Visits & medical services prices at Salem Hospital
Salem, MA · every code in this section with a posted price and a Medicare benchmark.
124 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $238.50 | $318 | 2.0× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$17.25–$56.25 | $23–$75 | varies |
| Airway Inhalation Treatment (94640) | $215.25 | $287 | 0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $601.50 | $802 | 1.3× |
| Cardiac Stress Tst,Tracing Only (93017) | $699 | $932 | 2.7× |
| Cardioversion (92960) | $1,485 | $1,980 | 1.9× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $22,209 | $29,612 | 5.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $19,922.25 | $26,563 | 5.1× |
| Chemo Anti-Neopl Sq/Im (96401) | $565.50 | $754 | 6.6× |
| Chemo IV infusion addl hr (96415) | $237.75 | $317 | 2.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $812.25 | $1,083 | 2.1× |
| Color/duplex Doppler, complete (93975) | $2,328 | $3,104 | 8.1× |
| Color/duplex Doppler, limited (93976) | $1,271.25 | $1,695 | 10.1× |
| Continuous Pulse Ox (94762) | $426 | $568 | 2.8× |
| Coronary Art/Grft Angio S&I (93455) | $20,444.25 | $27,259 | 5.3× |
| Coronary Artery Angio S&I (93454) | $16,504.50 | $22,006 | 4.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $373.50 | $498 | 1.4× |
| Cpt initial (94667) | $260.25 | $347 | 1.6× |
| Critical care first hour (99291) | $2,822.25 | $3,763 | 2.9× |
| Debridement Open Wound 20 Sq Cm< (97597) | $645 | $860 | 2.7× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,553.25 | $2,071 | 5.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $1,110.75 | $1,481 | 8.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,997.25 | $2,663 | 7.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,284.75 | $1,713 | 10.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,550.25 | $2,067 | 5.4× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,035 | $1,380 | 8.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $959.25 | $1,279 | 3.4× |
| Duplex Scan Hemodialysis Access (93990) | $1,294.50 | $1,726 | 10.3× |
| Duplex up extrem art bilat (93930) | $1,338.75 | $1,785 | 4.7× |
| Echo Congenital Complete (93303) | $1,393.50 | $1,858 | 2.1× |
| Echo Heart Xthoracic,Limited (93308) | $738.75 | $985 | 2.6× |
| Echo transesophageal (93312) | $2,075.25 | $2,767 | 3.2× |
| Eeg 41-60 Minutes (95812) | $1,117.50 | $1,490 | 4.3× |
| EEG awake and asleep (95819) | $1,182 | $1,576 | 4.6× |
| EEG awake drowsy (95816) | $1,038.75 | $1,385 | 4.0× |
| EEG extended monitoring 61-119 minutes (95813) | $1,258.50 | $1,678 | 4.9× |
| Electrocardiogram Tracing (93005) | $168 | $224 | 2.4× |
| Electroconvulsive Therapy (90870) | $1,092 | $1,456 | 1.1× |
| Emergency Dept Visit Level 3 (99283) | $933 | $1,244 | 2.9× |
| Emergency Dept Visit Level 4 (99284) | $1,773 | $2,364 | 3.5× |
| Ep & ablate supravent arrhyt (93653) | $28,260 | $37,680 | 0.9× |
| Ep & ablate ventric tachy (93654) | $35,235.75 | $46,981 | 1.1× |
| Er level 1 (99281) | $389.25 | $519 | 3.9× |
| Er level v (99285) | $2,526.75 | $3,369 | 3.5× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $1,726.50 | $2,302 | 3.9× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $869.25 | $1,159 | 1.9× |
| Evaluate Swallowing Function (92610) | $312.75 | $417 | 3.7× |
| External ECG rec>48hr<7d recording (93242) | $378 | $504 | 8.4× |
| External ECG rec>7d<15d recording (93246) | $1,027.50 | $1,370 | 23.0× |
| External Ecg Scanning Analysis Report (93226) | $538.50 | $718 | 7.6× |
| Extracranial Bilat Study (93880) | $1,575 | $2,100 | 5.5× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $711.75 | $949 | 2.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $2,007 | $2,676 | 2.0× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $28,569 | $38,092 | 7.4× |
| Holter monitor recording (93225) | $687.75 | $917 | 4.3× |
| Icd device progr eval dual (93283) | $936 | $1,248 | 20.9× |
| Icd Device Progr Eval Mult (93284) | $1,092 | $1,456 | 24.4× |
| Icm Device Eval (93290) | $465.75 | $621 | 10.4× |
| Ilr Device Interrogate (93291) | $437.25 | $583 | 12.6× |
| Immunization administration (90471) range across 2 matching MRF lines |
$17.25–$24.75 | $23–$33 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $654.75 | $873 | 1.5× |
| Irrig Drug Delivery Device (96523) | $191.25 | $255 | 2.7× |
