How many shoppable procedure prices are published for North Shore Medical Center -?

North Shore Medical Center - in Salem, MA currently has 98 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do North Shore Medical Center -'s commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, North Shore Medical Center -'s median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is North Shore Medical Center -'s CMS Care Compare overall star rating?

CMS Care Compare assigns North Shore Medical Center - an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 268 Beds · urban Updated: 2026-03-27

North Shore Medical Center -

81 Highland Avenue, Salem, MA 01970 · 98 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Near Fair BaseRate Benchmark

1.05×vs. Fair Market Price

Typical commercial prices here are +5% above the fair benchmark (1.05×) even after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 13% of the Time

File Completeness60

Price Logic97

Peer Alignment62

Clean Billing65

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.05× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

North Shore Medical Center - prices shoppable and inpatient services (1.2× to 1.3× Medicare, divergence 1.08×) in alignment with regional hospital peers (1.05× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#16 of 53 in MA · 28th State Percentile#1,515 of 3,385 in U.S. · 44th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.89× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 13% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 68% patient recommendation (75/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (38.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.05× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (0.7×) & laboratory (1.4×) services average 1.08× higher multiples than routine shoppable care (1.2×)
Even at low-cost facilities (1.05× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 7.5× Medicare (20¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.2× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.08× Divergence

1.3× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+13% Upper Tail

Q25 0.89× · Q50 0.98× · Q75 1.11×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

13% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 75/100Fair

Procedure Prices at North Shore Medical Center -

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 98 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$56,391	$29,531	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$32,861	$18,107	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$37,161	$17,624	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$54,594	$17,532	$17,936	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$14,300	$7,448	$8,223	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$1,393	$1,393	$242	5.8×
Colonoscopy with biopsy CPT Code: `45380`	$1,765	$1,246	$1,256	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,467	$1,184	$1,021	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$1,686	$981	$987	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,722	$852	$981	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,843	$651	$583	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$509	$509	$148	3.4×
Blood transfusion CPT Code: `36430`	$701	$514	$498	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$416	$416	$185	2.2×
Neurobehavioral status check CPT Code: `96116`	$412	$412	$231	1.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,116	$424	$511	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,754	$386	$448	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$341	$341	$181	1.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$295	$295	$166	1.8×
New patient office visit (30-44 min) CPT Code: `99203`	$268	$268	$110	2.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,550	$284	$272	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,784	$265	$258	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,098	$281	$303	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$2,792	$281	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$3,160	$256	$343	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$431	$275	$123	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$215	$237	$201	1.2×
MRI, knee or other leg joint CPT Code: `73721`	$3,037	$231	$369	0.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	$200	$200	$35	5.7×
Family therapy session CPT Code: `90847`	$203	$203	$173	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$140	$140	$38	3.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$293	$153	$123	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$193	$151	$87	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$101	$101	$86	1.2×
X-ray, chest (single view) CPT Code: `71045`	$216	$105	$92	1.1×
X-ray, chest (two views) CPT Code: `71046`	$294	$105	$93	1.1×
X-ray, pelvis CPT Code: `72170`	$218	$124	$110	1.1×
X-ray, lower back CPT Code: `72110`	$544	$125	$112	1.1×
X-ray, shoulder CPT Code: `73030`	$288	$102	$92	1.1×
X-ray, foot CPT Code: `73630`	$310	$102	$92	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$371	$102	$93	1.1×
X-ray, hand CPT Code: `73130`	$311	$102	$93	1.1×
X-ray, hip CPT Code: `73502`	$291	$102	$93	1.1×
X-ray, ankle CPT Code: `73610`	$314	$102	$93	1.1×
Group therapy session CPT Code: `90853`	$100	$100	$100	1.0×
Care planning with family CPT Code: `90887`	$107	$107	$107	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$296	$124	$126	1.0×
Ultrasound, pelvis CPT Code: `76856`	$573	$124	$130	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$528	$124	$132	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$620	$124	$134	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,106	$124	$160	0.8×
CT scan, pelvis CPT Code: `72192`	$1,370	$124	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$1,522	$124	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,465	$124	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,460	$124	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,460	$124	$169	0.7×
Psychological testing evaluation CPT Code: `96136`	$88	$88	$128	0.7×
Typhoid vaccine HCPCS Code: `90675`	$489	$311	$347	0.9×
Blood test, vitamin D CPT Code: `82306`	$262	$262	$31	8.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$148	$148	$18	8.2×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$164	$164	$27	6.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$117	$117	$14	8.4×
Blood test, vitamin B12 CPT Code: `82607`	$130	$130	$16	8.1×
Blood test, liver function panel CPT Code: `80076`	$95	$95	$9	10.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$114	$114	$19	6.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$114	$114	$20	5.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$120	$120	$111	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$70	$70	$8	8.8×
Blood test, lipase CPT Code: `83690`	$61	$61	$7	8.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$84	$84	$10	8.4×
Culture, bacterial CPT Code: `87070`	$75	$75	$9	8.3×
Blood test, basic metabolic panel CPT Code: `80048`	$74	$74	$9	8.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$90	$90	$11	8.2×
Culture, blood CPT Code: `87040`	$78	$78	$11	7.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$82	$82	$14	5.9×
Hepatitis C antibody test CPT Code: `86803`	$78	$78	$15	5.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$28	$28	$3	9.3×
Blood test, calcium CPT Code: `82310`	$45	$45	$5	9.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$32	$32	$4	8.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$46	$46	$6	7.7×
Blood test, sodium CPT Code: `84295`	$34	$34	$5	6.8×
Blood test, magnesium CPT Code: `83735`	$47	$47	$7	6.7×
Blood test, creatinine (kidney) CPT Code: `82565`	$33	$33	$5	6.6×
Blood test, amylase CPT Code: `82150`	$44	$44	$7	6.3×
Blood antibody screen CPT Code: `86850`	$112	$63	$46	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$168	$70	$64	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$57	$57	$56	1.0×
Blood test, hemoglobin CPT Code: `85018`	$20	$20	$3	6.7×
Blood test, potassium CPT Code: `84132`	$33	$33	$5	6.6×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$25	$25	$4	6.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$26	$26	$5	5.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$137	$38	$40	0.9×
Physical therapy (gait training) CPT Code: `97116`	$113	$31	$33	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$23	$23	$25	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$130	$31	$35	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$21	$21	$48	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$21	$21	$49	0.4×
Colorectal cancer screening HCPCS Code: `G0010`	$21	$21	$49	0.4×

