CMS Price Transparency Data

Extended office visit (prolonged)

Facility: Samaritan Lebanon Community Hospital

Billing Code: G2212 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G2212
  • Insurance Median: $52
  • Cash Discount Price: $69
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Extended office visit (prolonged) at Samaritan Lebanon Community Hospital is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $34.07, this hospital’s rate is 1.53x the Medicare baseline. Located in 525 N Santiam Highway, Lebanon, OR.
Cash / Self-Pay
$69

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$34.07

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $34.07 (100%)
Cash / Self-Pay: $69 (203%)
Insurance Median: $52 (153%)
Cash: $69 (203% of Medicare)
Ins. Median: $52 (153% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $34.07 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.

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 $27 - $71 79%
Devoted Health $29 - $35 85%
Healthnet $29 - $69 85%
Humana $29 - $36 85%
Samaritan $29 - $75 85%
Cigna $30 - $63 88%
Regence $33 - $100 97%
Ihn $34 - $35 100%
Moda $37 - $69 109%
Providence $39 - $69 114%
Aetna $52 - $71 153%
First Choice $69 - $72 203%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 525 N Santiam Highway, Lebanon, OR 97355
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals