Salem Regional Medical Center

1995 East State Street, Salem, OH 44460 · (330) 332-7214

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 3/5Salem, OH metro Website ↗

Price file

Prices published

File dated 2026-04-01

423 price rows for 60 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · metro median $8

$117

cash

$8 to $8

1 negotiated rates

$117

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $328

$3,550

cash

$337 to $337

1 negotiated rates

$3,550

list

CT scan of the head, no contrast

CPT 70450 · metro median $98

$1,155

cash

$101 to $101

1 negotiated rates

$1,155

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $165

$1,622

cash

$170 to $170

1 negotiated rates

$1,622

list

Cataract surgery with lens implant

CPT 66984

—

cash

$2,232 to $2,232

1 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$6,514 to $9,737

17 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 4 lines · metro median $35

$52

cash

$35 to $35

1 negotiated rates

$52

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$900 to $900

1 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$1,158 to $1,158

1 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$1,158 to $1,158

1 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines · metro median $7

$94

cash

$8 to $8

1 negotiated rates

$94

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $10

$184

cash

$11 to $11

1 negotiated rates

$184

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $101

$281

cash

—

$281

list

Electrocardiogram (ECG) with interpretation

CPT 93000 · metro median $55

$55

cash

—

$55

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 5 lines · metro median $331

$331

cash

—

$331

list

Family psychotherapy with the patient

CPT 90847 · lowest of 3 lines · metro median $205

$205

cash

—

$205

list

Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $205

$205

cash

—

$205

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$5,848 to $5,848

1 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines · metro median $35

$52

cash

$35 to $35

1 negotiated rates

$52

list

Group psychotherapy

CPT 90853 · lowest of 4 lines · metro median $175

$175

cash

$98 to $98

1 negotiated rates

$175

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$13,106 to $19,588

17 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$5,297 to $7,917

17 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$8,430 to $12,599

17 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$3,463 to $3,463

1 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$3,165 to $3,165

1 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $13

$100

cash

$13 to $13

1 negotiated rates

$100

list

Liver function panel

CPT 80076 · metro median $8

$107

cash

$8 to $8

1 negotiated rates

$107

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 5 lines · metro median $328

$4,158

cash

$337 to $337

1 negotiated rates

$4,158

list

MRI of the knee or other lower joint, no contrast

CPT 73721

—

cash

$231 to $231

1 negotiated rates

—

list

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

CPT 72148 · metro median $224

$2,086

cash

$231 to $231

1 negotiated rates

$2,086

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $224

$1,960

cash

$231 to $231

1 negotiated rates

$1,960

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$16,587 to $24,791

17 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $1,004

$1,004

cash

$856 to $856

1 negotiated rates

$1,004

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 5 lines · metro median $264

$264

cash

—

$264

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 5 lines · metro median $341

$341

cash

—

$341

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 5 lines · metro median $445

$445

cash

—

$445

list

PSA test (prostate)

CPT 84153 · lowest of 3 lines · metro median $18

$92

cash

$18 to $18

1 negotiated rates

$92

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $6

$66

cash

$6 to $6

1 negotiated rates

$66

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 5 lines · metro median $20

$20

cash

$28 to $28

1 negotiated rates

$20

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $98

$782

cash

$101 to $101

1 negotiated rates

$782

list

Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $1,822

$1,822

cash

—

$1,822

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$10,282 to $10,282

1 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $4

$65

cash

$4 to $4

1 negotiated rates

$65

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines · metro median $147

$147

cash

—

$147

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines · metro median $205

$205

cash

—

$205

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $267

$267

cash

—

$267

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$3,787 to $3,787

1 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · metro median $83

$281

cash

—

$281

list

Sleep study (overnight, attended)

CPT 95810 · metro median $4,362

$4,362

cash

$831 to $831

1 negotiated rates

$4,362

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 3 lines · metro median $832

$1,004

cash

$856 to $856

1 negotiated rates

$1,004

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $1,285

$1,285

cash

$683 to $683

1 negotiated rates

$1,285

list

TSH test (thyroid)

CPT 84443 · metro median $16

$143

cash

$17 to $17

1 negotiated rates

$143

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$5,726 to $5,726

1 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · metro median $98

$801

cash

$101 to $101

1 negotiated rates

$801

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $98

$801

cash

$101 to $101

1 negotiated rates

$801

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$877 to $877

1 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$877 to $877

1 negotiated rates

—

list

Urinalysis with microscope

CPT 81001

—

cash

$3 to $3

1 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$4,581 to $6,847

17 negotiated rates

—

list

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

CPT 72110 · lowest of 2 lines · metro median $98

$429

cash

$101 to $101

1 negotiated rates

$429

list

Source files

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

https://srmcmrf.blob.core.windows.net/srmcmrf/341041385_salem-regional-medical-center_standardcharges.json
Salem Regional Medical Center · parsed · json v3.0.0 · file dated 2026-04-01 · 15.2 MB · 423 price rows read · read Nov 2026