Visits & medical services prices at Salem Regional Medical Center
Salem, OH · every code in this section with a posted price and a Medicare benchmark.
171 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Aep neurodiagnostic i&r (92653) | $1,035.25 | $1,035.25 | 5.0× |
| Airway Inhalation Treatment (94640) | $76.25 | $76.25 | 0.4× |
| Analyze neurostim complex (95972) | $1,657.50 | $1,657.50 | 18.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 4 matching MRF lines |
$53.75–$63 | $53.75–$63 | varies |
| Application on-body injector (96377) | $164 | $164 | 3.6× |
| Assessment of aphasia per hr (96105) | $416.25 | $416.25 | 4.3× |
| Basic vestibular evaluation (92540) | $352.50 | $352.50 | 1.7× |
| Behavral qualit analys voice (92524) | $131 | $131 | 1.2× |
| Biofeedback training any modality (90901) | $161.75 | $161.75 | 3.9× |
| Blink reflex test (95933) | $175.25 | $175.25 | 3.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $453.75 | $453.75 | 1.3× |
| C motor evoked uppr limbs (95928) | $972.50 | $972.50 | 1.2× |
| C motor evoked upr&lwr limbs (95939) | $1,004.25 | $1,004.25 | 1.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $620.75 | $620.75 | 3.0× |
| Cardiopulmonary resuscitation (92950) | $726.25 | $726.25 | 3.5× |
| Cardioversion (92960) range across 3 matching MRF lines |
$958–$986.75 | $958–$986.75 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $221.50 | $221.50 | 3.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $221.50 | $221.50 | 3.2× |
| Chemo intralesional up to 7 (96405) | $297.50 | $297.50 | 4.3× |
| Chemo IV infusion addl hr (96415) | $195.50 | $195.50 | 2.8× |
| Chemo IV push addl drug (96411) | $659.75 | $659.75 | 9.5× |
| Chemother Prolong Infuse W/Pump (96416) | $1,222.50 | $1,222.50 | 3.8× |
| Chemotherapy Into Cns (96450) | $679 | $679 | 2.1× |
| Chemotherapy Unspecified (96549) | $172.25 | $172.25 | 3.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $195.50 | $195.50 | 2.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $851.75 | $851.75 | 2.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $528.50 | $528.50 | 1.7× |
| Color/duplex Doppler, complete (93975) | $2,166.25 | $2,166.25 | 9.4× |
| Color/duplex Doppler, limited (93976) | $1,247.50 | $1,247.50 | 12.3× |
| Computerized dynamic posturography (92548) | $375 | $375 | 2.9× |
| Continuous Pulse Ox (94762) | $265.75 | $265.75 | 2.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$280.25–$612 | $280.25–$612 | varies |
| Cpt initial (94667) | $59.75 | $59.75 | 0.5× |
| Critical care first hour (99291) | $1,600 | $1,600 | 2.0× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 6 matching MRF lines |
$274–$378.25 | $274–$378.25 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,680 | $1,680 | 7.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,022 | $1,022 | 10.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$714–$1,151.75 | $714–$1,151.75 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) | $721 | $721 | 7.1× |
| Duplex Scan Hemodialysis Access (93990) range across 4 matching MRF lines |
$565.50–$1,129 | $565.50–$1,129 | varies |
| Duplex up extrem art bilat (93930) | $1,348.50 | $1,348.50 | 5.8× |
| Duplex up extrem art unilat/ltd (93931) | $886 | $886 | 8.8× |
| Echo Heart Xthoracic,Limited (93308) | $614 | $614 | 2.7× |
| Echo transesophageal (93312) | $1,544 | $1,544 | 2.9× |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$1,163–$1,381.25 | $1,163–$1,381.25 | varies |
| EEG awake and asleep (95819) | $533.75 | $533.75 | 2.6× |
| EEG awake drowsy (95816) | $733.50 | $733.50 | 3.5× |
| EEG cont rec w/video by tech min 8 channels (95700) | $371 | $371 | 1.8× |
| Electrical Stimulation Ea 15 Min (97032) | $82.50 | $82.50 | 5.6× |
| Electrocardiogram Tracing (93005) | $139.25 | $139.25 | 2.4× |
| Emergency Dept Visit Level 2 (99282) | $275 | $275 | 1.9× |
| Emergency Dept Visit Level 3 (99283) | $460 | $460 | 1.7× |
| Emergency Dept Visit Level 4 (99284) | $780 | $780 | 1.9× |
| Emg 3 Extremities (95863) | $538.75 | $538.75 | 4.3× |
| Emg 4 Extremities (95864) | $694.25 | $694.25 | 5.6× |
| Er level 1 (99281) | $113.50 | $113.50 | 1.4× |
