Supplies, drugs & other prices at Salem Health West Valley
Dallas, OR · every code in this section with a posted price and a Medicare benchmark.
75 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,768.61 | $3,337 | 2.0× |
| 2d tte w or w/o fol w/con,co (C8923) range across 2 matching MRF lines |
$85.86–$1,259.81 | $162–$2,377 | varies |
| 2d tte w or w/o fol w/con,fu (C8924) range across 2 matching MRF lines |
$48.76–$1,259.81 | $92–$2,377 | varies |
| Admin hepatitis b vaccine (G0010) | $40.28 | $76 | 0.8× |
| Admin influenza virus vac (G0008) | $76.32 | $144 | 1.5× |
| Admin pneumococcal vaccine (G0009) | $76.32 | $144 | 1.5× |
| Autolog prp not diab ulcer (G0460) | $2,786.74 | $5,258 | 1.2× |
| Complex simulation w/pet-ct (G0562) | $2,837.62 | $5,354 | 1.3× |
| Diab manage trn per indiv (G0108) | $75.26 | $142 | 1.3× |
| Diab manage trn ind/group (G0109) | $32.86 | $62 | 2.0× |
| Direct refer hospital observ (G0379) | $519.93 | $981 | 0.8× |
| Drug test def 1-7 classes (G0480) | $172.78 | $326 | 1.5× |
| Drug test def 15-21 classes (G0482) | $303.16 | $572 | 1.5× |
| Drug test def 22+ classes (G0483) | $311.64 | $588 | 1.3× |
| Drug test def 8-14 classes (G0481) | $192.39 | $363 | 1.2× |
| Eia hiv-1/hiv-2 screen (G0432) | $101.23 | $191 | 5.2× |
| Group mnt 2 or more 30 mins (G0271) | $21.20 | $40 | 1.2× |
| Hbot, full body chamber, 30m (G0277) | $365.70 | $690 | 2.4× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) | $2,163.99 | $4,083 | 2.8× |
| Hiv combination assay (G0475) | $31.27 | $59 | 1.3× |
| Home sleep test/type 3 porta (G0399) | $612.68 | $1,156 | 2.5× |
| Mnt subs tx for change dx (G0270) | $37.63 | $71 | 1.2× |
| Mra w/cont, abd (C8900) | $1,223.24 | $2,308 | 3.1× |
| Mra w/cont, chest (C8909) | $1,223.24 | $2,308 | 3.1× |
| Mra w/cont, lwr ext (C8912) | $1,617.03 | $3,051 | 4.1× |
| Mra w/o cont, lwr ext (C8913) | $1,021.31 | $1,927 | 3.8× |
| Mra w/o fol w/cont, abd (C8902) | $2,393.48 | $4,516 | 6.1× |
| Mra w/o fol w/cont, chest (C8911) | $2,393.48 | $4,516 | 6.1× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,271.58 | $4,286 | 5.8× |
| Mri w/cont, breast, bi (C8906) | $1,720.38 | $3,246 | 4.4× |
| Mri w/cont, breast, uni (C8903) | $1,684.87 | $3,179 | 8.6× |
| Mri w/o fol w/cont, breast, (C8908) | $1,930.26 | $3,642 | 4.9× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,878.32 | $3,544 | 4.8× |
| Neuro csf prion prtn qual (0035U) | $313.23 | $591 | 0.6× |
| Oth resp proc, group (G0239) | $50.88 | $96 | 1.2× |
| Perc d-e cor revasc chro sin (C9607) | $13,772.58 | $25,986 | 0.7× |
| Perc d-e cor revasc t cabg s (C9604) | $16,868.31 | $31,827 | 1.3× |
| Perc d-e cor stent ather s (C9602) | $18,649.64 | $35,188 | 0.9× |
| Perc drug-el cor stent sing (C9600) | $16,847.11 | $31,787 | 1.3× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $8,709.49 | $16,433 | 0.7× |
| Pet not otherwise specified (G0235) | $3,086.19 | $5,823 | 6.9× |
| Psa screening (G0103) | $75.79 | $143 | 3.9× |
| Relocation pg wcs lv pacg battery component only (0862T) | $3,188.48 | $6,016 | 1.4× |
| Relocation pg wcs lv pacg transmittr compnt only (0863T) | $3,188.48 | $6,016 | 1.4× |
| Removal pg wcs lv pacing both components (0861T) | $6,865.62 | $12,954 | 1.6× |
| Revasc intra lithotrip-ather (C9766) | $31,487.30 | $59,410 | 1.5× |
| Revasc intra lithotrip-stent (C9765) | $31,487.30 | $59,410 | 1.5× |
| Revasc intravasc lithotripsy (C9764) | $19,458.42 | $36,714 | 1.5× |
| Revasc lith-sten-ath tib/per (C9775) | $31,487.30 | $59,410 | 1.5× |
| Revasc lithotr-ather tib/per (C9774) | $31,487.30 | $59,410 | 1.5× |
| Revasc lithotr-stent tib/per (C9773) | $31,487.30 | $59,410 | 1.5× |
| Revasc lithotrip tibi/perone (C9772) | $19,458.42 | $36,714 | 1.5× |
| Revasc lithotrip-stent-ather (C9767) | $31,487.30 | $59,410 | 1.5× |
| Sbrt w/positron emission del (G0563) | $6,276.26 | $11,842 | 1.8× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $34,067.34 | $64,278 | 1.6× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $34,067.34 | $64,278 | 1.6× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $34,067.34 | $64,278 | 1.6× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $34,067.34 | $64,278 | 1.6× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $5,572.95 | $10,515 | 1.6× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $5,572.95 | $10,515 | 1.6× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $5,572.95 | $10,515 | 1.6× |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) | $5,572.95 | $10,515 | 1.6× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $34,067.34 | $64,278 | 1.6× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) | $34,067.34 | $64,278 | 1.6× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) | $34,067.34 | $64,278 | 1.6× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) | $34,067.34 | $64,278 | 1.6× |
| Tee w or w/o fol w/cont, mon (C8927) | $1,768.61 | $3,337 | 2.0× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$4,260.14–$5,561.29 | $8,038–$10,493 | varies |
| Trluml Perip Athrc Iliac Art (0238T) | $27,032.65 | $51,005 | 1.3× |
| Tte w or w/o contr, cont ecg (C8930) | $1,768.61 | $3,337 | 2.0× |
| Tte w or w/o fol w/con,stres (C8928) | $1,538.06 | $2,902 | 1.7× |
| Tte w or w/o fol w/cont, com (C8921) range across 2 matching MRF lines |
$114.48–$1,768.61 | $216–$3,337 | varies |
| Tte w or w/o fol w/cont, f/u (C8922) range across 2 matching MRF lines |
$65.19–$1,259.81 | $123–$2,377 | varies |
| Tte w or wo fol wcon,doppler (C8929) range across 2 matching MRF lines |
$119.25–$1,768.61 | $225–$3,337 | varies |
| Unsched dialysis esrd pt hos (G0257) range across 4 matching MRF lines |
$1,259.81–$2,979.66 | $2,377–$5,622 | 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.