| Procedure | Cash | Chargemaster | Insurer | Medicare |
|---|
| 3D mammogram (tomosynthesis) |
— |
— |
$189 |
$51 |
| Achilles tendon repair |
— |
— |
$2,399 |
$624 |
| ACL knee reconstruction |
— |
— |
$3,300 |
$889 |
| Acupuncture |
— |
— |
$85 |
$38 |
| Adenoid removal (adenoidectomy) |
— |
— |
$887 |
$204 |
| Allergy patch testing |
— |
— |
$14 |
$5 |
| Allergy shots |
— |
— |
$24 |
$11 |
| Allergy testing |
— |
— |
$17 |
$4 |
| Anal fistula repair |
— |
— |
$940 |
$541 |
| Ankle fracture repair |
— |
— |
$3,123 |
$608 |
| Ankle replacement |
— |
— |
$3,701 |
$885 |
| Annual physical (established patient) |
— |
— |
$322 |
— |
| Annual physical (new patient) |
— |
— |
$374 |
— |
| Aortic aneurysm repair (AAA) |
— |
— |
$3,701 |
$1,345 |
| Aortic valve replacement |
— |
— |
$3,701 |
$1,603 |
| Benign skin lesion removal |
— |
— |
$101 |
$171 |
| Bladder function test (urodynamics) |
— |
— |
$222 |
$345 |
| Bladder scope (cystoscopy) |
— |
— |
$238 |
$216 |
| Bladder tumor removal (TURBT) |
— |
— |
$1,143 |
$236 |
| Blood glucose test |
— |
— |
$5 |
$5 |
| Botox for migraine |
— |
— |
$59 |
$157 |
| Brain shunt (VP shunt) |
— |
— |
$3,701 |
$1,023 |
| Breast biopsy |
— |
— |
$486 |
$478 |
| Breast reconstruction |
— |
— |
$4,591 |
$1,227 |
| Breast reduction |
— |
— |
$1,845 |
$980 |
| Bunion surgery (bunionectomy) |
— |
— |
$3,103 |
$883 |
| Cardiac event monitor |
— |
— |
$524 |
$170 |
| Cardiac rehabilitation |
— |
— |
$66 |
$26 |
| Cardiac stress test |
— |
— |
$120 |
$39 |
| Carotid artery surgery |
— |
— |
$3,701 |
$1,026 |
| Carpal tunnel release |
— |
— |
$660 |
$483 |
| Cataract surgery |
— |
— |
$850 |
$547 |
| Cervical LEEP procedure |
— |
— |
$363 |
$325 |
| Cesarean section (C-section) |
— |
— |
$2,585 |
$7,552 |
| Chalazion (eyelid cyst) removal |
— |
— |
$62 |
$131 |
| Chiropractic adjustment |
— |
— |
$109 |
$38 |
| Circumcision |
— |
— |
$653 |
$167 |
| Colon resection (colectomy) |
— |
— |
$4,020 |
$1,238 |
| Colostomy |
— |
— |
$3,701 |
$1,122 |
| Colposcopy |
— |
— |
$70 |
$161 |
| Comprehensive eye exam |
— |
— |
$358 |
$138 |
| Contact lens fitting |
— |
— |
$252 |
— |
| Continuous glucose monitor setup |
— |
— |
$117 |
$35 |
| Contraceptive implant (Nexplanon) |
— |
— |
$76 |
$115 |
| Corneal transplant |
— |
— |
$1,533 |
$1,066 |
| Coronary artery bypass (CABG) |
— |
— |
$2,623 |
$36,593 |
| Craniotomy (brain surgery) |
— |
— |
$3,701 |
$2,161 |
| Diagnostic mammogram |
— |
— |
$267 |
$140 |
| Dialysis fistula creation |
— |
— |
$1,118 |
$601 |
| Droopy eyelid repair (ptosis) |
— |
— |
$698 |
$745 |
| Drug screen (urine) |
— |
— |
$17 |
$17 |
| Ear tubes (myringotomy) |
