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Legacy Silverton Medical Center

342 Fairview Street, Silverton, OR 97381 · (503) 873-1500

Acute Care HospitalsVoluntary non-profit - PrivateSalem, OR metroWebsite ↗

Price file

Prices published

File dated 2026-04-01

1,113 price rows for 68 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 5 lines · metro median $40

$6
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 3 lines · metro median $558

$558
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 3 lines · metro median $198

$198
cash
CT scan of the pelvis, with contrast

CPT 72193 · metro median $622

$622
cash
Cataract surgery with lens implant

CPT 66984 · lowest of 3 lines · metro median $3,804

$980
cash
Cesarean delivery with prenatal and postpartum care

CPT 59510 · lowest of 2 lines · metro median $4,916

$4,916
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 35 lines · metro median $113

$10
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines · metro median $616

$616
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines · metro median $779

$779
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 2 lines · metro median $818

$818
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 5 lines · metro median $41

$6
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 5 lines · metro median $46

$7
cash
Diagnostic mammogram (both breasts)

CPT 77066 · metro median $281

$397
cash
Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 3 lines · metro median $26

$26
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 6 lines · metro median $175

$191
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines · metro median $146

$193
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $139

$185
cash
Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 2 lines · metro median $1,219

$1,219
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 32 lines · metro median $111

$10
cash
Group psychotherapy

CPT 90853 · lowest of 2 lines · metro median $90

$53
cash
—
cash
—
cash
—
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 2 lines · metro median $969

$969
cash
Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 2 lines · metro median $1,011

$1,011
cash
Laser treatment after cataract surgery (YAG)

CPT 66821 · lowest of 3 lines · metro median $471

$471
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 14 lines · metro median $65

$9
cash
Liver function panel

CPT 80076 · lowest of 5 lines · metro median $45

$6
cash
MRI of the brain, with and without contrast

CPT 70553 · metro median $1,422

$1,422
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 5 lines · metro median $319

$688
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $398

$398
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $458

$458
cash
—
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 3 lines · metro median $1,856

$444
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 5 lines · metro median $109

$188
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 5 lines · metro median $163

$272
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 4 lines · metro median $215

$406
cash
PSA test (prostate)

CPT 84153 · lowest of 19 lines · metro median $76

$3
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 13 lines · metro median $25

$4
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 14 lines · metro median $47

$47
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 4 lines · metro median $244

$244
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 3 lines · metro median $237

$237
cash
Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 3 lines · metro median $273

$273
cash
Prostate biopsy

CPT 55700 · lowest of 3 lines · metro median $1,660

$438
cash
Prostate removal (laparoscopic)

CPT 55866 · lowest of 2 lines · metro median $2,174

$2,174
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 8 lines · metro median $18

$3
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 3 lines · metro median $190

$148
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines · metro median $333

$196
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $422

$290
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 2 lines · metro median $959

$959
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $214

$234
cash
Shoulder arthroscopy with decompression

CPT 29826 · lowest of 2 lines · metro median $313

$313
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $3,105

$1,143
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $240

$240
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $1,441

$181
cash
TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $68

$12
cash
Tonsils and adenoids removal (under age 12)

CPT 42820 · lowest of 2 lines · metro median $540

$540
cash
Transvaginal ultrasound

CPT 76830 · lowest of 4 lines · metro median $215

$215
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 4 lines · metro median $211

$211
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $519

$519
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $671

$671
cash
Urinalysis with microscope

CPT 81001 · lowest of 5 lines · metro median $13

$2
cash
Vaginal delivery after a previous cesarean

CPT 59610 · lowest of 2 lines · metro median $4,636

$4,636
cash
—
cash
Vaginal delivery with prenatal and postpartum care

CPT 59400 · lowest of 2 lines · metro median $4,426

$4,426
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 7 lines · metro median $23

$23
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.