90 $367.02
Sickling rbc $17.10 $17.10 $17.10 $53.55
Sigmoidoscopy and biopsy $67.26 $67.26 $67.26 $1,351.63
Sigmoidoscopy/submucosal injection 45335 $87.78 $87.78 $87.78 $1,374.60
Sinus CT scan (with and without contrast) $834.48 $834.48 $834.48 $1,815.00
Sinus CT scan (with contrast) $670.32 $670.32 $670.32 $1,519.50
Sinus CT scan (without contrast) $548.91 $548.91 $548.91 $1,279.50
Skin Biopsy $247.95 $247.95 $247.95 $382.80
Skin split graft addl 100sq cm 15101 $169.86 $169.86 $169.86 $460.00
Skyla, 13.5 mg $771.78 $771.78 $771.78 $1,801.20
Sleep Study (Polysomnography) $4,056.12 $4,056.12 $4,056.12 $3,936.80
Sleep study unattended $726.18 $726.18 $726.18 $595.50
Sleeve fing rolyan med $533.52 $533.52 $533.52 $197.40
Sling pelv split sam med $144.21 $144.21 $144.21 $115.20
Slp pure tone screening $26.22 $26.22 $26.22 $67.60
Smear fluorescent and/or acid fast stain $35.91 $35.91 $35.91 $64.20
Smear gram stain $33.06 $33.06 $33.06 $57.85
Smear nasal eosinophil $18.24 $18.24 $18.24 $49.50
Smear special stain inclusion bodies/parasites $22.80 $22.80 $22.80 $64.35
Smear wet mount $33.63 $33.63 $33.63 $68.63
Snrpn/ube3a gene $221.16 $221.16 $221.16 $228.80
Sodium 24 hour urine $23.94 $23.94 $23.94 $48.50
Sodium chloride 0.9 % IV bolus $1.14 $1.14 $1.14 $43.78
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous $14.25 $14.25 $14.25 $84.80
Sodium hyaluronate 20 mg/2 ml syringe $109.44 $109.44 $109.44 $539.57
Sodium serum/plasma/whole blood $19.38 $19.38 $19.38 $42.70
Specific gravity body fluid $7.41 $7.41 $7.41 $23.63
Speech audiometry complete $62.13 $62.13 $62.13 $104.25
Speech recep thresh $41.04 $41.04 $41.04 $90.60
Spirometry bronchodilation responsiveness pre/post bronchodilator administration $396.72 $396.72 $396.72 $559.96
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii $1,267.11 $1,267.11 $1,267.11 $380.00
Splint extn xsm w sof-stretch rolyan $164.16 $164.16 $164.16 $52.65
Splint finger frog med $103.74 $103.74 $103.74 $27.95
St analysis behavior qualitative voice/resonance $178.41 $178.41 $178.41 $300.00
Staph a dna amp probe $108.87 $108.87 $108.87 $116.39
St cognitve performance testing healthcare professional each hour $212.61 $212.61 $212.61 $313.96
St evaluate speech sound production $168.15 $168.15 $168.15 $300.00
St evaluate speech sound production comprehensive/expressive $310.08 $310.08 $310.08 $393.00
St evaluation motion fluoroscopic swallow function cine/video $271.32 $271.32 $271.32 $406.40
St evaluation swallow function $410.97 $410.97 $410.97 $336.60
Strapping of ankle and/or ft 29540 $109.44 $109.44 $109.44 $248.05
Strep b dna amp probe $118.56 $118.56 $118.56 $139.20
Stress test pulmonary $164.16 $164.16 $164.16 $327.20
St treatment speech individual $165.87 $165.87 $165.87 $254.15
St treatment swallow dysfunction/oral $226.29 $226.29 $226.29 $261.60
Sulfonylurea screen qn-sendout $127.68 $127.68 $127.68 $184.60
Sumatriptan 6 mg/0.5 ml subcutaneous solution $53.58 $53.58 $53.58 $151.29
Surgical pathology level 1 gross examination only $39.90 $39.90 $39.90 $92.59
Surgical pathology level 2 gross & microscopic examination $55.29 $55.29 $55.29 $149.76
Surgical pathology level 3 gross & microscopic examination $83.22 $83.22 $83.22 $192.00
Surgical pathology level 4 gross & microscopic examination $385.32 $385.32 $385.32 $253.75
Surgical pathology level 5 gross & microscopic examination $199.50 $199.50 $199.50 $494.00
Surgical pathology level 6 gross & microscopic examination $478.80 $478.80 $478.80 $790.00
Susceptibility agar dilution per agent $18.24 $18.24 $18.24 $40.30
Susceptibility enzyme detection per enzyme $18.24 $18.24 $18.24 $34.48
Susceptibility mic per plate $52.44 $52.44 $52.44 $94.38
Synvisc or synvisc-one $14.82 $14.82 $14.82 $1,232.66
Syphilis test non-treponemal antibody quantitative rpr $14.25 $14.25 $14.25 $44.85
T3 (triiodothyronine) free $50.16 $50.16 $50.16 $89.82
T3 (triiodothyronine) total $51.87 $51.87 $51.87 $94.90
T4 (thyroxine) free $50.16 $50.16 $50.16 $81.60
T4 (thyroxine) total $38.19 $38.19 $38.19 $73.64
Tacrolimus 1 mg capsule, immediate-release $2.59 $2.59 $2.59 $12.25
Tacrolimus therapeutic drug level $40.47 $40.47 $40.47 $122.40
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe $1.64 $1.64 $1.64 $959.55
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells $213.18 $213.18 $213.18 $200.00