Salem Health West Valley
Dallas, OR · Critical Access Hospital
Posts prices for 43 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-04.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Transforaminal epidural injection, lumbar/sacral (64483) | $1,856.06 | $3,502 | 1.9× |
| Cataract removal with lens insertion (66984) | $3,804.34 | $7,178 | 1.5× |
| CT head/brain without contrast (70450) | $737.76 | $1,392 | 6.3× |
| MRI brain without contrast (70551) | $1,650.95 | $3,115 | 6.2× |
| MRI brain with contrast (70552) | $1,958.35 | $3,695 | 5.0× |
| MRI brain without and with contrast (70553) | $2,154.98 | $4,066 | 5.5× |
| X-ray lower spine, 4+ views (72110) | $305.28 | $576 | 2.6× |
| MRI lumbar spine without contrast (72148) | $1,569.33 | $2,961 | 5.9× |
| CT pelvis with contrast (72193) | $1,485.06 | $2,802 | 7.5× |
| MRI lower-extremity joint without contrast (73721) | $1,569.33 | $2,961 | 5.9× |
| CT abdomen and pelvis with contrast (74177) | $1,485.06 | $2,802 | 3.8× |
| Ultrasound, abdomen complete (76700) | $579.82 | $1,094 | 4.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $614.80 | $1,160 | 5.2× |
| Ultrasound, transvaginal (76830) | $447.85 | $845 | 3.8× |
| Mammography, one breast (diagnostic) (77065) | $227.37 | $429 | 2.6× |
| Mammography, both breasts (diagnostic) (77066) | $281.43 | $531 | 2.5× |
| Mammography, screening (bilateral) (77067) | $213.59 | $403 | 2.3× |
| Basic metabolic panel (80048) | $39.75 | $75 | 4.7× |
| Comprehensive metabolic panel (80053) | $46.11 | $87 | 4.4× |
| Obstetric panel (80055) | $172.78 | $326 | 3.6× |
| Lipid panel (80061) | $65.19 | $123 | 4.9× |
| Renal function panel (80069) | $44.52 | $84 | 5.1× |
| Hepatic function panel (80076) | $44.52 | $84 | 5.4× |
| Urinalysis, non-automated, with microscopy (81000) | $94.34 | $178 | 23.5× |
| Urinalysis, non-automated, without microscopy (81002) | $28.62 | $54 | 8.2× |
| PSA, total (84153) | $75.79 | $143 | 4.1× |
| Thyroid stimulating hormone (TSH) (84443) | $68.37 | $129 | 4.1× |
| CBC with automated differential (85025) | $41.34 | $78 | 5.3× |
| CBC, automated (85027) | $36.57 | $69 | 5.7× |
| Prothrombin time (PT) (85610) | $36.57 | $69 | 8.5× |
| Partial thromboplastin time (PTT) (85730) | $42.93 | $81 | 7.1× |
| Psychotherapy, 30 minutes (90832) | $189.74 | $358 | 1.0× |
| Psychotherapy, 45 minutes (90834) | $332.84 | $628 | 1.7× |
| Psychotherapy, 60 minutes (90837) | $422.41 | $797 | 2.1× |
| Family psychotherapy, without patient (50 min) (90846) | $139.39 | $263 | 0.7× |
| Family psychotherapy, with patient (50 min) (90847) | $145.75 | $275 | 0.7× |
| Group psychotherapy (90853) | $178.61 | $337 | 1.6× |
| Left heart catheterization (93452) | $4,810.81 | $9,077 | 1.3× |
| Sleep study (attended polysomnography) (95810) | $3,104.74 | $5,858 | 3.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $81.62 | $154 | 2.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 6 matching MRF lines |
$108.65–$495.02 | $205–$934 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 6 matching MRF lines |
$162.71–$632.82 | $307–$1,194 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 6 matching MRF lines |
$214.65–$795.53 | $405–$1,501 | varies |
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.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 402 codes with posted prices and Medicare benchmarks
- Lab & pathology: 744 codes with posted prices and Medicare benchmarks
- Visits & medical services: 281 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 415 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 75 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 19.9 MB) ↓ — captured 2026-09-04
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.