| Procedure | Cash | Chargemaster | Insurer | Medicare |
|---|
| Achilles tendon repair |
— |
— |
$562 |
$624 |
| ACL knee reconstruction |
— |
— |
$562 |
$889 |
| Acupuncture |
— |
— |
$81 |
$38 |
| Adenoid removal (adenoidectomy) |
— |
— |
$695 |
$204 |
| Allergy patch testing |
— |
— |
$1,307 |
$5 |
| Allergy shots |
— |
— |
$117 |
$11 |
| Allergy testing |
— |
— |
$1,307 |
$4 |
| Anal fistula repair |
— |
— |
$695 |
$541 |
| Ankle fracture repair |
— |
— |
$4,020 |
$608 |
| Ankle replacement |
— |
— |
$15,680 |
$885 |
| Aortic aneurysm repair (AAA) |
— |
— |
$3,063 |
$1,345 |
| Aortic valve replacement |
— |
— |
$3,063 |
$1,603 |
| Appendix removal (appendectomy) |
— |
— |
$4,402 |
$592 |
| Benign skin lesion removal |
— |
— |
$367 |
$171 |
| Bladder function test (urodynamics) |
— |
— |
$367 |
$345 |
| Bladder scope (cystoscopy) |
— |
— |
$367 |
$216 |
| Bladder tumor removal (TURBT) |
— |
— |
$562 |
$236 |
| Botox for migraine |
— |
— |
$772 |
$157 |
| Brain shunt (VP shunt) |
— |
— |
$12,942 |
$1,023 |
| Breast reconstruction |
— |
— |
$4,020 |
$1,227 |
| Breast reduction |
— |
— |
$695 |
$980 |
| Bunion surgery (bunionectomy) |
— |
— |
$562 |
$883 |
| Cardiac event monitor |
— |
— |
$1,117 |
$170 |
| Cardiac MRI |
— |
— |
$1,020 |
$322 |
| Cardiac stress test |
— |
— |
$785 |
$39 |
| Carotid artery surgery |
— |
— |
$3,063 |
$1,026 |
| Carpal tunnel release |
— |
— |
$492 |
$483 |
| Cataract surgery |
— |
— |
$907 |
$547 |
| Cervical LEEP procedure |
— |
— |
$492 |
$325 |
| Cesarean section (C-section) |
— |
— |
$2,183 |
$7,552 |
| Chickenpox (varicella) vaccine |
— |
— |
$172 |
— |
| Chiropractic adjustment |
— |
— |
$82 |
$38 |
| Circumcision |
— |
— |
$492 |
$167 |
| Colon resection (colectomy) |
— |
— |
$7,248 |
$1,238 |
| Colostomy |
— |
— |
$3,063 |
$1,122 |
| Comprehensive eye exam |
— |
— |
$347 |
$138 |
| Contact lens fitting |
— |
— |
$182 |
— |
| Contraceptive implant (Nexplanon) |
— |
— |
$923 |
$115 |
| Corneal transplant |
— |
— |
$1,097 |
$1,066 |
| Coronary angioplasty / stent (PCI) |
— |
— |
$8,436 |
$426 |
| Coronary artery bypass (CABG) |
— |
— |
$2,287 |
$36,593 |
| Craniotomy (brain surgery) |
— |
— |
$3,063 |
$2,161 |
| CT colonography (virtual colonoscopy) |
— |
— |
$1,955 |
$835 |
| Dialysis fistula creation |
— |
— |
$562 |
$601 |
| Dilation and curettage (D&C) |
— |
— |
$492 |
$298 |
| Droopy eyelid repair (ptosis) |
— |
— |
$695 |
$745 |
| Drug screen (urine) |
— |
— |
$18 |
$17 |
| Ear tubes (myringotomy) |
— |
— |
$562 |
$174 |
| Eardrum repair (tympanoplasty) |
— |
— |
$790 |
$799 |
| Elbow replacement |
— |
— |
$1,097 |
$1,301 |
| Electrocardiogram (EKG) |
