Visits & medical services prices at Salem Township Hospital
Salem, IL · every code in this section with a posted price and a Medicare benchmark.
56 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 6 matching MRF lines |
$89.55–$229.68 | $223.87–$574.21 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $87.37 | $218.43 | 6.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $805.26 | $2,013.16 | 3.5× |
| Chemo IV infusion addl hr (96415) | $214.50 | $536.24 | 2.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $468.18 | $1,170.44 | 1.3× |
| Chron Care Mgmt Srvc 20 Min (99490) | $31.72 | $79.31 | 0.3× |
| Color/duplex Doppler, limited (93976) | $566.38 | $1,415.96 | 5.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $435.37 | $1,088.43 | 1.9× |
| Critical care first hour (99291) | $1,866.08 | $4,665.19 | 2.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $600 | $1,500 | 5.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $710.59 | $1,776.47 | 2.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $683.11 | $1,707.78 | 2.7× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$279.04–$292.97 | $697.59–$732.43 | varies |
| Electrocardiogram Tracing (93005) | $285.18 | $712.94 | 4.5× |
| Emergency Dept Visit Level 2 (99282) | $534.36 | $1,335.90 | 3.2× |
| Emergency Dept Visit Level 3 (99283) | $929.04 | $2,322.61 | 3.2× |
| Emergency Dept Visit Level 4 (99284) | $1,467.05 | $3,667.63 | 3.3× |
| Er level 1 (99281) | $93.64 | $234.10 | 1.0× |
| Er level v (99285) | $2,027.22 | $5,068.04 | 3.2× |
| External ECG rec>48hr<7d recording (93242) | $355.60 | $889 | 8.9× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $360.80 | $902 | 2.5× |
| External ECG rec>7d<15d recording (93246) | $420 | $1,050 | 10.5× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $360.80 | $902 | 2.5× |
| External Ecg Scanning Analysis Report (93226) | $666.77 | $1,666.92 | 10.5× |
| Extracranial Bilat Study (93880) | $861.21 | $2,153.02 | 3.4× |
| Group Therapeutic Procedures (97150) | $23.78 | $59.46 | 1.3× |
| Holter monitor recording (93225) | $549.22 | $1,373.05 | 3.9× |
| Immunization administration (90471) range across 3 matching MRF lines |
$14.83–$37.40 | $37.08–$93.51 | varies |
| Irrig Drug Delivery Device (96523) | $180.96 | $452.40 | 2.9× |
| IV infusion hydration each additional hour (96361) | $57.08 | $142.69 | 1.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $112.96 | $282.41 | 0.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $214.50 | $536.24 | 4.3× |
| IV push initial (96374) | $119.27 | $298.17 | 0.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $14 | $35 | 0.4× |
| Neuromuscular Reeducation (97112) | $118.90 | $297.25 | 3.6× |
| Ot Eval Low Complex (97165) | $141.54 | $353.86 | 1.4× |
| Ot Eval Moderate Complexity (97166) | $191.11 | $477.78 | 1.9× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$102.18–$115.07 | $255.44–$287.68 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $222.72 | $556.80 | 1.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $136.42 | $341.04 | 2.2× |
| Plethysmography (94726) | $344.44 | $861.11 | 0.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,866 | $7,165 | 3.1× |
| Pt eval low complex 20 min (97161) | $141.54 | $353.86 | 1.4× |
| Pt Eval Mod Complex (97162) | $191.11 | $477.78 | 2.0× |
| Pulmonary Stress Testing (94618) | $87.88 | $219.69 | 0.6× |
| Self Care Mngment Training (97535) | $105.57 | $263.92 | 3.3× |
| Sleep study unattended (95806) | $476.40 | $1,191 | 2.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $87.69 | $219.22 | 1.1× |
| Ther/Proph/Diag Iv Inf Init (96365) | $468.18 | $1,170.44 | 2.1× |
| Therapeutic Activities (97530) | $115.07 | $287.68 | 3.3× |
| Trans Care Mgmt 14 Day Disch (99495) | $119.48 | $298.70 | 0.8× |
| Trans Care Mgmt 7 Day Disch (99496) | $169.33 | $423.33 | 1.2× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$2,147.39–$2,278.22 | $5,368.48–$5,695.54 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $306.11 | $765.28 | 2.1× |
| Vital capacity, total (94150) | $198.59 | $496.48 | 1.4× |
| Whirlpool Therapy (97022) | $38.70 | $96.76 | 2.5× |
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.