| Procedure | Cash | Chargemaster | Insurer | Medicare |
|---|
| 3D mammogram (tomosynthesis) |
— |
— |
$130 |
$51 |
| ACL knee reconstruction |
— |
— |
$7,538 |
$889 |
| Adenoid removal (adenoidectomy) |
— |
— |
$3,422 |
$204 |
| Allergy patch testing |
— |
— |
$1,074 |
$5 |
| Anal fistula repair |
— |
— |
$2,894 |
$541 |
| Ankle fracture repair |
— |
— |
$7,538 |
$608 |
| Ankle replacement |
— |
— |
$19,406 |
$885 |
| Annual physical (established patient) |
— |
— |
$543 |
— |
| Annual physical (new patient) |
— |
— |
$589 |
— |
| Aortic valve replacement |
— |
— |
$8,049 |
$1,603 |
| Benign skin lesion removal |
— |
— |
$742 |
$171 |
| Bladder tumor removal (TURBT) |
— |
— |
$3,640 |
$236 |
| Breast biopsy |
— |
— |
$1,710 |
$478 |
| Breast MRI |
— |
— |
$255 |
$216 |
| Breast reconstruction |
— |
— |
$18,360 |
$1,227 |
| Breast reduction |
— |
— |
$6,882 |
$980 |
| Bronchoscopy |
— |
— |
$3,891 |
$303 |
| Bunion surgery (bunionectomy) |
— |
— |
$7,538 |
$883 |
| Cardiac event monitor |
— |
— |
$1,510 |
$170 |
| Cardiac MRI |
— |
— |
$377 |
$322 |
| Cardiac stress test |
— |
— |
$342 |
$39 |
| Carpal tunnel release |
— |
— |
$2,061 |
$483 |
| Cataract surgery |
— |
— |
$2,407 |
$547 |
| Cervical LEEP procedure |
— |
— |
$3,355 |
$325 |
| Cesarean section (C-section) |
— |
— |
$7,451 |
$7,552 |
| Chalazion (eyelid cyst) removal |
— |
— |
$315 |
$131 |
| Chiropractic adjustment |
— |
— |
$27 |
$38 |
| Comprehensive eye exam |
— |
— |
$136 |
$138 |
| Contact lens fitting |
— |
— |
$367 |
— |
| Continuous glucose monitor setup |
— |
— |
$244 |
$35 |
| Contraceptive implant (Nexplanon) |
— |
— |
$264 |
$115 |
| Corneal transplant |
— |
— |
$4,245 |
$1,066 |
| Coronary artery bypass (CABG) |
— |
— |
$41,289 |
$36,593 |
| CT colonography (virtual colonoscopy) |
— |
— |
$255 |
$835 |
| Developmental screening (child) |
— |
— |
$66 |
— |
| Diagnostic mammogram |
— |
— |
$413 |
$140 |
| Dialysis fistula creation |
— |
— |
$3,321 |
$601 |
| Dilation and curettage (D&C) |
— |
— |
$3,355 |
$298 |
| Droopy eyelid repair (ptosis) |
— |
— |
$2,462 |
$745 |
| Ear tubes (myringotomy) |
— |
— |
$1,563 |
$174 |
| Eardrum repair (tympanoplasty) |
— |
— |
$6,243 |
$799 |
| Elbow replacement |
— |
— |
$19,406 |
$1,301 |
| Electrocardiogram (EKG) |
— |
— |
$89 |
$8 |
| Eye refraction (glasses prescription) |
— |
— |
$122 |
— |
| Eyelid surgery (blepharoplasty) |
— |
— |
$1,930 |
$552 |
| Femoral hernia repair |
— |
— |
$3,724 |
$584 |
| Flu vaccine |
$159 |
$265 |
$123 |
— |
| Gallbladder removal (laparoscopic) |
— |
— |
$6,157 |
$658 |
| Ganglion cyst removal |
— |
— |
$1,689 |
$321 |
| Glaucoma surgery |
— |
— |
$2,407 |
$984 |
| Hammertoe repair |
— |
— |
$3,424 |
$548 |
| Hemodialysis |
— |
— |
$738 |
$75 |
| Hemorrhoid removal |
— |
— |
$1,899 |
$338 |
| Hepatitis B vaccine |
$637 |
$1,062 |
$478 |
— |
| Hip arthroscopy |
— |
— |
$7,538 |
$931 |
| Hip replacement |
— |
— |
$13,578 |
$1,162 |
| Holter heart monitor |
— |
— |
$65 |
$26 |
| Home sleep apnea test |
— |
— |
$165 |
$123 |
| Hydrocele repair |
— |
— |
$3,724 |
$315 |
| Hysterectomy |
— |
— |
$10,987 |
$933 |
| Hysteroscopy |
— |
— |
$3,355 |
$1,270 |
| Inguinal hernia repair |
— |
— |
$3,724 |
$538 |
| Kidney stone shock-wave (lithotripsy) |
— |
— |
$3,640 |
$760 |