— |
— |
$148 |
$8 |
| Electromyography (EMG) |
— |
— |
$332 |
$141 |
| Eye refraction (glasses prescription) |
— |
— |
$59 |
— |
| Eyelid surgery (blepharoplasty) |
— |
— |
$790 |
$552 |
| Family therapy session |
— |
— |
$378 |
$110 |
| Femoral hernia repair |
— |
— |
$1,476 |
$584 |
| Fibroid removal (myomectomy) |
— |
— |
$10,810 |
$914 |
| Flu test |
— |
— |
$17 |
$17 |
| Flu vaccine |
— |
— |
$21 |
— |
| Gallbladder removal (laparoscopic) |
— |
— |
$562 |
$658 |
| Ganglion cyst removal |
— |
— |
$562 |
$321 |
| Glaucoma surgery |
— |
— |
$695 |
$984 |
| Group therapy session |
— |
— |
$219 |
$30 |
| Hammertoe repair |
— |
— |
$562 |
$548 |
| Hearing test (audiometry) |
— |
— |
$401 |
$36 |
| Hemodialysis |
— |
— |
$504 |
$75 |
| Hemorrhoid removal |
— |
— |
$367 |
$338 |
| Hepatitis A vaccine |
— |
— |
$70 |
— |
| Hepatitis B vaccine |
— |
— |
$77 |
— |
| Hip arthroscopy |
— |
— |
$695 |
$931 |
| Hip fracture repair |
— |
— |
$5,268 |
$1,120 |
| Hip replacement |
— |
— |
$28,311 |
$1,162 |
| Holter heart monitor |
— |
— |
$332 |
$26 |
| Home sleep apnea test |
— |
— |
$332 |
$123 |
| HPV vaccine |
— |
— |
$289 |
— |
| Hydrocele repair |
— |
— |
$562 |
$315 |
| Hysterectomy |
— |
— |
$12,199 |
$933 |
| Hysteroscopy |
— |
— |
$562 |
$1,270 |
| Ileostomy |
— |
— |
$3,063 |
$968 |
| Inguinal hernia repair |
— |
— |
$1,476 |
$538 |
| IUD insertion |
— |
— |
$350 |
— |
| IUD removal |
— |
— |
$367 |
$112 |
| Kidney removal (nephrectomy) |
— |
— |
$15,437 |
$1,164 |
| Knee arthroscopy |
— |
— |
$695 |
$524 |
| Knee replacement |
— |
— |
$2,287 |
$18,054 |
| Laminectomy (spine) |
— |
— |
$15,366 |
$1,157 |
| Lower back (lumbar) spinal fusion |
— |
— |
$4,161 |
$1,511 |
| Lumbar discectomy |
— |
— |
$15,366 |
$898 |
| Lumpectomy (breast) |
— |
— |
$1,097 |
$750 |
| Mastectomy |
— |
— |
$1,097 |
$1,021 |
| Mastoidectomy |
— |
— |
$1,097 |
$840 |
| Meniscus repair (knee) |
— |
— |
$562 |
$714 |
| MMR vaccine |
— |
— |
$99 |
— |
| Mohs skin cancer surgery |
— |
— |
$1,488 |
$535 |
| Neck (cervical) spinal fusion |
— |
— |
$1,476 |
$1,410 |
| Nerve conduction study |
— |
— |
$660 |
$118 |
| Newborn hospital care |
— |
— |
$347 |
$58 |
| Nuchal translucency ultrasound |
— |
— |
$337 |
$116 |
| Occupational therapy evaluation |
— |
— |
$60 |
$101 |
| Ovarian cyst removal |
— |
— |
$562 |
$698 |
| Ovary removal (oophorectomy) |
— |
— |
$4,466 |
$822 |
| Pacemaker insertion |
— |
— |
$2,287 |
$15,506 |
| Pap smear (cervical screening) |
— |
— |
$21 |
$20 |
| Parathyroid removal |
— |
— |
$11,892 |
$891 |
| Physical therapy evaluation |
— |
— |
$62 |
$98 |
| Pilonidal cyst removal |
— |
— |
