CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Samaritan North Lincoln Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$131
about 1.0× the $136 Medicare rate · typically $85–$165
modeled estimate · not a bill or quote
What this hospital charges insurers
$151
Above the fair price
about $20 over the fair price · 1.1× Medicare
Medicare pays $136 Fair price $131 This hospital $151 Cash price $224 Hospital's list price $280

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 $51 Priciest $151

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 (30-39 min) is about $131 (about 1.0× the $136 Medicare rate). Samaritan North Lincoln Hospital charges insurers about $151, or about $224 in cash — above the fair price. Located in Lincoln City, OR.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $131. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $31 - $398 23%
Aetnamajor $74 - $314 55%
Cignamajor $76 - $320 56%
Humanamajor $76 - $322 56%
Devoted Health $32 - $141 24%
Health Net $76 - $320 56%
Moda Health $74 - $314 55%
PacificSource $31 - $279 23%
+ 4 smaller / regional plans $28 - $320

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

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