Based on public Medicaid payment data.
Ascension Calumet Hospital, Inc
Medicaid Provider in Chilton, WI
Type
Organization
Address
614 Memorial Dr
Chilton, WI 530141568
Phone
9208492386
NPI
1376541748
Procedures
13
Total Claims
77.1K
Patients Served
52K
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Blood Work & Lab Tests | $4.65 | 35,932 | 24,654 |
| Office Visit | $39.76 | 16,647 | 10,671 |
| Emergency Room Visit | $155.82 | 13,666 | 9,418 |
| Urinalysis & Urine Tests | $3.72 | 4,450 | 3,216 |
| EKG / ECG (Electrocardiogram) | $5.07 | 2,508 | 1,682 |
| X-Ray | $7.70 | 1,440 | 993 |
| Physical Therapy | $38.59 | 851 | 265 |
| Ambulance Transport | $21.33 | 683 | 424 |
| Culture & Microbiology Tests | $8.25 | 409 | 339 |
| Vaccines & Immunizations | $17.64 | 357 | 294 |
| Prescription Medications | $0.03 | 54 | 31 |
| CT Scan (Computed Tomography) | $234.41 | 49 | 36 |
| Pulmonary Function Test | $120.49 | 43 | 25 |
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