Salem Hospital

890 Oak Street, Se, Salem, OR 97301 · (503) 561-5200

Acute Care HospitalsVoluntary non-profit - OtherCMS rating 3/5Salem, OR metro Website ↗

Price file

Prices published

File dated 2026-04-01

886 price rows for 61 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $40

$40

cash

$8 to $37

12 negotiated rates

$75

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177

—

cash

$388 to $1,698

10 negotiated rates

—

list

CT scan of the head, no contrast

CPT 70450

—

cash

$116 to $509

10 negotiated rates

—

list

CT scan of the pelvis, with contrast

CPT 72193

—

cash

$195 to $854

10 negotiated rates

—

list

Cataract surgery with lens implant

CPT 66984 · metro median $3,804

$3,804

cash

$2,565 to $11,236

10 negotiated rates

$7,178

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$7,929 to $36,200

21 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $113

$113

cash

$35 to $154

12 negotiated rates

$214

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$1,034 to $4,527

10 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$1,330 to $5,826

10 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$1,330 to $5,826

10 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $41

$41

cash

$8 to $34

12 negotiated rates

$78

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $46

$46

cash

$11 to $46

12 negotiated rates

$87

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $281

$281

cash

—

$531

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 9 lines · metro median $175

$175

cash

—

$331

list

Family psychotherapy with the patient

CPT 90847 · metro median $146

$146

cash

$197 to $864

10 negotiated rates

$275

list

Family psychotherapy without the patient

CPT 90846 · metro median $139

$139

cash

$197 to $864

10 negotiated rates

$263

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$6,720 to $29,433

10 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $111

$111

cash

$35 to $154

12 negotiated rates

$209

list

Group psychotherapy

CPT 90853 · metro median $90

$179

cash

—

$337

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$15,951 to $75,420

21 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$6,447 to $31,212

21 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$10,260 to $47,944

21 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$3,980 to $17,431

10 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$3,637 to $15,930

10 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$611 to $2,678

10 negotiated rates

—

list

Left heart catheterization

CPT 93452 · metro median $4,811

$4,811

cash

$3,603 to $15,783

10 negotiated rates

$9,077

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $65

$65

cash

$13 to $59

12 negotiated rates

$123

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $45

$45

cash

$8 to $36

12 negotiated rates

$84

list

MRI of the brain, with and without contrast

CPT 70553

—

cash

$388 to $1,698

10 negotiated rates

—

list

MRI of the knee or other lower joint, no contrast

CPT 73721

—

cash

$265 to $1,162

10 negotiated rates

—

list

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

CPT 72148

—

cash

$265 to $1,162

10 negotiated rates

—

list

MRI of the neck (cervical spine), no contrast

CPT 72141

—

cash

$265 to $1,162

10 negotiated rates

—

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$20,188 to $94,688

21 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $1,856

$1,856

cash

$983 to $4,306

10 negotiated rates

$3,502

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 8 lines · metro median $109

$109

cash

—

$205

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 7 lines · metro median $163

$163

cash

—

$307

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 7 lines · metro median $215

$215

cash

—

$405

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $76

$76

cash

$18 to $81

12 negotiated rates

$143

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines · metro median $25

$43

cash

$6 to $26

12 negotiated rates

$81

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

—

cash

$29 to $127

10 negotiated rates

—

list

Pregnancy ultrasound (after first trimester)

CPT 76805

—

cash

$116 to $509

10 negotiated rates

—

list

Prostate biopsy

CPT 55700 · metro median $1,660

$1,660

cash

—

$3,132

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$11,815 to $51,751

10 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 6 lines · metro median $18

$37

cash

$4 to $19

12 negotiated rates

$69

list

Psychotherapy, 30 minutes

CPT 90832 · metro median $190

$190

cash

$197 to $864

10 negotiated rates

$358

list

Psychotherapy, 45 minutes

CPT 90834 · metro median $333

$333

cash

$197 to $864

10 negotiated rates

$628

list

Psychotherapy, 60 minutes

CPT 90837 · metro median $422

$422

cash

$197 to $864

10 negotiated rates

$797

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$4,352 to $19,062

10 negotiated rates

—

list

Screening mammogram (both breasts)

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

$214

cash

—

$403

list

Sleep study (overnight, attended)

CPT 95810 · metro median $3,105

$3,105

cash

$955 to $4,181

10 negotiated rates

$5,858

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$983 to $4,306

10 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

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

$1,441

cash

$785 to $3,437

10 negotiated rates

$2,719

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $68

$68

cash

$17 to $74

12 negotiated rates

$129

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$6,580 to $28,821

10 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830

—

cash

$116 to $509

10 negotiated rates

—

list

Ultrasound of the abdomen (complete)

CPT 76700

—

cash

$116 to $509

10 negotiated rates

—

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$1,008 to $4,416

10 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$1,008 to $4,416

10 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · lowest of 4 lines · metro median $13

$29

cash

$3 to $14

12 negotiated rates

$55

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$5,575 to $25,488

21 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110

—

cash

$116 to $509

10 negotiated rates

—

list

Source files

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

https://salemhealth.org/930579722_salem-hospital_standardcharges.json
Salem Health · parsed · json v3.0.0 · file dated 2026-04-01 · 43.2 MB · 886 price rows read · read Nov 2026