| Knee arthroscopy |
— |
— |
$3,424 |
$524 |
| Knee replacement |
— |
— |
$22,936 |
$18,054 |
| Laminectomy (spine) |
— |
— |
$7,538 |
$1,157 |
| Lumbar discectomy |
— |
— |
$7,538 |
$898 |
| Lumpectomy (breast) |
— |
— |
$6,882 |
$750 |
| Mastectomy |
— |
— |
$6,882 |
$1,021 |
| Mastoidectomy |
— |
— |
$6,243 |
$840 |
| Meniscus repair (knee) |
— |
— |
$3,424 |
$714 |
| MMR vaccine |
$669 |
$1,116 |
$770 |
— |
| Mohs skin cancer surgery |
— |
— |
$646 |
$535 |
| MRA of the brain |
— |
— |
$388 |
$226 |
| Neck (cervical) spinal fusion |
— |
— |
$13,578 |
$1,410 |
| Newborn hospital care |
— |
— |
$136 |
$58 |
| Nuchal translucency ultrasound |
— |
— |
$112 |
$116 |
| Occupational therapy evaluation |
— |
— |
$105 |
$101 |
| Ovarian cyst removal |
— |
— |
$5,209 |
$698 |
| Pacemaker insertion |
— |
— |
$19,630 |
$15,506 |
| Pap smear (cervical screening) |
— |
— |
$21 |
$20 |
| Parathyroid removal |
— |
— |
$6,243 |
$891 |
| Physical therapy evaluation |
— |
— |
$97 |
$98 |
| Pilonidal cyst removal |
— |
— |
$3,020 |
$541 |
| Pneumonia vaccine |
$827 |
$1,378 |
$620 |
— |
| Prostate removal (prostatectomy) |
— |
— |
$10,987 |
$1,063 |
| Prostate surgery (TURP) |
— |
— |
$5,365 |
$526 |
| Psychiatric evaluation |
— |
— |
$170 |
$188 |
| Psychotherapy session |
— |
— |
$170 |
$140 |
| Pterygium removal (eye) |
— |
— |
$2,462 |
$540 |
| Pulmonary rehabilitation |
— |
— |
$63 |
$87 |
| Retina scan (OCT) |
— |
— |
$63 |
$33 |
| Retinal detachment repair |
— |
— |
$4,245 |
$966 |
| Rheumatoid factor test |
— |
— |
$6 |
$6 |
| Rotator cuff repair |
— |
— |
$7,538 |
$792 |
| Routine eye exam |
— |
— |
$136 |
$88 |
| Screening mammogram |
— |
— |
$401 |
$126 |
| Semen analysis |
— |
— |
$13 |
$12 |
| Shoulder arthroscopy |
— |
— |
$7,538 |
$962 |
| Shoulder replacement |
— |
— |
$19,406 |
$1,300 |
| Sinus surgery (endoscopic) |
— |
— |
$7,305 |
$224 |
| Skin cancer lesion removal |
— |
— |
$742 |
$240 |
| Skin graft |
— |
— |
$3,862 |
$898 |
| Speech therapy |
— |
— |
$134 |
$76 |
| Spleen removal (splenectomy) |
— |
— |
$10,987 |
$1,036 |
| Strabismus (eye muscle) surgery |
— |
— |
$3,979 |
$475 |
| Swallow study |
— |
— |
$274 |
$85 |
| Tdap (tetanus) vaccine |
$27 |
$44 |
$68 |
— |
| Testicle removal (orchiectomy) |
— |
— |
$3,640 |
$306 |
| Thyroid removal (thyroidectomy) |
— |
— |
$6,243 |
$1,004 |
| Thyroid uptake scan |
— |
— |
$424 |
$145 |
| Tonsillectomy |
— |
— |
$6,243 |
$252 |
| Tracheostomy |
— |
— |
$3,422 |
$273 |
| Transesophageal echocardiogram (TEE) |
— |
— |
$593 |
$239 |
| Tubal ligation |
— |
— |
$6,157 |
$333 |
| Ulnar nerve surgery (elbow) |
— |
— |
$2,061 |
$575 |
| Ureteral stent placement |
— |
— |
$3,640 |
$373 |
| Ureteroscopy (stone removal) |
— |
— |
$5,365 |
$365 |
| UV light therapy (skin) |
— |
— |
$63 |
$106 |
| Vaginal delivery |
— |
— |
$5,077 |
$5,487 |
| Varicocele repair |
— |
— |
$3,640 |
$327 |
| Visual field test |
— |
— |
$136 |
$64 |
| Vitrectomy (eye) |
— |
— |
$4,245 |
$814 |
| Vocal cord injection |
— |
— |
$3,891 |
$211 |
| Weight-loss (bariatric) surgery |
— |
— |
$12,301 |
$11,645 |
| Well-child visit |
— |
— |
$277 |
— |
| Wrist fracture repair |
— |
— |
$7,538 |
$735 |
| YAG laser capsulotomy (eye) |
— |
— |
$579 |
$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.
