Supplies, drugs & other prices at Salem Township Hospital
Salem, IL · every code in this section with a posted price and a Medicare benchmark.
14 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$11.95–$27.77 | $29.87–$69.43 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$13.60–$13.75 | $33.99–$34.37 | varies |
| Direct refer hospital observ (G0379) | $114.04 | $285.10 | 0.2× |
| Drug test def 1-7 classes (G0480) range across 20 matching MRF lines |
$16.18–$120.95 | $40.44–$302.38 | varies |
| Elec stim other than wound (G0283) | $77.95 | $194.88 | 6.1× |
| Fecal blood scrn immunoassay (G0328) | $18.64 | $46.60 | 1.0× |
| Home sleep test/type 3 porta (G0399) | $476.40 | $1,191 | 2.1× |
| Hospital outpt clinic visit (G0463) range across 5 matching MRF lines |
$90–$198.13 | $225.01–$495.32 | varies |
| Initial preventive exam (G0402) | $122.36 | $305.91 | 0.9× |
| Oth resp proc, group (G0239) | $103.92 | $259.79 | 2.6× |
| Ppps, subseq visit (G0439) | $85.28 | $213.21 | 0.6× |
| Psa screening (G0103) | $42.24 | $105.61 | 2.2× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$33.29–$48.04 | $83.23–$120.11 | varies |
| Tte w or wo fol wcon,doppler (C8929) | $2,278.22 | $5,695.54 | 2.7× |
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.