Salem Hospital
Salem Hospital in Salem, OR publishes cash prices for 48 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
890 Oak Street, Se, Salem, OR 97301 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HCHRG CT ABD AND PELVIS W/CONTRAST | $1,485.06 | $2,802.00 | 47% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HCHRG CT ABD AND PELVIS W/CONTRAST | $1,485.06 | $2,802.00 | 47% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HCHRG CT ABD AND PELVIS W/CONTRAST | $1,485.06 | $2,802.00 | 47% |
| CT scan of the head or brain, no contrast dye CPT 70450 HCHRG CT HEAD OR BRAIN W/O CONTRAST | $737.76 | $1,392.00 | 47% |
| CT scan of the head or brain, no contrast dye CPT 70450 HCHRG CT HEAD OR BRAIN W/O CONTRAST | $737.76 | $1,392.00 | 47% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HCHRG CT HEAD OR BRAIN W/O CONTRAST | $737.76 | $1,392.00 | 47% |
| CT scan of the pelvis, with contrast dye CPT 72193 HCHRG CT PELVIS W/CONTRAST | $1,485.06 | $2,802.00 | 47% |
| CT scan of the pelvis, with contrast dye CPT 72193 HCHRG CT PELVIS W/CONTRAST | $1,485.06 | $2,802.00 | 47% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HCHRG CT PELVIS W/CONTRAST | $1,485.06 | $2,802.00 | 47% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HCHRG MAMMOGRAPHY DIAGNOSTIC CAD BILATERAL | $281.43 | $531.00 | 47% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HCHRG MAMMOGRAPHY DIAGNOSTIC CAD BILATERAL | $281.43 | $531.00 | 47% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HCHRG MAMMOGRAPHY DIAGNOSTIC CAD BILATERAL | $281.43 | $531.00 | 47% |
| Diagnostic mammogram, one breast one side CPT 77065 HCHRG MAMMOGRAPHY DIAGNOSTIC CAD UNILATERAL | $227.37 | $429.00 | 47% |
| Diagnostic mammogram, one breast one side CPT 77065 HCHRG MAMMOGRAPHY DIAGNOSTIC CAD UNILATERAL | $227.37 | $429.00 | 47% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HCHRG MAMMOGRAPHY DIAGNOSTIC CAD UNILATERAL | $227.37 | $429.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HCHRG MRI JOINT LOWER EXTREMITY W/O CONTRAS | $1,569.33 | $2,961.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HCHRG MRI JOINT LOWER EXTREMITY W/O CONTRAS | $1,569.33 | $2,961.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HCHRG MRI JOINT LOWER EXTREMITY W/O CONTRAS | $1,569.33 | $2,961.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HCHRG MRI JOINT LOWER EXTREMITY W/O AND W/C | $3,348.01 | $6,317.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HCHRG MRI JOINT LOWER EXTREMITY W/O AND W/C | $3,348.01 | $6,317.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HCHRG MRI JOINT LOWER EXTREMITY W/O AND W/C | $3,348.01 | $6,317.00 | 47% |
| MRI of the brain, no contrast dye CPT 70551 HCHRG MRI BRAIN W/O CONTRAST | $1,650.95 | $3,115.00 | 47% |
| MRI of the brain, no contrast dye CPT 70551 HCHRG MRI BRAIN W/O CONTRAST | $1,650.95 | $3,115.00 | 47% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HCHRG MRI BRAIN W/O CONTRAST | $1,650.95 | $3,115.00 | 47% |
| MRI of the brain, with and without contrast dye CPT 70553 HCHRG MRI BRAIN W/O AND W/CONTRAST | $2,154.98 | $4,066.00 | 47% |
| MRI of the brain, with and without contrast dye CPT 70553 HCHRG MRI BRAIN W/O AND W/CONTRAST | $2,154.98 | $4,066.00 | 47% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HCHRG MRI BRAIN W/O AND W/CONTRAST | $2,154.98 | $4,066.00 | 47% |
| MRI of the lower back, no contrast dye CPT 72148 HCHRG MRI LUMBAR SPINE W/O CONTRAST | $1,569.33 | $2,961.00 | 47% |
| MRI of the lower back, no contrast dye CPT 72148 HCHRG MRI LUMBAR SPINE W/O CONTRAST | $1,569.33 | $2,961.00 | 47% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HCHRG MRI LUMBAR SPINE W/O CONTRAST | $1,569.33 | $2,961.00 | 47% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HCHRG US OBSTETRIC AFTER 14 WKS PREG-SINGLE OR FIRST GESTATION | $614.80 | $1,160.00 | 47% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HCHRG US OBSTETRIC AFTER 14 WKS PREG-SINGLE OR FIRST GESTATION | $614.80 | $1,160.00 | 47% |
