Ascension Calumet Hospital, Inc.
Chilton, WI
Addresses
Filing revisions
1 known revision on file.
| Revision date | Payer-specific rates |
|---|---|
| Jan 1, 2026 | Yes |
Example procedure pricing
- Total knee replacement β CPT 27447$6.9k
- MRI brain w/ contrast β CPT 70553$478
- Upper GI endoscopy β CPT 43239$422
- Knee arthroscopy β CPT 29881$848
- Colonoscopy β CPT 45378$426
- Colonoscopy with biopsy β CPT 45380$540
- Cataract surgery β CPT 66984$1.1k
- Appendectomy β CPT 44970$920
- Hip replacement β CPT 27130$8.4k
- Gallbladder removal β CPT 47562$1.2k
- Screening mammogram β CPT 77067$147
- CT scan, abdomen and pelvis β CPT 74177$379
- Coronary stent placement β CPT 92928$3.7k
- Tonsillectomy β CPT 42820$566
- Cardiac catheterization β CPT 93458$1.5k
- MRI, knee β CPT 73721$277
- MRI, lumbar spine β CPT 72148$298
- Chest X-ray β CPT 71046$36
- Emergency dept visit, level 4 β CPT 99284$732
- Hernia repair β CPT 49505$799
- Carpal tunnel release β CPT 64721$676
- Cesarean delivery β CPT 59510$4.0k
- Spinal fusion β CPT 22612$3.0k
- Vaginal delivery β CPT 59400$3.6k
- Pacemaker insertion β CPT 33208$4.2k
- Shoulder arthroscopy with rotator cuff repair β CPT 29827$1.7k
- Gastric bypass surgery β CPT 43644$3.3k
- Colorectal cancer screening β HCPCS G0121$305
- Major joint replacement, inpatient stay β MS-DRG 470$34.0k
- Heart failure hospitalization β MS-DRG 291$23.0k
- Pneumonia hospitalization β MS-DRG 194$14.9k
- Digestive disorder hospitalization β MS-DRG 392$14.1k
- Kidney failure hospitalization β MS-DRG 683$16.1k
- Sepsis hospitalization β MS-DRG 871$35.4k
EIN: 390905385
Last updated: Jan 1, 2026
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Hospital ID: e3a95f47c9f6f9b93c3d4d886f009f896b66dc6df437ee688990547d6c13ce5d