CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Samaritan North Lincoln Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$108
about 1.1× the $95 Medicare rate · typically $63–$108
modeled estimate · not a bill or quote
What this hospital charges insurers
$105
About the fair price
about $3 under the fair price · 1.1× Medicare
Medicare pays $95 Fair price $108 This hospital $105 Cash price $154 Hospital's list price $192

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Highest price of the 9 OR hospitals we have prices for — worth calling around.

Cheapest $48 Priciest $105

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $108 (about 1.1× the $95 Medicare rate). Samaritan North Lincoln Hospital charges insurers about $105, or about $154 in cash — about the fair price. Located in Lincoln City, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $22 - $281 23%
Aetnamajor $53 - $285 56%
Cignamajor $54 - $291 57%
Humanamajor $55 - $292 58%
Devoted Health $23 - $124 24%
Health Net $54 - $291 57%
Moda Health $53 - $285 56%
PacificSource $23 - $196 24%
+ 4 smaller / regional plans $20 - $291

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 3043 Ne 28Th Street, Lincoln City, OR 97367
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals