Salem Memorial District Hospital prices. From its own published file.

Salem Memorial District Hospital in Salem, MO publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

1,593prices published

May 2026file last updated

$339cash price for emergency visit, highest (level 5) (list $1,835)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$173	$815	$78.54–$791
Emergency visit, high (level 4) `99284`	$256	$1,266	$116–$1,228
Emergency visit, highest (level 5) `99285`	$339	$1,835	$154–$1,780
Comprehensive metabolic panel `80053`	$6.38	$152	$2.89–$148
Basic metabolic panel `80048`	$98.44	$131	$44.63–$183
Complete blood count (CBC) `85025`	$6.38	$116	$2.89–$112
Blood draw (venipuncture) `36415`	$9.75	$33.50	$4.42–$48.50
Urinalysis `81001`	$6.38	$59.38	$2.89–$66.20
Troponin (heart test) `84484`	$134	$179	$60.69–$173
EKG tracing `93005`	$85.50	$257	$38.76–$250
Chest X-ray, 2 views `71046`	$201	$268	$91.04–$260
CT head without contrast `70450`	$1,516	$2,021	$687–$1,961
CT abdomen and pelvis with contrast `74177`	$3,607	$4,809	$1,635–$4,665
MRI lower back without contrast `72148`	$2,477	$3,302	$1,123–$3,203
Ultrasound, abdomen `76700`	$232	$520	$105–$708
IV push, single drug `96374`	$314	$418	$142–$595
IV fluids, first hour `96360`	$126	$418	$57.12–$595
Ketorolac injection, 15 mg `J1885`	$18.75	$25.00	$8.50–$24.25
Ondansetron injection `J2405`	$18.75	$25.00	$8.50–$24.25
Colonoscopy, diagnostic `45378`	$1,959	$2,612	$888–$2,534
Upper GI endoscopy with biopsy `43239`	$1,943	$2,591	$881–$2,513
Vaginal delivery, routine care `59400`	$68.44	$549	$31.03–$976

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Salem Memorial District Hospital price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.