| Screening mammogram, both breasts both sides CPT 77067 HCHRG MAMMOGRAPHY SCREENING 2 VIEW CAD BILATERAL | $213.59 | $403.00 | 47% |
| Screening mammogram, both breasts both sides CPT 77067 HCHRG MAMMOGRAPHY SCREENING 2 VIEW CAD BILATERAL | $213.59 | $403.00 | 47% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HCHRG MAMMOGRAPHY SCREENING 2 VIEW CAD BILATERAL | $213.59 | $403.00 | 47% |
| Sleep study in a lab (polysomnography) CPT 95810 HCHRG POLYSOM 6/> YRS 4/> PARAM | $3,104.74 | $5,858.00 | 47% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HCHRG POLYSOM 6/> YRS 4/> PARAM | $3,104.74 | $5,858.00 | 47% |
| Transvaginal pelvic ultrasound CPT 76830 HCHRG US TRANSVAGINAL | $447.85 | $845.00 | 47% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HCHRG US TRANSVAGINAL | $447.85 | $845.00 | 47% |
| Ultrasound of the abdomen, complete CPT 76700 HCHRG US ABDOMEN COMPLETE | $579.82 | $1,094.00 | 47% |
| Ultrasound of the abdomen, complete CPT 76700 HCHRG US ABDOMEN COMPLETE | $579.82 | $1,094.00 | 47% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HCHRG US ABDOMEN COMPLETE | $579.82 | $1,094.00 | 47% |
| X-ray of the lower back, 4 or more views CPT 72110 HCHRG XRAY LUMBARSACRAL SPINE 4+ VIEWS | $305.28 | $576.00 | 47% |
| X-ray of the lower back, 4 or more views CPT 72110 HCHRG XRAY LUMBARSACRAL SPINE 4+ VIEWS | $305.28 | $576.00 | 47% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HCHRG XRAY LUMBARSACRAL SPINE 4+ VIEWS | $305.28 | $576.00 | 47% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HCHRG BASIC METABOLIC PANEL | $39.75 | $75.00 | 47% |
| Basic metabolic panel (blood test) CPT 80048 HCHRG BASIC METABOLIC PANEL | $39.75 | $75.00 | 47% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HCHRG BASIC METABOLIC PANEL | $39.75 | $75.00 | 47% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HCHRG LIPID SCREEN | $65.19 | $123.00 | 47% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HCHRG LIPID SCREEN | $65.19 | $123.00 | 47% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HCHRG LIPID SCREEN | $65.19 | $123.00 | 47% |
| Complete blood count (CBC) with differential CPT 85025 HCHRG CBC WITH AUTOMATED DIFF | $41.34 | $78.00 | 47% |
| Complete blood count (CBC) with differential CPT 85025 HCHRG CBC WITH AUTOMATED DIFF | $41.34 | $78.00 | 47% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HCHRG CBC WITH AUTOMATED DIFF | $41.34 | $78.00 | 47% |
| Complete blood count (CBC), no differential CPT 85027 HCHRG CBC (AUTOMATED) | $36.57 | $69.00 | 47% |
| Complete blood count (CBC), no differential CPT 85027 HCHRG CBC (AUTOMATED) | $36.57 | $69.00 | 47% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HCHRG CBC (AUTOMATED) | $36.57 | $69.00 | 47% |
| Comprehensive metabolic panel (blood test) CPT 80053 HCHRG COMPREHENSIVE MET PANEL | $46.11 | $87.00 | 47% |
| Comprehensive metabolic panel (blood test) CPT 80053 HCHRG COMPREHENSIVE MET PANEL | $46.11 | $87.00 | 47% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HCHRG COMPREHENSIVE MET PANEL | $46.11 | $87.00 | 47% |
| Kidney function blood test panel CPT 80069 HCHRG RENAL FUNCTION PANEL | $44.52 | $84.00 | 47% |
| Kidney function blood test panel CPT 80069 HCHRG RENAL FUNCTION PANEL | $44.52 | $84.00 | 47% |
| Kidney function blood test panel inpatient CPT 80069 HCHRG RENAL FUNCTION PANEL | $44.52 | $84.00 | 47% |
| Liver function blood test panel CPT 80076 HCHRG HEPATIC FUNCTION PANEL | $44.52 | $84.00 | 47% |
| Liver function blood test panel CPT 80076 HCHRG HEPATIC FUNCTION PANEL | $44.52 | $84.00 | 47% |
| Liver function blood test panel inpatient CPT 80076 HCHRG HEPATIC FUNCTION PANEL | $44.52 | $84.00 | 47% |
| Obstetric blood test panel CPT 80055 HCHRG OBSTETRIC PANEL | $172.78 | $326.00 | 47% |