| IV infusion hydration each additional hour (96361) | $159.75 | $213 | 2.8× |
| IV infusion hydration initial 31 min-1 hour (96360) | $435.75 | $581 | 1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $276 | $368 | 3.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $210.75 | $281 | 3.8× |
| IV push initial (96374) | $583.50 | $778 | 2.3× |
| L Hrt Art/Grft Angio (93459) | $23,301.75 | $31,069 | 6.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,499.25 | $1,999 | 5.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $88.50 | $118 | 2.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $88.50 | $118 | 2.4× |
| Methacholine challenge (94070) | $631.50 | $842 | 1.4× |
| Motility study esophagus (91010) | $869.25 | $1,159 | 1.9× |
| Motion Fluoroscopy/Swallow (92611) | $348.75 | $465 | 3.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $130.50 | $174 | 0.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $138 | $184 | 0.3× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,038 | $1,384 | 2.3× |
| Nerve conduction studies 7-8 studies (95910) | $763.50 | $1,018 | 1.7× |
| Nerve Conduction Studies 9-10 Studies (95911) | $644.25 | $859 | 1.4× |
| Neurobehavioral Status Exam (96116) range across 2 matching MRF lines |
$274.50–$549 | $366–$732 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 2 matching MRF lines |
$342–$412.50 | $456–$550 | varies |
| Ot Eval Low Complex (97165) | $327.75 | $437 | 3.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $417 | $556 | 2.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $278.25 | $371 | 1.8× |
| Phlebotomy therapeutic (99195) | $435 | $580 | 2.7× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $222.75 | $297 | 3.2× |
| Plethysmography (94726) | $672 | $896 | 1.5× |
| Pm device eval in person (93288) | $474.75 | $633 | 10.6× |
| Pm device progr eval dual (93280) | $711.75 | $949 | 15.9× |
| Pm device progr eval multi (93281) | $1,160.25 | $1,547 | 25.9× |
| Pm Device Progr Eval Sngl (93279) | $836.25 | $1,115 | 18.7× |
| Pm/Icd Remote Tech Serv (93296) | $604.50 | $806 | 13.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $4,017.75 | $5,357 | 3.9× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $749.25 | $999 | 16.8× |
| Prq Card Stent/Ath/Angio (92933) | $13,173.75 | $17,565 | 0.6× |
| Psych diag eval w/med srvcs (90792) range across 3 matching MRF lines |
$381–$543 | $508–$724 | varies |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$360–$472.50 | $480–$630 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $353.25 | $471 | 1.4× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 2 matching MRF lines |
$79.50–$96.75 | $106–$129 | varies |
| Pt Eval High Complex (97163) | $339 | $452 | 3.5× |
| Pt eval low complex 20 min (97161) | $339 | $452 | 3.5× |
| Pt Eval Mod Complex (97162) | $339 | $452 | 3.5× |
| Pt gait training 15 min (97116) | $112.50 | $150 | 3.9× |
| Pulmonary Stress Testing (94618) | $141.75 | $189 | 0.9× |
| R Hrt Art/Grft Angio (93457) | $24,815.25 | $33,087 | 6.4× |
| R hrt coronary artery angio (93456) | $20,094 | $26,792 | 5.2× |
| Rem interrog icpms <30 d phys/qhp (93297) | $373.50 | $498 | 8.4× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $444.75 | $593 | 9.9× |
| Remote 30 Day Ecg Rev/Report (93270) | $345 | $460 | 7.7× |
| Right Heart Cath (93451) | $15,339.75 | $20,453 | 3.9× |
| Sbsq Psyc Collab Care Mgmt (99493) | $262.50 | $350 | 2.2× |
| Self Care Mngment Training (97535) | $140.25 | $187 | 4.3× |
| Spirometry (94010) | $348 | $464 | 1.3× |
| Stress Tte Only (93350) | $1,287.75 | $1,717 | 2.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$17.25–$170.25 | $23–$227 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $540.75 | $721 | 2.1× |
| Therapeutic Activities (97530) | $137.25 | $183 | 3.9× |
| Trans Care Mgmt 14 Day Disch (99495) | $418.50 | $558 | 2.6× |
| Trans Care Mgmt 7 Day Disch (99496) | $600 | $800 | 3.8× |
| Tte w/doppler, complete (93306) | $1,842.75 | $2,457 | 2.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $238.50 | $318 | 4.2× |
| Unlisted cardiovascular service/procedure (93799) range across 5 matching MRF lines |
$1,447.50–$2,908.50 | $1,930–$3,878 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $714 | $952 | 4.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,168.50 | $1,558 | 4.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.