Supplies, drugs & other prices at Salem Hospital
Salem, MA · every code in this section with a posted price and a Medicare benchmark.
37 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $817.50 | $1,090 | 2.0× |
| Admin hepatitis b vaccine (G0010) | $21 | $28 | 0.4× |
| Admin influenza virus vac (G0008) | $24.75 | $33 | 0.4× |
| Admin pneumococcal vaccine (G0009) | $21 | $28 | 0.4× |
| Annual alcohol screen 15 min (G0442) | $35.25 | $47 | 0.8× |
| Ca screen;flexi sigmoidscope (G0104) | $1,134 | $1,512 | 1.0× |
| Ca screen;pelvic/breast exam (G0101) | $144 | $192 | 1.2× |
| Colon ca scrn not hi rsk ind (G0121) | $1,857.75 | $2,477 | 1.7× |
| Colorectal scrn; hi risk ind (G0105) | $1,857.75 | $2,477 | 1.7× |
| Depression screen annual (G0444) | $36.75 | $49 | 0.8× |
| Direct refer hospital observ (G0379) | $82.50 | $110 | 0.1× |
| Hbot, full body chamber, 30m (G0277) | $363 | $484 | 2.2× |
| Ig paraprotein qual bld/ur (0077U) | $75 | $100 | 1.7× |
| Init/sub psych care m 1st 30 (G2214) | $111.75 | $149 | 0.9× |
| Initial preventive exam (G0402) | $342 | $456 | 2.1× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $908.25 | $1,211 | 7.5× |
| Mra w/o cont, abd (C8901) | $2,280.75 | $3,041 | 8.0× |
| Mra w/o cont, chest (C8910) | $2,332.50 | $3,110 | 8.2× |
| Mra w/o fol w/cont, abd (C8902) | $3,656.25 | $4,875 | 8.7× |
| Mra w/o fol w/cont, chest (C8911) | $3,744 | $4,992 | 9.0× |
| Mra w/o fol w/cont, pelvis (C8920) | $3,730.50 | $4,974 | 8.9× |
| Mri w/o fol w/cont, breast, (C8908) | $5,882.25 | $7,843 | 14.1× |
| Obtaining screen pap smear (Q0091) | $140.25 | $187 | 4.0× |
| Oth resp proc, group (G0239) | $252.75 | $337 | 5.6× |
| Perc drug-el cor stent sing (C9600) | $13,109.25 | $17,479 | 0.9× |
| Prostate biopsy, any mthd (G0416) | $943.50 | $1,258 | 2.2× |
| Psa screening (G0103) | $114 | $152 | 5.9× |
| Revasc intravasc lithotripsy (C9764) | $14,059.50 | $18,746 | 1.0× |
| Revasc lithotrip tibi/perone (C9772) | $17,574.75 | $23,433 | 1.3× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $163.50 | $218 | 6.2× |
| Screen cerv/vag thin layer (G0123) | $123.75 | $165 | 6.1× |
| Therapeutic procd strg endur (G0237) | $173.25 | $231 | 5.0× |
| Tomosynthesis, mammo (G0279) | $200.25 | $267 | 15.8× |
| Tpmt nudt15 gene analysis common variants (0034U) | $1,095 | $1,460 | 2.3× |
| Tte w or w/o fol w/con,stres (C8928) | $1,712.25 | $2,283 | 1.8× |
| Tte w or wo fol wcon,doppler (C8929) | $1,800.75 | $2,401 | 1.9× |
| Unsched dialysis esrd pt hos (G0257) | $3,715.50 | $4,954 | 4.5× |