CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Samaritan Lebanon Community Hospital

Billing Code: 90656 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$18
modeled fair price · typically $18–$31
modeled estimate · not a bill or quote
Fair price $18 Cash price $18 Hospital's list price $23

How we calculate the fair BaseRate →

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 $7 - $111 —
Aetnamajor $21 - $117 —
Cignamajor $20 - $120 —
Humanamajor $27 —
Devoted Health $7 - $41 —
Health Net $7 - $120 —
Moda Health $30 —
PacificSource $7 - $40 —
+ 4 smaller / regional plans $6 - $120

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