Santiam Hospital & Clinics

1401 N 10Th Avenue, Stayton, OR 97383 · (503) 769-2175

Acute Care HospitalsVoluntary non-profit - PrivateSalem, OR metro Website ↗

Price file

Prices published

File dated 2026-08-06

2,016 price rows for 50 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · metro median $40

$76

cash

$6 to $72

26 negotiated rates

$76

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $558

$3,082

cash

$51 to $10,018

80 negotiated rates

$3,082

list

CT scan of the head, no contrast

CPT 70450 · metro median $198

$1,251

cash

$39 to $4,066

80 negotiated rates

$1,251

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $622

$1,675

cash

$197 to $5,442

26 negotiated rates

$1,675

list

Cesarean delivery with prenatal and postpartum care

CPT 59510 · metro median $4,916

$6,243

cash

$51 to $6,430

28 negotiated rates

$6,243

list

Chlamydia test (DNA)

CPT 87491 · metro median $113

$145

cash

$35 to $138

26 negotiated rates

$145

list

Colonoscopy (diagnostic)

CPT 45378 · metro median $616

$855

cash

$51 to $881

28 negotiated rates

$855

list

Colonoscopy with biopsy

CPT 45380 · metro median $779

$1,002

cash

$51 to $1,032

28 negotiated rates

$1,002

list

Colonoscopy with polyp removal

CPT 45385 · metro median $818

$1,054

cash

$337 to $1,424

26 negotiated rates

$1,054

list

Complete blood count (CBC) with differential

CPT 85025 · metro median $41

$83

cash

$6 to $79

26 negotiated rates

$83

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $46

$89

cash

$9 to $84

26 negotiated rates

$89

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $281

$525

cash

$156 to $1,707

52 negotiated rates

$525

list

Electrocardiogram (ECG) with interpretation

CPT 93000 · metro median $26

$54

cash

$15 to $51

26 negotiated rates

$54

list

Established patient office visit (about 40 minutes)

CPT 99215 · metro median $175

$568

cash

$51 to $585

36 negotiated rates

$568

list

Family psychotherapy with the patient

CPT 90847 · metro median $146

$330

cash

$51 to $340

28 negotiated rates

$330

list

Family psychotherapy without the patient

CPT 90846 · metro median $139

$318

cash

$102 to $302

26 negotiated rates

$318

list

Gonorrhea test (DNA)

CPT 87591 · metro median $111

$160

cash

$35 to $152

26 negotiated rates

$160

list

Group psychotherapy

CPT 90853 · metro median $90

$90

cash

$24 to $93

28 negotiated rates

$90

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · metro median $969

$15,328

cash

$4,021 to $14,562

26 negotiated rates

$15,328

list

Lipid panel (cholesterol test)

CPT 80061 · metro median $65

$118

cash

$13 to $112

26 negotiated rates

$118

list

Liver function panel

CPT 80076 · metro median $45

$76

cash

$6 to $72

26 negotiated rates

$76

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $1,422

$4,112

cash

$51 to $13,365

158 negotiated rates

$4,112

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $319

$319

cash

$51 to $425

28 negotiated rates

$319

list

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

CPT 72148 · metro median $398

$2,113

cash

$51 to $6,867

54 negotiated rates

$2,113

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $458

$1,961

cash

$51 to $6,373

54 negotiated rates

$1,961

list

New patient office visit (about 30 minutes)

CPT 99203 · metro median $109

$321

cash

$51 to $331

36 negotiated rates

$321

list

New patient office visit (about 45 minutes)

CPT 99204 · metro median $163

$524

cash

$51 to $540

36 negotiated rates

$524

list

New patient office visit (about 60 minutes)

CPT 99205 · metro median $215

$712

cash

$51 to $734

36 negotiated rates

$712

list

PSA test (prostate)

CPT 84153 · metro median $76

$76

cash

$14 to $72

26 negotiated rates

$76

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · metro median $25

$25

cash

$1 to $24

26 negotiated rates

$25

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · metro median $47

$158

cash

$29 to $150

78 negotiated rates

$158

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $244

$512

cash

$117 to $1,665

26 negotiated rates

$512

list

Preventive visit, new patient age 18 to 39

CPT 99385 · metro median $237

$338

cash

$108 to $321

14 negotiated rates

$338

list

Preventive visit, new patient age 40 to 64

CPT 99386 · metro median $273

$387

cash

$124 to $368

14 negotiated rates

$387

list

Prothrombin time (blood clotting test)

CPT 85610 · metro median $18

$18

cash

$4 to $17

25 negotiated rates

$18

list

Psychotherapy, 30 minutes

CPT 90832 · metro median $190

$256

cash

$82 to $243

26 negotiated rates

$256

list

Psychotherapy, 45 minutes

CPT 90834 · metro median $333

$340

cash

$109 to $323

26 negotiated rates

$340

list

Psychotherapy, 60 minutes

CPT 90837 · metro median $422

$500

cash

$160 to $475

26 negotiated rates

$500

list

Screening mammogram (both breasts)

CPT 77067 · metro median $214

$847

cash

$125 to $2,752

78 negotiated rates

$847

list

Sleep study (overnight, attended)

CPT 95810 · metro median $3,105

$4,980

cash

$964 to $4,731

26 negotiated rates

$4,980

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $240

$315

cash

$51 to $324

28 negotiated rates

$315

list

TSH test (thyroid)

CPT 84443 · metro median $68

$136

cash

$17 to $130

26 negotiated rates

$136

list

Transvaginal ultrasound

CPT 76830 · metro median $215

$479

cash

$117 to $1,557

26 negotiated rates

$479

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $211

$566

cash

$117 to $1,840

26 negotiated rates

$566

list

Upper endoscopy (EGD)

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

$647

cash

$51 to $3,515

54 negotiated rates

$647

list

Upper endoscopy with biopsy

CPT 43239 · metro median $671

$866

cash

$51 to $892

28 negotiated rates

$866

list

Urinalysis with microscope

CPT 81001 · metro median $13

$13

cash

$3 to $12

25 negotiated rates

$13

list

Vaginal delivery after a previous cesarean

CPT 59610 · metro median $4,636

$5,907

cash

$51 to $6,084

28 negotiated rates

$5,907

list

Vaginal delivery with prenatal and postpartum care

CPT 59400 · metro median $4,426

$5,674

cash

$51 to $5,844

28 negotiated rates

$5,674

list

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

CPT 72110 · metro median $23

$479

cash

$117 to $1,557

52 negotiated rates

$479

list

Source files

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

https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSMHSTAYTONOR&type=CDMWithoutLabel&fileType=CSV
Santiam Memorial Hospital · parsed · tall v3.0.0 · file dated 2026-08-06 · 214.3 MB · 2016 price rows read · read Nov 2026