CMS Price Transparency Data

Electrical stimulation therapy

Facility: Samaritan Lebanon Community Hospital

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0283
Insurance Median: $20
Cash Discount Price: $28
vs. Medicare Baseline: 1.58x Medicare

The contracted insurance negotiated median rate for a Electrical stimulation therapy at Samaritan Lebanon Community Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 1.58x the Medicare baseline. Located in 525 N Santiam Highway, Lebanon, OR.

Cash / Self-Pay

$28

Average discount available for prompt cash payment at this facility.

Insurance Median

$20

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$12.69

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $12.69 (100%)

Cash / Self-Pay: $28 (221%)

Insurance Median: $20 (158%)

Cash: $28 (221% of Medicare)

Ins. Median: $20 (158% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $12.69 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
Moda	$8 - $28	63%
Providence	$8 - $80	63%
Pacificsource	$11 - $28	87%
Devoted Health	$12 - $27	95%
Healthnet	$12 - $80	95%
Humana	$12 - $14	95%
Ihn	$12 - $13	95%
Samaritan	$12 - $70	95%
Cigna	$13 - $80	102%
Regence	$13 - $74	102%
Aetna	$14 - $78	110%
First Choice	$14 - $27	110%

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 $28.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0283.

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 HCPCS code G0283.
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.