| Obstetric blood test panel CPT 80055 HCHRG OBSTETRIC PANEL | $172.78 | $326.00 | 47% |
| Obstetric blood test panel inpatient CPT 80055 HCHRG OBSTETRIC PANEL | $172.78 | $326.00 | 47% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HCHRG PSA, FREE | $62.54 | $118.00 | 47% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HCHRG PSA, FREE | $62.54 | $118.00 | 47% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HCHRG PSA, FREE | $62.54 | $118.00 | 47% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HCHRG PSA | $75.79 | $143.00 | 47% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HCHRG PSA | $75.79 | $143.00 | 47% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHRG PSA | $75.79 | $143.00 | 47% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHRG PARTIAL THROMBOPLASTIN | $42.93 | $81.00 | 47% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHRG PARTIAL THROMBOPLASTIN | $42.93 | $81.00 | 47% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHRG PTT | $42.93 | $81.00 | 47% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHRG PTT | $42.93 | $81.00 | 47% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHRG PTT | $42.93 | $81.00 | 47% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHRG PARTIAL THROMBOPLASTIN | $42.93 | $81.00 | 47% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHRG POC PT INR | $36.57 | $69.00 | 47% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHRG POC PT INR | $36.57 | $69.00 | 47% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHRG PROTIME | $36.57 | $69.00 | 47% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHRG PROTIME | $36.57 | $69.00 | 47% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHRG POC PT INR | $36.57 | $69.00 | 47% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHRG PROTIME | $36.57 | $69.00 | 47% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHRG TSH | $68.37 | $129.00 | 47% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHRG TSH | $68.37 | $129.00 | 47% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHRG TSH | $68.37 | $129.00 | 47% |
| Urinalysis with microscope exam, automated CPT 81001 HCHRG URINALYSIS, CULTURE IF INDICAT | $29.15 | $55.00 | 47% |
| Urinalysis with microscope exam, automated CPT 81001 HCHRG URINALYSIS W/MICRO | $29.15 | $55.00 | 47% |
| Urinalysis with microscope exam, automated CPT 81001 HCHRG URINALYSIS W/MICRO | $29.15 | $55.00 | 47% |
| Urinalysis with microscope exam, automated CPT 81001 HCHRG URINALYSIS, CULTURE IF INDICAT | $29.15 | $55.00 | 47% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HCHRG URINALYSIS W/MICRO | $29.15 | $55.00 | 47% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HCHRG URINALYSIS, CULTURE IF INDICAT | $29.15 | $55.00 | 47% |
| Urinalysis with microscope exam, manual CPT 81000 HCHRG URINALYSIS, COMPLETE | $94.34 | $178.00 | 47% |
| Urinalysis with microscope exam, manual CPT 81000 HCHRG URINALYSIS, COMPLETE | $94.34 | $178.00 | 47% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HCHRG URINALYSIS, COMPLETE | $94.34 | $178.00 | 47% |
| Urinalysis without microscope exam, automated CPT 81003 HCHRG URINE MACRO, C AND S IF INDICATED | $14.31 | $27.00 | 47% |
| Urinalysis without microscope exam, automated CPT 81003 HCHRG URINALYSIS AUTO W/O SCOPE | $14.31 | $27.00 | 47% |
| Urinalysis without microscope exam, automated CPT 81003 HCHRG URINALYSIS AUTO W/O SCOPE | $14.31 | $27.00 | 47% |
| Urinalysis without microscope exam, automated CPT 81003 HCHRG URINE MACRO, C AND S IF INDICATED | $14.31 | $27.00 | 47% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHRG URINALYSIS AUTO W/O SCOPE | $14.31 | $27.00 | 47% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHRG URINE MACRO, C AND S IF INDICATED | $14.31 | $27.00 | 47% |
| Urinalysis without microscope exam, manual CPT 81002 HCHRG PH URINE | $28.62 | $54.00 | 47% |
