CMS Price Transparency Data

Typhoid vaccine

Facility: Samaritan Lebanon Community Hospital

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $361
Cash Discount Price: $522
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at Samaritan Lebanon Community Hospital is $361. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $522. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 1.15x the Medicare baseline. Located in 525 N Santiam Highway, Lebanon, OR.

Cash / Self-Pay

$522

Average discount available for prompt cash payment at this facility.

Insurance Median

$361

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$315.22

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $315.22 (100%)

Cash / Self-Pay: $522 (166%)

Insurance Median: $361 (115%)

Cash: $522 (166% of Medicare)

Ins. Median: $361 (115% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $315.22 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
Providence	$189 - $632	60%
Samaritan	$191 - $554	61%
Healthnet	$208 - $632	66%
Regence	$208 - $586	66%
Pacificsource	$212 - $361	67%
Devoted Health	$217 - $361	69%
Ihn	$326	103%
First Choice	$361	115%
Humana	$361	115%
Moda	$408	129%
Aetna	$422 - $619	134%
Cigna	$464 - $632	147%

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 $522.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90675.

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 90675.
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.