| Er level v (99285) | $930 | $930 | 1.6× |
| Evaluate Speech Production (92522) | $125.75 | $125.75 | 1.1× |
| Evaluate Swallowing Function (92610) | $218.50 | $218.50 | 2.6× |
| Evaluation of speech fluency (92521) | $153.50 | $153.50 | 1.2× |
| External Ecg Scanning Analysis Report (93226) | $294.75 | $294.75 | 5.2× |
| Extracranial Bilat Study (93880) | $1,249.50 | $1,249.50 | 5.4× |
| Gi wireless capsule measure (91112) | $2,904.75 | $2,904.75 | 3.3× |
| Group Therapeutic Procedures (97150) | $68 | $68 | 3.8× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,183.50 | $1,183.50 | 1.8× |
| Immunization administration (90471) range across 13 matching MRF lines |
$65–$67 | $65–$67 | varies |
| Iontophoresis 15 min (97033) | $87.75 | $87.75 | 4.6× |
| Irrig Drug Delivery Device (96523) range across 4 matching MRF lines |
$126.75–$131 | $126.75–$131 | varies |
| IV infusion hydration each additional hour (96361) range across 8 matching MRF lines |
$97–$153.50 | $97–$153.50 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 6 matching MRF lines |
$335–$404 | $335–$404 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 8 matching MRF lines |
$148.50–$154.50 | $148.50–$154.50 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 8 matching MRF lines |
$149.50–$153.50 | $149.50–$153.50 | varies |
| IV push initial (96374) | $211 | $211 | 1.0× |
| Lung Function Test (Mbc/Mvv) (94200) | $122.75 | $122.75 | 2.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,212.50 | $1,212.50 | 5.8× |
| Mechanical chest wall oscillation per session (94669) | $299.75 | $299.75 | 1.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $34 | $34 | 1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$34–$90.75 | $34–$90.75 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $49.50 | $49.50 | 2.9× |
| Methacholine challenge (94070) | $622.25 | $622.25 | 1.7× |
| Motility study esophagus (91010) | $949.75 | $949.75 | 2.6× |
| Motion Fluoroscopy/Swallow (92611) | $218.50 | $218.50 | 2.4× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $112.50 | $112.50 | 0.3× |
| Multiple Sleep Latency Test (95805) | $3,434.25 | $3,434.25 | 4.1× |
| Muscle Test 2 Limbs (95861) | $444 | $444 | 3.4× |
| Muscle Test One Limb (95860) | $351.25 | $351.25 | 2.7× |
| Nasopharyngoscopy (92511) | $363.75 | $363.75 | 1.9× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $337 | $337 | 1.6× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $267 | $267 | 1.3× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $158.75 | $158.75 | 0.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$665.50–$681 | $665.50–$681 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $935.25 | $935.25 | 2.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $236 | $236 | 1.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $280.25 | $280.25 | 0.7× |
| Nerve Conduction Studies 1-2 Studies (95907) | $181.50 | $181.50 | 0.9× |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$383.25–$440.75 | $383.25–$440.75 | varies |
| Nerve conduction studies 13 or more studies (95913) | $483.25 | $483.25 | 1.3× |
| Nerve Conduction Studies 3-4 Studies (95908) | $263.75 | $263.75 | 1.3× |
| Nerve conduction studies 5-6 studies (95909) | $263.75 | $263.75 | 1.3× |
| Nerve conduction studies 7-8 studies (95910) | $263.75 | $263.75 | 0.7× |
| Nerve Conduction Studies 9-10 Studies (95911) | $345.25 | $345.25 | 1.0× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $229.75 | $229.75 | 1.8× |
| Neuromuscular Reeducation (97112) | $117.50 | $117.50 | 3.6× |
| Oral Function Therapy (92526) | $136 | $136 | 1.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $56.75 | $56.75 | 1.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $56.75 | $56.75 | 1.2× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $52.75 | $52.75 | 2.5× |
| Ot Contrast Bath Ea 15 Min (97034) | $57.75 | $57.75 | 4.1× |
| Ot eval high complexity (97167) | $450.25 | $450.25 | 4.5× |
| Ot Eval Low Complex (97165) | $225.75 | $225.75 | 2.2× |
| Ot Eval Moderate Complexity (97166) | $339 | $339 | 3.4× |
| Ot manual therapy 15 min (97140) | $103 | $103 | 3.7× |