| Urinalysis without microscope exam, manual CPT 81002 HCHRG URINE CHEMISTRY STRIP | $28.62 | $54.00 | 47% |
| Urinalysis without microscope exam, manual CPT 81002 HCHRG PH URINE | $28.62 | $54.00 | 47% |
| Urinalysis without microscope exam, manual CPT 81002 HCHRG SPECIFIC GRAVITY URINE | $28.62 | $54.00 | 47% |
| Urinalysis without microscope exam, manual CPT 81002 HCHRG SPECIFIC GRAVITY URINE | $28.62 | $54.00 | 47% |
| Urinalysis without microscope exam, manual CPT 81002 HCHRG URINE CHEMISTRY STRIP | $28.62 | $54.00 | 47% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HCHRG PH URINE | $28.62 | $54.00 | 47% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HCHRG SPECIFIC GRAVITY URINE | $28.62 | $54.00 | 47% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HCHRG URINE CHEMISTRY STRIP | $28.62 | $54.00 | 47% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 HCHRG CATARACT REMOVAL W/INSERT INTRAOCULAR LENS 1 STAGE | $3,804.34 | $7,178.00 | 47% |
| Cataract surgery with lens implant inpatient CPT 66984 HCHRG CATARACT REMOVAL W/INSERT INTRAOCULAR LENS 1 STAGE | $3,804.34 | $7,178.00 | 47% |
| Left heart catheterization, diagnostic one side CPT 93452 HCHRG LEFT HEART CATHETERIZATION | $4,810.81 | $9,077.00 | 47% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HCHRG LEFT HEART CATHETERIZATION | $4,810.81 | $9,077.00 | 47% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HCHRG INJ LUMB/SAC DX/TX SUBST INCL NEEDL OR CATH W/GUID | $1,441.07 | $2,719.00 | 47% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HCHRG INJ LUMB/SAC DX/TX SUBST INCL NEEDL OR CATH W/GUID | $1,441.07 | $2,719.00 | 47% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHRG INJ LUMB/SAC DX/TX SUBST INCL NEEDL OR CATH W/GUID | $1,441.07 | $2,719.00 | 47% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHRG INJECTION EPIDURAL LUMBAR/SACRAL SINGLE LEVEL W/GUIDANCE | $1,856.06 | $3,502.00 | 47% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHRG INJECTION EPIDURAL LUMBAR/SACRAL SINGLE LEVEL W/GUIDANCE | $1,856.06 | $3,502.00 | 47% |
| Prostate biopsy CPT 55700 HCHRG PROSTATE BX,NEEDLE/PUNCH,SINGLE OR MU | $1,659.96 | $3,132.00 | 47% |
| Prostate biopsy inpatient CPT 55700 HCHRG PROSTATE BX,NEEDLE/PUNCH,SINGLE OR MU | $1,659.96 | $3,132.00 | 47% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 HCHRG FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $145.75 | $275.00 | 47% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HCHRG FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $145.75 | $275.00 | 47% |
| Family therapy without the patient, 50 minutes CPT 90846 HCHRG FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $139.39 | $263.00 | 47% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HCHRG FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $139.39 | $263.00 | 47% |
| Group psychotherapy session CPT 90853 HCHRG GROUP PSYCHOTHERAPY | $178.61 | $337.00 | 47% |
| Group psychotherapy session inpatient CPT 90853 HCHRG GROUP PSYCHOTHERAPY | $178.61 | $337.00 | 47% |
| New patient office visit, about 30 minutes CPT 99203 HCHRG LEVEL 3 NEW PT EVAL AND MGMT | $108.65 | $205.00 | 47% |
| New patient office visit, about 30 minutes CPT 99203 HCHRG OFFICE VISIT NEW PT LOW COMPLEXITY 99203 | $155.29 | $293.00 | 47% |
| New patient office visit, about 30 minutes CPT 99203 HCHPRO LEVEL 3 NEW PT EVAL AND MGMT | $155.29 | $293.00 | 47% |
| New patient office visit, about 30 minutes CPT 99203 HCHRG LEVEL 3 NEW OP VISIT | $495.02 | $934.00 | 47% |
| New patient office visit, about 30 minutes CPT 99203 HCHRG LACTATION NEW 30 MIN | $495.02 | $934.00 | 47% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HCHRG LEVEL 3 NEW PT EVAL AND MGMT | $108.65 | $205.00 | 47% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HCHPRO LEVEL 3 NEW PT EVAL AND MGMT | $155.29 | $293.00 | 47% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HCHRG OFFICE VISIT NEW PT LOW COMPLEXITY 99203 | $155.29 | $293.00 | 47% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HCHRG LEVEL 3 NEW OP VISIT | $495.02 | $934.00 | 47% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HCHRG LACTATION NEW 30 MIN | $495.02 | $934.00 | 47% |
