CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$302 - $6,982
from 2 insurers · median $3,642
Typical for a hospital with this service line
Salem, IL
32
In-network payers
135
Disclosed rate categories
25
Beds
3
Care quality
Salem Township Hospital is a 25-bed government - local hospital in Salem, IL. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 135 disclosed rate categories.
CCN (Medicare provider number)
141345
NPI
1295739548
Type
Critical Access Hospital
Ownership
Government - Local
Beds
25
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services Salem Township Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$302 - $6,982
from 2 insurers · median $3,642
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$193 - $4,556
from 3 insurers · median $4,101
Typical for a hospital with this service line
CT imaging
CPT 71260
$171 - $3,342
from 4 insurers · median $3,041
Typical for a hospital with this service line
MRI imaging
CPT 70553
$369 - $4,730
from 4 insurers · median $4,304
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$30 - $639
from 4 insurers · median $582
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$374 - $5,937
from 4 insurers · median $5,402
Hospital reports nuclear medicine services to CMS
Mammography
CPT 77067
$64 - $566
from 4 insurers · median $317
Typical for a hospital with this service line
Ultrasound
CPT 76705
$77 - $1,182
from 4 insurers · median $1,075
Typical for a hospital with this service line
MRI imaging
CPT 70551
$213 - $3,349
from 4 insurers · median $2,654
Typical for a hospital with this service line
MRI imaging
CPT 72148
$208 - $4,021
from 4 insurers · median $2,618
Typical for a hospital with this service line
MRI imaging
CPT 74183
$367 - $4,341
from 4 insurers · median $3,950
Typical for a hospital with this service line
Ultrasound
CPT 76856
$92 - $1,488
from 4 insurers · median $1,354
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$31 - $732
from 4 insurers · median $666
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$35 - $908
from 4 insurers · median $826
Typical for a hospital with this service line
Ultrasound
CPT 76536
$98 - $1,363
from 4 insurers · median $1,240
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$31 - $782
from 4 insurers · median $712
Typical for a hospital with this service line
Ultrasound
CPT 76830
$104 - $942
from 4 insurers · median $857
Typical for a hospital with this service line
CT imaging
CPT 70491
$184 - $2,762
from 4 insurers · median $2,514
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$597 - $5,328
from 3 insurers · median $4,795
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$174 - $1,366
from 3 insurers · median $1,230
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$178 - $1,722
from 3 insurers · median $1,550
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$626 - $5,732
from 3 insurers · median $5,159
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$109 - $586
from 4 insurers · median $520
Typical for a hospital with this service line
Mammography
CPT 77066
$144 - $370
from 4 insurers · median $336
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 18 | 914% | 15 | 0 |
| Insurer B* | 23 | 850% | 22 | 0 |
| Insurer C* | 24 | 778% | 19 | 3 |
| Insurer D* | 24 | 85% | 0 | 24 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Salem Township Hospital.
1201 Ricker Drive, Salem, IL 62881
(618) 548-3194
About Salem Township Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Salem Township Hospital range from $369 to $4,730 across 4 insurers. Aetna's rate is $369. The median at nearby comparable hospitals is $2,452. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Salem Township Hospital range from $302 to $6,982 across 2 insurers. The median at nearby comparable hospitals is $1,989. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Salem Township Hospital range from $64 to $566 across 4 insurers. Cigna's rate is $521. The median at nearby comparable hospitals is $339. What a patient pays depends on their plan's deductible, coinsurance and network status.
Salem Township Hospital has 25 beds. Facility type: Critical Access Hospital.
Salem Township Hospital is located at 1201 Ricker Drive, Salem, IL 62881. Its main phone number is (618) 548-3194.
Salem Township Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 141345.
The National Provider Identifier (NPI) on file for Salem Township Hospital is 1295739548.
Salem Township Hospital lists 32 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
135 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers