Salem Hospital — price list
← Hospital overviewVerified from Salem Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 1 25 Dihydroxy Inc Fraction Inpatient & outpatient | PX-30000412 CDM | $325 | $244 | $37.73 – $309 | $179 | |
| 1 25 Dihydroxy Inc Fraction Outpatient | PX-30000412 CDM | $325 | $244 | $39.70 – $255 | $185 | |
| 1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes Inpatient & outpatient | PX-98300811 CDM | $407 | $305 | $83.70 – $1,207 | $103 | |
| 1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes Inpatient | PX-98300811 CDM | $407 | $305 | $228 – $287 | $450 | |
| 1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes Outpatient | PX-98300811 CDM | $407 | $305 | $200 – $5,129 | $354 | |
| 1st Psychiatric Collab Care Mgmt 1st 70 Mins Inpatient & outpatient | PX-51000644 CDM | $318 | $239 | $104 – $256 | $175 | |
| 1st Psychiatric Collab Care Mgmt 1st 70 Mins Outpatient | PX-51000644 CDM | $318 | $239 | $141 – $363 | $238 | |
| 1st/Sbsq Psych Collab Care Mgmt each Addl 30 Mins Inpatient & outpatient | PX-51000642 CDM | $143 | $107 | $71.21 – $111 | $78.82 | |
| 1st/Sbsq Psych Collab Care Mgmt each Addl 30 Mins Outpatient | PX-51000642 CDM | $143 | $107 | $63.56 – $112 | $107 | |
| 9vhpv Vacc 2/3 Dose Sched IM Use Inpatient & outpatient | PX-63601160 CDM | $503 | $377 | $176 – $982 | $285 | |
| 9vhpv Vacc 2/3 Dose Sched IM Use Outpatient | PX-63601160 CDM | $503 | $377 | $223 – $767 | $503 | |
| Abdominal pain,major Inpatient | 251 MS-DRG | $22,838 | — | $4,618 – $39,786 | $19,187 | |
| Abdominal pain,moderate Inpatient | 251 MS-DRG | $23,891 | — | $4,618 – $39,786 | $8,478 | |
| Abdominal Paracentesis W/ Imaging Inpatient & outpatient | PX-75000278 CDM | $2,152 | $1,614 | $762 – $1,677 | $1,433 | |
| Abdominal Paracentesis W/ Imaging Outpatient | PX-75000278 CDM | $2,152 | $1,614 | $762 – $1,874 | $1,231 | |
| Ablat Endoven Extrem Radiofreq 1st Inpatient & outpatient | PX-76001068 CDM | $5,034 | $3,776 | $2,377 – $3,922 | $2,775 | |
| Ablat Tumor Renal Cryosurg Uni Inpatient & outpatient | PX-76001240 CDM | $13,805 | $10,354 | $6,136 – $12,734 | $12,132 | |
| Ablation 1/> Liver Tumor Perq Cryoablation Inpatient & outpatient | PX-36000363 CDM | $2,462 | $1,847 | $1,056 – $12,734 | $12,364 | |
| Ablation Tumor Liver Radiofreq Perc Inpatient & outpatient | PX-75000243 CDM | $13,805 | $10,354 | $4,136 – $10,755 | $6,929 | |
| Abortion Induced D&C Inpatient & outpatient | PX-72000030 CDM | $4,625 | $3,469 | $1,984 – $3,889 | $3,385 | |
| Abortion Induced D&C Outpatient | PX-72000030 CDM | $4,625 | $3,469 | $2,125 – $7,939 | $3,905 | |
| Abortion Induced D&E Inpatient & outpatient | PX-72000031 CDM | $4,625 | $3,469 | $1,984 – $3,889 | $3,385 | |
| Abortion Induced D&E Outpatient | PX-72000031 CDM | $4,625 | $3,469 | $2,125 – $7,939 | $3,818 | |
| Abortion with D&C, aspiration curettage or hysterotomy,major Inpatient | 543 MS-DRG | $39,108 | — | $6,100 – $23,569 | $12,572 | |
| Abortion with D&C, aspiration curettage or hysterotomy,moderate Inpatient | 543 MS-DRG | $20,845 | — | $6,100 – $23,569 | $430 | |
| Abortion Without D&C Inpatient | 779 MS-DRG | $17,177 | $12,883 | $7,923 – $8,636 | $1,590 | |
| Abortion without D&C, aspiration curettage or hysterotomy,major Inpatient | 564 MS-DRG | $9,974 | — | $3,054 – $15,703 | $9,528 | |
| Abortion without D&C, aspiration curettage or hysterotomy,moderate Inpatient | 564 MS-DRG | $22,059 | — | $3,054 – $15,703 | $11,247 | |
| Acetabular augment 68x12mm redapt slice Inpatient & outpatient | SUP-ITM-10289435 CDM | $3,750 | $2,813 | $1,667 – $2,922 | $1,512 | |
| Acetabular augment 68x12mm redapt slice Outpatient | SUP-ITM-10289435 CDM | $3,750 | $2,813 | $1,875 – $2,942 | $2,947 |