| New patient office visit, about 45 minutes CPT 99204 HCHRG LEVEL 4 NEW PT EVAL AND MGMT | $162.71 | $307.00 | 47% |
| New patient office visit, about 45 minutes CPT 99204 HCHPRO LEVEL 4 NEW PT EVAL AND MGMT | $232.67 | $439.00 | 47% |
| New patient office visit, about 45 minutes CPT 99204 HCHRG OFFICE VISIT NEW PT MODERATE 99204 | $232.67 | $439.00 | 47% |
| New patient office visit, about 45 minutes CPT 99204 HCHRG LEVEL 4 NEW OP VISIT | $632.82 | $1,194.00 | 47% |
| New patient office visit, about 45 minutes CPT 99204 HCHRG LACTATION NEW 45 MIN | $632.82 | $1,194.00 | 47% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HCHRG LEVEL 4 NEW PT EVAL AND MGMT | $162.71 | $307.00 | 47% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HCHRG OFFICE VISIT NEW PT MODERATE 99204 | $232.67 | $439.00 | 47% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HCHPRO LEVEL 4 NEW PT EVAL AND MGMT | $232.67 | $439.00 | 47% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HCHRG LEVEL 4 NEW OP VISIT | $632.82 | $1,194.00 | 47% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HCHRG LACTATION NEW 45 MIN | $632.82 | $1,194.00 | 47% |
| New patient office visit, about 60 minutes CPT 99205 HCHRG LEVEL 5 NEW PT EVAL AND MGMT | $214.65 | $405.00 | 47% |
| New patient office visit, about 60 minutes CPT 99205 HCHPRO LEVEL 5 NEW PT EVAL AND MGMT | $306.87 | $579.00 | 47% |
| New patient office visit, about 60 minutes CPT 99205 HCHRG LEVEL 5 NEW OP VISIT | $795.53 | $1,501.00 | 47% |
| New patient office visit, about 60 minutes CPT 99205 HCHRG LACTATION NEW 60 MIN | $795.53 | $1,501.00 | 47% |
| New patient office visit, about 60 minutes CPT 99205 HCHRG OFFICE VISIT NEW LEVEL 5 | $795.53 | $1,501.00 | 47% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HCHRG LEVEL 5 NEW PT EVAL AND MGMT | $214.65 | $405.00 | 47% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HCHPRO LEVEL 5 NEW PT EVAL AND MGMT | $306.87 | $579.00 | 47% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HCHRG LACTATION NEW 60 MIN | $795.53 | $1,501.00 | 47% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HCHRG OFFICE VISIT NEW LEVEL 5 | $795.53 | $1,501.00 | 47% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HCHRG LEVEL 5 NEW OP VISIT | $795.53 | $1,501.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHRG THERAPEUTIC PROCEDURES 1+ AREAS EA 15 MIN THERA EXCERCISES | $81.62 | $154.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHRG THERAPEUTIC PROCEDURES 1+ AREAS EA 15 MIN THERA EXERCISES | $81.62 | $154.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHRG THERAPEUTIC PROCEDURES 1+ AREAS EA 15 MIN THERA EXCERCISES | $81.62 | $154.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHRG THERAPEUTIC PROCEDURES 1+ AREAS EA 15 MIN THERA EXERCISES | $81.62 | $154.00 | 47% |
| Psychotherapy session, 30 minutes CPT 90832 HCHRG PSYCHOTHERAPY 30 MIN WITH PATIENT | $189.74 | $358.00 | 47% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HCHRG PSYCHOTHERAPY 30 MIN WITH PATIENT | $189.74 | $358.00 | 47% |
| Psychotherapy session, 45 minutes CPT 90834 HCHRG PSYCHOTHERAPY 45 MIN WITH PATIENT | $332.84 | $628.00 | 47% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HCHRG PSYCHOTHERAPY 45 MIN WITH PATIENT | $332.84 | $628.00 | 47% |
| Psychotherapy session, 60 minutes CPT 90837 HCHRG PSYCHOTHERAPY 60 OR MORE MIN WITH PATIENT | $422.41 | $797.00 | 47% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HCHRG PSYCHOTHERAPY 60 OR MORE MIN WITH PATIENT | $422.41 | $797.00 | 47% |
Source file: https://salemhealth.org/930579722_salem-hospital_standardcharges.json