— |
— |
$118 |
$174 |
| Eardrum repair (tympanoplasty) |
— |
— |
$1,954 |
$799 |
| Elbow replacement |
— |
— |
$10,077 |
$1,301 |
| Electrocardiogram (EKG) |
— |
— |
$34 |
$8 |
| Epidural steroid injection |
— |
— |
$263 |
$275 |
| Eye refraction (glasses prescription) |
— |
— |
$53 |
— |
| Eyelid surgery (blepharoplasty) |
— |
— |
$709 |
$552 |
| Fecal occult blood (stool) test |
— |
— |
$16 |
$10 |
| Femoral hernia repair |
— |
— |
$1,152 |
$584 |
| Fibroid removal (myomectomy) |
— |
— |
$3,701 |
$914 |
| Flu vaccine |
— |
— |
$52 |
— |
| Gallbladder removal (laparoscopic) |
— |
— |
$1,889 |
$658 |
| Ganglion cyst removal |
— |
— |
$593 |
$321 |
| Glaucoma surgery |
— |
— |
$850 |
$984 |
| Group therapy session |
— |
— |
$69 |
$30 |
| Hammertoe repair |
— |
— |
$1,088 |
$548 |
| Hemodialysis |
— |
— |
$1,271 |
$75 |
| Hemorrhoid removal |
— |
— |
$940 |
$338 |
| Hepatitis A vaccine |
— |
— |
$145 |
— |
| Hepatitis B vaccine |
— |
— |
$172 |
— |
| Hip arthroscopy |
— |
— |
$2,399 |
$931 |
| Hip fracture repair |
— |
— |
$3,701 |
$1,120 |
| Hip replacement |
— |
— |
$5,602 |
$1,162 |
| Holter heart monitor |
— |
— |
$154 |
$26 |
| Home sleep apnea test |
— |
— |
$350 |
$123 |
| Hydrocele repair |
— |
— |
$1,152 |
$315 |
| Hysterectomy |
— |
— |
$3,110 |
$933 |
| Hysteroscopy |
— |
— |
$1,064 |
$1,270 |
| Ileostomy |
— |
— |
$3,701 |
$968 |
| Inguinal hernia repair |
— |
— |
$1,152 |
$538 |
| Joint aspiration (small/intermediate) |
— |
— |
$23 |
$57 |
| Kidney removal (nephrectomy) |
— |
— |
$4,020 |
$1,164 |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$1,143 |
$760 |
| Knee arthroscopy |
— |
— |
$1,088 |
$524 |
| Knee replacement |
— |
— |
$2,623 |
$18,054 |
| Laminectomy (spine) |
— |
— |
$2,399 |
$1,157 |
| Lumbar discectomy |
— |
— |
$2,399 |
$898 |
| Lumpectomy (breast) |
— |
— |
$1,012 |
$750 |
| Mastectomy |
— |
— |
$1,845 |
$1,021 |
| Mastoidectomy |
— |
— |
$1,954 |
$840 |
| Meniscus repair (knee) |
— |
— |
$1,088 |
$714 |
| Mohs skin cancer surgery |
— |
— |
$228 |
$535 |
| Neck (cervical) spinal fusion |
— |
— |
$6,995 |
$1,410 |
| Nerve conduction study |
— |
— |
$256 |
$118 |
| Newborn hospital care |
— |
— |
$193 |
$58 |
| Occupational therapy evaluation |
— |
— |
$263 |
$101 |
| Ovarian cyst removal |
— |
— |
$5,602 |
$698 |
| Ovary removal (oophorectomy) |
— |
— |
$3,701 |
$822 |
| Pacemaker insertion |
— |
— |
$2,623 |
$15,506 |
| Pap smear (cervical screening) |
— |
— |
$25 |
$20 |
| Parathyroid removal |
— |
— |
$1,954 |
$891 |
| PET scan |
— |
— |
$1,877 |
— |
| Physical therapy evaluation |
— |
— |
$263 |
$98 |
| Pneumonia vaccine |
— |
— |
$268 |
