CMS Price Transparency Data

Bunion correction surgery

Facility: Samaritan Lebanon Community Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $1,113
Cash Discount Price: $2,963
vs. Medicare Baseline: 0.33x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Samaritan Lebanon Community Hospital is $1,113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,963. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.33x the Medicare baseline. Located in 525 N Santiam Highway, Lebanon, OR.

Cash / Self-Pay

$2,963

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,113

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$3,342.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3,342.87 (100%)

Cash / Self-Pay: $2,963 (89%)

Insurance Median: $1,113 (33%)

Cash: $2,963 (89% of Medicare)

Ins. Median: $1,113 (33% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3,342.87 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Pacificsource	$427 - $1,990	13%
Cigna	$489 - $1,796	15%
Samaritan	$496 - $2,038	15%
Devoted Health	$497 - $959	15%
Healthnet	$497 - $1,530	15%
Humana	$497 - $979	15%
Regence	$550 - $2,766	16%
Moda	$610 - $2,963	18%
Providence	$650 - $2,963	19%
Aetna	$855 - $1,971	26%
Ihn	$930 - $948	28%
First Choice	$1,151 - $1,990	34%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,963.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 28296.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Samaritan Lebanon Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 28296.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.