Showing top 25 high-impact procedures of 98 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 38.5%

Audit a Bill or Quote at North Shore Medical Center - (Zero PHI Required)

CMS CCN: 220035

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $56,391

Insurer Median $29,531

1. Amount on Your Bill or Quote ($) Pre-filled with North Shore Medical Center -’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $28,955 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $28,955

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (38.5% of gross = $28,955).

Step 2 · Cash vs. Insurance Arbitrage Save $18,797 Paying Cash

Self-Pay Cash Rate ($56,391) Beats Your Bill

North Shore Medical Center -'s published 45 CFR § 180 self-pay cash rate is $56,391 (vs. $29,531 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$44,413 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($75,188) is $44,413 above the denoised Fair BaseRate ($30,775) and 3.2× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 043399616

Filing Period: 201011

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (38.5% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite75/100

Would Recommend68%

Rated 9 or 10 (HCAHPS)67%

Median ER Wait276 min

Left ER Before Seen7%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate2.5%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (612 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for North Shore Medical Center -.

Price Index: 1.18× regional baseline

Quality: 81/100 CMS composite

Median Household Income$99,431U.S. Census ACS

Local Uninsured Share2.8%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 77/100 · Corroborated CMS CCN 220035 EIN 043399616

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (043399616_Salem-Hospital_StandardCharges.zip!043399616_Salem-Hospital_StandardCharges.csv) Verify on CMS Medicare.gov (CCN 220035) ↗ Verify IRS Form 990 (EIN 043399616) ↗ CMS HCRIS Cost Reports ↗

Published MRF File043399616_Salem-Hospital_StandardCharges.zip!043399616_Salem-Hospital_StandardCharges.csv

Publication / Vintage2026-03-27 · 0.90 MB

Validated Rate Rows939 (CMS v3.0.0)

File Integrity DigestVerified · CCN 220035

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy