Supplies, drugs & other prices at Samaritan Lebanon Community Hospital
Lebanon, OR · every code in this section with a posted price and a Medicare benchmark.
61 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $2,168 | $2,710 | 2.5× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,072 | $1,340 | 2.8× |
| Adm of soc dtr assess 5-15 m (G0136) range across 2 matching MRF lines |
$8.80–$37.60 | $11–$47 | varies |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$66.40–$72 | $83–$90 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$64–$66.40 | $80–$83 | varies |
| Alcohol/subs interv 15-30mn (G0396) | $128 | $160 | 3.1× |
| Alcohol/subs interv >30 min (G0397) | $232 | $290 | 1.2× |
| Ascvd rsk mng clin stf pr mo (G0538) | $7.20 | $9 | 0.1× |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$18.40–$58.40 | $23–$73 | varies |
| Chemo extend iv infus w/pump (G0498) | $880 | $1,100 | 2.4× |
| Comm hlth intg svs sdoh 60mn (G0019) | $112 | $140 | 1.0× |
| Diab manage trn per indiv (G0108) | $104 | $130 | 1.9× |
| Diab manage trn ind/group (G0109) | $42.40 | $53 | 2.6× |
| Direct refer hospital observ (G0379) | $1,056 | $1,320 | 1.6× |
| Ekg tracing for initial prev (G0404) range across 2 matching MRF lines |
$16–$52 | $20–$65 | varies |
| Elec stim other than wound (G0283) | $65.60 | $82 | 5.2× |
| Followup eval of foot pt lop (G0246) | $160 | $200 | 1.1× |
| Group behave couns 2-10 (G0473) | $56 | $70 | 1.3× |
| Group mnt 2 or more 30 mins (G0271) | $18.40 | $23 | 1.1× |
| Hbot, full body chamber, 30m (G0277) | $472 | $590 | 3.1× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) | $1,984 | $2,480 | 2.6× |
| Hep c screen high risk/other (G0472) | $80 | $100 | 1.7× |
| Hepb screen high risk indiv (G0499) | $152 | $190 | 5.4× |
| Hiv combination assay (G0475) | $96 | $120 | 4.0× |
| Home sleep test/type 3 porta (G0399) | $768 | $960 | 3.2× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $448 | $560 | 10.3× |
| Initial foot exam pt lops (G0245) | $208 | $260 | 1.4× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $440 | $550 | 3.6× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $976 | $1,220 | 1.9× |
| Low intensity eswt corpus cavernosum low energy (0864T) | $320 | $400 | 1.2× |
| Mnt subs tx for change dx (G0270) | $50.40 | $63 | 1.6× |
| Mra w/o fol w/cont, chest (C8911) | $2,672 | $3,340 | 6.9× |
| Nav srv peer sup 60 min pr m (G0140) | $112 | $140 | 1.0× |
| Neuro csf prion prtn qual (0035U) range across 2 matching MRF lines |
$488–$649.60 | $610–$812 | varies |
| Obtaining screen pap smear (Q0091) range across 2 matching MRF lines |
$58.40–$120 | $73–$150 | varies |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) | $344.80 | $431 | 1.1× |
| Onc Merkel Cll Carc Srm Quan (0058U) range across 2 matching MRF lines |
$355.20–$664 | $444–$830 | varies |
| Oth resp proc, group (G0239) | $76.80 | $96 | 1.8× |
| Oth resp proc, indiv (G0238) | $76.80 | $96 | 2.4× |
| Pemivibart infusion (M0224) | $544 | $680 | 1.1× |
| Perc d-e cor revasc chro sin (C9607) | $19,848 | $24,810 | 1.0× |
| Perc d-e cor revasc t cabg s (C9604) | $14,136 | $17,670 | 1.1× |
| Perc d-e cor stent ather s (C9602) | $17,200 | $21,500 | 0.8× |
| Perc drug-el cor stent sing (C9600) | $24,000 | $30,000 | 1.9× |
| Pin service 60m per month (G0023) | $104 | $130 | 0.9× |
| Pne flu hepb cov home admin (M0201) | $29.60 | $37 | 0.7× |
| Prolonged iv inf, req pump (C8957) | $430.40 | $538 | 1.8× |
| Prostate biopsy, any mthd (G0416) | $488 | $610 | 1.2× |
| Psa screening (G0103) | $88 | $110 | 4.6× |
| Rem multi day cplx uroflowmetry dev sply w/reprt (0812T) range across 2 matching MRF lines |
$20.80–$48.80 | $26–$61 | varies |
| Rem multi day cplx uroflowmetry setup&pt educaj (0811T) range across 2 matching MRF lines |
$8.80–$168 | $11–$210 | varies |
| Risk ascvd tst once pr 12 mo (G0537) | $8.80 | $11 | 0.2× |
| Routine footcare pt w lops (G0247) | $184 | $230 | 0.8× |
| Rx Metab Advrs Trgt Seq Alys (0029U) | $1,728 | $2,160 | 2.3× |
| Therapeutic procd strg endur (G0237) | $68.80 | $86 | 2.1× |
| Trauma respons w/hosp criti (G0390) range across 4 matching MRF lines |
$1,568–$4,152 | $1,960–$5,190 | varies |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) range across 2 matching MRF lines |
$4,736–$8,440 | $5,920–$10,550 | varies |
| Trluml Perip Athrc Iliac Art (0238T) | $20,056 | $25,070 | 1.0× |
| Tte w or w/o contr, cont ecg (C8930) | $2,080 | $2,600 | 2.4× |
| Tte w or wo fol wcon,doppler (C8929) | $1,712 | $2,140 | 2.0× |
| Unsched dialysis esrd pt hos (G0257) | $1,352 | $1,690 | 1.8× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.