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.

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ProcedureCash priceGross charge× Medicare
1St psyc collab care mgmt (99492) $238.50 $318 2.0×
Airway inhalation treatment (94640) $215.25 $287 0.8×
Bedside Swallowing Eval (92610) $312.75 $417 3.7×
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,W Left Heart Ventriculography (93458) $19,922.25 $26,563 5.1×
Chemother, IV infusion, 1 hr (96413) $812.25 $1,083 2.1×
Chemother, IV infusion, ea add hr (96415) $237.75 $317 2.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $565.50 $754 6.6×
Color/duplex Doppler, complete (93975) $2,328 $3,104 8.1×
Color/duplex Doppler, limited (93976) $1,271.25 $1,695 10.1×
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/bipap (94660) $373.50 $498 1.4×
Cpt initial (94667) $260.25 $347 1.6×
Critical care (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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,338.75 $1,785 4.7×
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 extracranial art compl bi study (93880) $1,575 $2,100 5.5×
Duplex Scan Hemodialysis Access (93990) $1,294.50 $1,726 10.3×
Echo Heart Xthoracic,Limited (93308) $738.75 $985 2.6×
Echo transesophageal (93312) $2,075.25 $2,767 3.2×
Echo Transthoracic - Congenital Tte Complete (93303) $1,393.50 $1,858 2.1×
EEG awake and asleep (95819) $1,182 $1,576 4.6×
EEG awake drowsy (95816) $1,038.75 $1,385 4.0×
EEG greater than 1 hour (95813) $1,258.50 $1,678 4.9×
Electrocardiogram Tracing (93005) $168 $224 2.4×
Electroconvulsive Therapy (90870) $1,092 $1,456 1.1×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,117.50 $1,490 4.3×
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 iii (99283) $933 $1,244 2.9×
Er level IV (99284) $1,773 $2,364 3.5×
Er level v (99285) $2,526.75 $3,369 3.5×
Esoph balloon distension tst (91040) $1,726.50 $2,302 3.9×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $869.25 $1,159 1.9×
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×
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×
Holter Monitor (93225) $687.75 $917 4.3×
Imm admn sarscov2 vaccine single dose (90480) $36.75 $49 0.8×
Immunization Admin (90471) $21 $28 0.2×
Inhalation bronchial challenge testing (95070) $654.75 $873 1.5×
Interrog dev eval icpms phys/qhp in person (93290) $465.75 $621 10.4×
Interrog dev eval scrms phys/qhp in person (93291) $437.25 $583 12.6×
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, therap/proph/diagnost,initial,1st hour (96365) $540.75 $721 2.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $210.75 $281 3.8×
IV push ea addl new drug (96375) $238.50 $318 4.2×
IV push initial (96374) $583.50 $778 2.3×
L hrt art/grft angio (93459) $23,301.75 $31,069 6.0×
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 Fluor Eval Swlng Funcj C/V Rec (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) $411.75 $549 1.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $714 $952 4.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $426 $568 2.8×
Nrpsyc tst eval phys/qhp 1st (96132) $377.25 $503 0.8×
Ot eval low complex 30 min (97165) $327.75 $437 3.3×
Ot therapeutic activity 15 min (97530) $137.25 $183 3.9×
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×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $1,092 $1,456 24.4×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $749.25 $999 16.8×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $936 $1,248 20.9×
Prq Card Stent/Ath/Angio (92933) $13,173.75 $17,565 0.6×
Psych diag eval w/med srvcs (90792) $381 $508 1.8×
Psychiatric diagnostic evaluation (90791) $472.50 $630 2.2×
Psycl tst eval phys/qhp 1st (96130) $353.25 $471 1.4×
Psycl/nrpsyc tst phy/qhp 1st (96136) $88.12 $117.50 0.6×
Pt eval high complex 45 min (97163) $339 $452 3.5×
Pt eval low complex 20 min (97161) $339 $452 3.5×
Pt eval mod complex 30 min (97162) $339 $452 3.5×
Pt gait training 15 min (97116) $112.50 $150 3.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $140.25 $187 4.3×
Pulmonary stress test simple (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×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $28,569 $38,092 7.4×
R&l hrt art/ventricle angio (93460) $22,209 $29,612 5.7×
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 - Cardiac Event Monitor (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×
Spirometry (94010) $348 $464 1.3×
Stress echo (93350) $1,287.75 $1,717 2.0×
Therapeutic prophylactic/dx injection subq/im (96372) $81 $108 0.9×
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×
Unlisted Cardiovascular Service/Procedure (93799) $2,207.25 $2,943 14.3×
Upr/lxtr art stdy 3+ lvls (93923) $1,168.50 $1,558 4.5×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,499.25 $1,999 5.8×