Table 1.

Health Care Cost Based on 2013 Medicare Fee Schedule

Cost of therapeutic drug monitoring for three drugs=3×$25=$75

Cost of screening for primary aldosteronism (PA)=$30 for plasma renin activity+$56 for serum aldosterone=$86

Cost of intravenous saline suppression test to confirm presence of PA=$217.72 (cost of serum aldosterone before and after saline infusion for 4 hours=$56×2=$112; plus cost of saline infusion for first hour $59.28 (CPT code 96360); plus cost of infusion for three additional hours (CPT code 96361) at $15.48/h×3=$46.44)

Cost of adrenal vein sampling=$2328.73

Cost of computed tomographic scan of adrenal glands=$588.53