| Ot paraffin bath (97018) | $56.75 | $56.75 | 9.4× |
| Ot Prosthetic Training, Each 15 Min (97761) | $56.75 | $56.75 | 1.4× |
| Ot Re-Eval Est Plan Care (97168) | $209.25 | $209.25 | 3.1× |
| Ot rom hand (95852) | $57.75 | $57.75 | 2.7× |
| Penile Vascular Study,Ltd or F/U (93981) | $787 | $787 | 7.8× |
| Phlebotomy therapeutic (99195) | $113 | $113 | 0.9× |
| Physical Performance Test (97750) | $121.75 | $121.75 | 3.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$3,566.75–$4,755.75 | $3,566.75–$4,755.75 | varies |
| Psytx Crisis Initial 60 Min (90839) | $259.75 | $259.75 | 1.5× |
| Pt Eval High Complex (97163) | $446 | $446 | 4.6× |
| Pt eval low complex 20 min (97161) | $201 | $201 | 2.1× |
| Pt Eval Mod Complex (97162) | $301 | $301 | 3.1× |
| Pt gait training 15 min (97116) | $99 | $99 | 3.4× |
| Pt mechanical traction (97012) | $58.75 | $58.75 | 4.1× |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$91.75–$200 | $91.75–$200 | varies |
| Pulm function test by gas (94727) | $231.75 | $231.75 | 1.1× |
| Pulmonary Stress Testing (94618) | $380 | $380 | 3.0× |
| Refill/Maint Portable Pump (96521) | $574.75 | $574.75 | 2.8× |
| Remote 30 Day Ecg Tech Supp (93229) | $550.25 | $550.25 | 1.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $99 | $99 | 1.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $245.25 | $245.25 | 1.3× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $85.50 | $85.50 | 3.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $630.50 | $630.50 | 5.2× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $309 | $309 | 6.5× |
| Self Care Mngment Training (97535) | $55.75 | $55.75 | 1.7× |
| Sensory Integration Ea 15 Min (97533) | $55.75 | $55.75 | 0.9× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $484.25 | $484.25 | 2.3× |
| Short-latency somatosens ep std upr limbs (95925) range across 2 matching MRF lines |
$277.25–$748 | $277.25–$748 | varies |
| Sleep study unattended (95806) | $949 | $949 | 4.5× |
| Somatosensory Testing (95938) | $893.25 | $893.25 | 1.1× |
| Speech sound lang comprehen (92523) | $255.50 | $255.50 | 1.1× |
| Spirometry (94010) | $196.75 | $196.75 | 0.9× |
| Ssep lower limbs (95926) | $727.25 | $727.25 | 3.5× |
| Standardized Cognitive Performance Testing (96125) | $370 | $370 | 3.6× |
| Temp transcutaneous pacing (92953) | $469.75 | $469.75 | 0.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $100 | $100 | 4.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $114.50 | $114.50 | 5.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $131 | $131 | 3.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $93.75 | $93.75 | 3.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $136 | $136 | 1.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 9 matching MRF lines |
$91.75–$93.75 | $91.75–$93.75 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 11 matching MRF lines |
$249–$418.25 | $249–$418.25 | varies |
| Therapeutic Activities (97530) | $117.50 | $117.50 | 3.4× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,223.75 | $1,223.75 | 3.4× |
| Tte w/doppler, complete (93306) | $1,075 | $1,075 | 2.0× |
| Tte W/O Doppler Complete (93307) | $1,166 | $1,166 | 5.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $136 | $136 | 1.8× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $136 | $136 | 5.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $170 | $170 | 3.8× |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$192–$552.25 | $192–$552.25 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$317.25–$1,027 | $317.25–$1,027 | varies |
| Vasopneumatic device (97016) | $144.25 | $144.25 | 12.0× |
| Veeg 2-12 hr unmonitored (95711) | $371 | $371 | 1.8× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $709.75 | $709.75 | 2.0× |
| Vent Mgmt Inpat Init Day (94002) | $242.25 | $242.25 | 0.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $242.25 | $242.25 | 0.4× |
| Visual Evoked Potential Test (95930) | $718 | $718 | 3.4× |
| Wheelchair Mgmt Ea 15 Min (97542) | $121.75 | $121.75 | 3.9× |
| Whirlpool Therapy (97022) range across 4 matching MRF lines |
$64–$95 | $64–$95 | 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.