$562 |
$541 |
| Pneumonia vaccine |
— |
— |
$139 |
— |
| Prostate biopsy |
— |
— |
$492 |
— |
| Prostate removal (prostatectomy) |
— |
— |
$17,700 |
$1,063 |
| Prostate surgery (TURP) |
— |
— |
$695 |
$526 |
| Psychiatric evaluation |
— |
— |
$378 |
$188 |
| Psychotherapy session |
— |
— |
$378 |
$140 |
| Pterygium removal (eye) |
— |
— |
$492 |
$540 |
| Radiofrequency nerve ablation |
— |
— |
$4,457 |
$462 |
| Retinal (fundus) photography |
— |
— |
$320 |
$37 |
| Retinal detachment repair |
— |
— |
$1,097 |
$966 |
| Rotator cuff repair |
— |
— |
$1,081 |
$792 |
| Routine eye exam |
— |
— |
$347 |
$88 |
| RSV vaccine |
— |
— |
$375 |
— |
| Sacroiliac joint injection |
— |
— |
$1,656 |
$176 |
| Septoplasty (deviated septum) |
— |
— |
$695 |
$613 |
| Shingles vaccine |
— |
— |
$185 |
— |
| Shoulder arthroscopy |
— |
— |
$562 |
$962 |
| Shoulder replacement |
— |
— |
$28,311 |
$1,300 |
| Sinus surgery (endoscopic) |
— |
— |
$562 |
$224 |
| Skin cancer lesion removal |
— |
— |
$492 |
$240 |
| Skin graft |
— |
— |
$492 |
$898 |
| Small bowel resection |
— |
— |
$3,063 |
$1,136 |
| Speech therapy |
— |
— |
$52 |
$76 |
| Spinal cord stimulator |
— |
— |
$492 |
$2,388 |
| Spine fracture repair (kyphoplasty) |
— |
— |
$492 |
$5,803 |
| Spleen removal (splenectomy) |
— |
— |
$15,437 |
$1,036 |
| Stomach removal (gastrectomy) |
— |
— |
$3,063 |
$1,595 |
| Strabismus (eye muscle) surgery |
— |
— |
$695 |
$475 |
| Swallow study |
— |
— |
$39 |
$85 |
| Testicle removal (orchiectomy) |
— |
— |
$562 |
$306 |
| Thyroid removal (thyroidectomy) |
— |
— |
$5,268 |
$1,004 |
| Tilt table test |
— |
— |
$1,403 |
$168 |
| Tonsillectomy |
— |
— |
$760 |
$252 |
| Tracheostomy |
— |
— |
$6,150 |
$273 |
| Trigger finger release |
— |
— |
$492 |
$630 |
| Trigger point injection |
— |
— |
$772 |
$56 |
| Tubal ligation |
— |
— |
$562 |
$333 |
| Turbinate reduction |
— |
— |
$492 |
$294 |
| Ulnar nerve surgery (elbow) |
— |
— |
$492 |
$575 |
| Ureteral stent placement |
— |
— |
$492 |
$373 |
| Ureteroscopy (stone removal) |
— |
— |
$695 |
$365 |
| UV light therapy (skin) |
— |
— |
$171 |
$106 |
| Vaginal delivery |
— |
— |
$2,183 |
$5,487 |
| Varicocele repair |
— |
— |
$695 |
$327 |
| Vasectomy |
— |
— |
$492 |
$347 |
| Vitrectomy (eye) |
— |
— |
$1,097 |
$814 |
| Vocal cord injection |
— |
— |
$492 |
$211 |
| Weight-loss (bariatric) surgery |
— |
— |
$2,287 |
$11,645 |
| Well-child visit |
— |
— |
$222 |
— |
| Whipple procedure (pancreas) |
— |
— |
$3,063 |
$2,871 |
| Wrist fracture repair |
— |
— |
$790 |
$735 |
| YAG laser capsulotomy (eye) |
— |
— |
$492 |
$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.
