# Ascension Calumet Hospital

Ascension Calumet Hospital is a nonprofit critical access hospital in Chilton, Wisconsin. Its CMS Certification Number (CCN) is 521317 and its NPI is 1376541748.

Web page: https://www.med-reveal.com/hospitals/wisconsin/ascension-calumet-hospital-521317

## Profile

| Field | Value |
| --- | --- |
| Legal business name | Ascension Calumet Hospital Inc |
| Hospital type | Critical Access Hospital |
| Ownership | Nonprofit |
| CCN | 521317 |
| NPI | 1376541748 |
| Tax ID (EIN) | 39-0905385 (ASCENSION CALUMET HOSPITAL INC) |
| Address | 614 Memorial Dr, Chilton, WI 53014 |
| County | Calumet |
| Phone | (920) 849-2386 |

## Quality

- CMS overall star rating: Not rated
- Emergency services: Yes

## UnitedHealthcare physician rates

Median in-network rate for clinicians billing at this hospital (professional, global, no modifier), compared with the Wisconsin median across hospitals.

| Service | Code | Median | Range | Wisconsin percentile | Wisconsin median |
| --- | --- | --- | --- | --- | --- |
| Emergency room visit, high severity | 99285 | $365 | $352–$427, 3 rates | 51st | $365 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $854 | $724–$974, 9 rates | 64th | $652 |
| MRI, brain, with and without contrast | 70553 | $953 | $808–$1,182, 9 rates | 59th | $844 |
| Colonoscopy, diagnostic | 45378 | $1,112 | $653–$1,362, 9 rates | 67th | $782 |

Full rates for every billing code, facility and professional, inpatient and outpatient, across UnitedHealthcare, Aetna, Cigna and BCBS: https://www.med-reveal.com/login

## Medicare-certified units

- Ascension Calumet Hospital (Swing-bed unit), CCN 52Z317

## Sources

- CMS Hospital Enrollments (PECOS): CCN, NPI, type, ownership, address, units. https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments
- CMS Hospital General Information: star rating, emergency services, quality measures. https://data.cms.gov/provider-data/dataset/xubh-q36u
- UnitedHealthcare Transparency in Coverage files: physician (professional) negotiated rates, global (no modifier). https://transparency-in-coverage.uhc.com/