Salem Township Hospital
Salem, IL · Critical Access Hospital
Posts prices for 28 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $1,925.14 | $4,812.84 | 17.2× |
| MRI brain without contrast (70551) range across 2 matching MRF lines |
$1,242.59–$1,674.36 | $3,106.47–$4,185.89 | varies |
| MRI brain without and with contrast (70553) | $2,364.78 | $5,911.94 | 6.3× |
| MRI lumbar spine without contrast (72148) range across 2 matching MRF lines |
$866.70–$2,010.74 | $2,166.74–$5,026.84 | varies |
| MRI lower-extremity joint without contrast (73721) range across 3 matching MRF lines |
$1,283.42–$2,440.71 | $3,208.56–$6,101.78 | varies |
| CT abdomen and pelvis with contrast (74177) | $3,878.99 | $9,697.48 | 10.4× |
| Ultrasound, abdomen complete (76700) | $749.82 | $1,874.56 | 6.7× |
| Ultrasound, transvaginal (76830) | $470.79 | $1,176.98 | 4.2× |
| Mammography, one breast (diagnostic) (77065) | $84.06 | $210.16 | 1.0× |
| Mammography, both breasts (diagnostic) (77066) | $184.80 | $461.99 | 1.7× |
| Mammography, screening (bilateral) (77067) range across 3 matching MRF lines |
$35.67–$283.02 | $89.18–$707.55 | varies |
| Basic metabolic panel (80048) | $148.83 | $372.08 | 17.6× |
| Comprehensive metabolic panel (80053) | $211.56 | $528.90 | 20.0× |
| Lipid panel (80061) | $123.51 | $308.78 | 9.2× |
| Renal function panel (80069) | $147.60 | $369 | 17.0× |
| Hepatic function panel (80076) | $136.53 | $341.33 | 16.7× |
| PSA, total (84153) range across 2 matching MRF lines |
$107.33–$122 | $268.32–$305 | varies |
| Thyroid stimulating hormone (TSH) (84443) | $41.94 | $104.86 | 2.5× |
| CBC with automated differential (85025) | $86.92 | $217.30 | 11.2× |
| Prothrombin time (PT) (85610) range across 2 matching MRF lines |
$35.24–$58.22 | $88.09–$145.55 | varies |
| Partial thromboplastin time (PTT) (85730) | $158.71 | $396.78 | 26.4× |
| Psychotherapy, 45 minutes (90834) | $95.99 | $239.98 | 0.5× |
| Psychotherapy, 60 minutes (90837) | $139.95 | $349.88 | 0.7× |
| Group psychotherapy (90853) | $194.88 | $487.20 | 1.8× |
| Sleep study (attended polysomnography) (95810) | $2,663.95 | $6,659.87 | 2.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 3 matching MRF lines |
$77.95–$111.36 | $194.88–$278.40 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) | $80 | $200 | 0.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $104 | $260 | 0.7× |
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: 107 codes with posted prices and Medicare benchmarks
- Lab & pathology: 193 codes with posted prices and Medicare benchmarks
- Visits & medical services: 56 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 12 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 14 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 881.2 KB) ↓ — captured 2026-10-01
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.