— |
| Prostate removal (prostatectomy) |
— |
— |
$4,020 |
$1,063 |
| Prostate surgery (TURP) |
— |
— |
$1,689 |
$526 |
| Pterygium removal (eye) |
— |
— |
$698 |
$540 |
| Radiofrequency nerve ablation |
— |
— |
$660 |
$462 |
| Retina scan (OCT) |
— |
— |
$108 |
$33 |
| Retinal detachment repair |
— |
— |
$1,533 |
$966 |
| Rheumatoid factor test |
— |
— |
$6 |
$6 |
| Rotator cuff repair |
— |
— |
$2,399 |
$792 |
| Routine eye exam |
— |
— |
$213 |
$88 |
| Sacroiliac joint injection |
— |
— |
$3,701 |
$176 |
| Screening mammogram |
— |
— |
$271 |
$126 |
| Semen analysis |
— |
— |
$32 |
$12 |
| Septoplasty (deviated septum) |
— |
— |
$887 |
$613 |
| Shingles vaccine |
— |
— |
$89 |
— |
| Shoulder arthroscopy |
— |
— |
$2,399 |
$962 |
| Shoulder replacement |
— |
— |
$3,701 |
$1,300 |
| Sinus surgery (endoscopic) |
— |
— |
$1,630 |
$224 |
| Skin cancer lesion removal |
— |
— |
$138 |
$240 |
| Skin graft |
— |
— |
$744 |
$898 |
| Small bowel resection |
— |
— |
$3,701 |
$1,136 |
| Speech therapy |
— |
— |
$300 |
$76 |
| Spinal cord stimulator |
— |
— |
$3,656 |
$2,388 |
| Spleen removal (splenectomy) |
— |
— |
$4,020 |
$1,036 |
| Stomach removal (gastrectomy) |
— |
— |
$3,701 |
$1,595 |
| Strabismus (eye muscle) surgery |
— |
— |
$733 |
$475 |
| Swallow study |
— |
— |
$228 |
$85 |
| Testicle removal (orchiectomy) |
— |
— |
$1,143 |
$306 |
| Thyroid removal (thyroidectomy) |
— |
— |
$1,889 |
$1,004 |
| Thyroid uptake scan |
— |
— |
$490 |
$145 |
| Tonsillectomy |
— |
— |
$931 |
$252 |
| Tracheostomy |
— |
— |
$4,680 |
$273 |
| Trigger finger release |
— |
— |
$593 |
$630 |
| Trigger point injection |
— |
— |
$27 |
$56 |
| Tubal ligation |
— |
— |
$1,889 |
$333 |
| Turbinate reduction |
— |
— |
$887 |
$294 |
| Ulnar nerve surgery (elbow) |
— |
— |
$660 |
$575 |
| Ureteral stent placement |
— |
— |
$1,143 |
$373 |
| Ureteroscopy (stone removal) |
— |
— |
$1,689 |
$365 |
| UV light therapy (skin) |
— |
— |
$207 |
$106 |
| Vaginal delivery |
— |
— |
$2,585 |
$5,487 |
| Varicocele repair |
— |
— |
$1,143 |
$327 |
| Varicose vein ablation |
— |
— |
$1,118 |
$1,018 |
| Vasectomy |
— |
— |
$653 |
$347 |
| Visual field test |
— |
— |
$168 |
$64 |
| Vitrectomy (eye) |
— |
— |
$1,533 |
$814 |
| Vocal cord injection |
— |
— |
$1,062 |
$211 |
| Weight-loss (bariatric) surgery |
— |
— |
$2,623 |
$11,645 |
| Well-child visit |
— |
— |
$278 |
— |
| Whipple procedure (pancreas) |
— |
— |
$3,701 |
$2,871 |
| Wound debridement |
— |
— |
$217 |
$186 |
| Wrist fracture repair |
— |
— |
$3,444 |
$735 |
| YAG laser capsulotomy (eye) |
— |
— |
$208 |
$335 |
Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.
