CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$270 - $2,328
from 4 insurers ยท median $1,437
Typical for a hospital with this service line
Samaritan Health Services ยท Lebanon, OR
39
In-network payers
283
Disclosed rate categories
49
Beds
4
Care quality
Samaritan Lebanon Community Hospital is a 49-bed voluntary non-profit - church hospital in Lebanon, OR, affiliated with Samaritan Health Services. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 283 disclosed rate categories.
CCN (Medicare provider number)
381323
NPI
1689625980
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Church
Beds
49
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services Samaritan Lebanon Community Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$270 - $2,328
from 4 insurers ยท median $1,437
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$454 - $2,425
from 4 insurers ยท median $2,241
Typical for a hospital with this service line
CT imaging
CPT 70450
$254 - $1,116
from 4 insurers ยท median $658
Typical for a hospital with this service line
Mammography
CPT 77067
$97 - $485
from 4 insurers ยท median $375
Typical for a hospital with this service line
CT imaging
CPT 74176
$257 - $1,862
from 4 insurers ยท median $1,081
Typical for a hospital with this service line
CT imaging
CPT 71275
$269 - $1,668
from 4 insurers ยท median $1,088
Typical for a hospital with this service line
MRI imaging
CPT 70553
$757 - $3,240
from 4 insurers ยท median $1,897
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$986 - $3,395
from 3 insurers ยท median $3,146
Hospital reports nuclear medicine services to CMS
Digestive procedures
CPT 45385
$790 - $1,555
from 4 insurers ยท median $1,268
Typical for a hospital with this service line
MRI imaging
CPT 70551
$387 - $2,697
from 4 insurers ยท median $1,483
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$457 - $1,555
from 4 insurers ยท median $1,135
Typical for a hospital with this service line
MRI imaging
CPT 72148
$400 - $2,153
from 4 insurers ยท median $1,225
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$65 - $215
from 4 insurers ยท median $139
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$276 - $883
from 4 insurers ยท median $816
Typical for a hospital with this service line
MRI imaging
CPT 74183
$802 - $3,240
from 4 insurers ยท median $1,913
Typical for a hospital with this service line
Ultrasound
CPT 76705
$112 - $640
from 4 insurers ยท median $398
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$431 - $1,300
from 4 insurers ยท median $1,201
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$602 - $1,402
from 4 insurers ยท median $1,049
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$675 - $5,199
from 4 insurers ยท median $3,142
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$261 - $586
from 4 insurers ยท median $416
Typical for a hospital with this service line
Ultrasound
CPT 76770
$155 - $854
from 4 insurers ยท median $521
Typical for a hospital with this service line
Ultrasound
CPT 76830
$134 - $475
from 4 insurers ยท median $358
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$775 - $5,558
from 4 insurers ยท median $3,343
Typical for a hospital with this service line
Ultrasound
CPT 76536
$117 - $640
from 4 insurers ยท median $424
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 599% | 4 | 13 |
| Insurer B* | 24 | 555% | 17 | 5 |
| Insurer C* | 24 | 188% | 22 | 1 |
| Insurer D* | 23 | 110% | 1 | 7 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Samaritan Lebanon Community Hospital.
525 North Santiam Highway, Lebanon, OR 97355
(541) 258-2101
About Samaritan Lebanon Community Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Samaritan Lebanon Community Hospital range from $757 to $3,240 across 4 insurers. Regence BlueCross BlueShield's rate is $3,002. The median at nearby comparable hospitals is $1,597. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Samaritan Lebanon Community Hospital range from $270 to $2,328 across 4 insurers. Aetna's rate is $717. The median at nearby comparable hospitals is $2,726. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Samaritan Lebanon Community Hospital range from $790 to $1,555 across 4 insurers. UnitedHealthcare's rate is $790. The median at nearby comparable hospitals is $1,319. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Samaritan Lebanon Community Hospital range from $97 to $485 across 4 insurers. Cigna's rate is $485. The median at nearby comparable hospitals is $262. What a patient pays depends on their plan's deductible, coinsurance and network status.
Samaritan Lebanon Community Hospital has 49 beds. Facility type: Critical Access Hospital.
Samaritan Lebanon Community Hospital is located at 525 North Santiam Highway, Lebanon, OR 97355. Its main phone number is (541) 258-2101.
Samaritan Lebanon Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 381323.
The National Provider Identifier (NPI) on file for Samaritan Lebanon Community Hospital is 1689625980.
Samaritan Lebanon Community Hospital is affiliated with Samaritan Health Services.
Samaritan Lebanon Community Hospital lists 39 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
283 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers