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Reference Price Program

The Oregon Educators Benefit Board (OEBB), in an effort to help its members receive quality care at an affordable price, has established a reference price program. This program currently includes Bariatric Surgery (effective 10/1/13), and most recently Major Joint Replacement Surgery (DRG 470) and Oral Appliances (HCPC E0485 & E0486) (effective 10/1/14). As of March 1, 2015, the reference price program for Major Joint Replacement Surgery only applies to statewide (Connexus Network) members.

  • In a reference price program, the plan sponsor limits their contributions toward the cost of a specific health care service, and health plan members must pay the difference in price if a more costly health care provider or service is selected.
  • This reference price program means OEBB members in need of a joint replacement or an oral appliance for sleep apnea will be encouraged to seek this care from specific facilities located throughout the State.
  • Using any other facility could result in the member being held responsible for a substantial share of the cost.
  • Travel benefits are available to OEBB members that use a participating reference price facility. The Plan will reimburse up to $2,600 for eligible travel expenses. Please see the Member Handbook for additional details.

We are confident that this program for OEBB members will not only be cost effective, but it will also improve the overall quality of care.

List of participating facilities:
Location Facility
Albany Samaritan Albany General Hospital
Beaverton Oregon Surgical Institute
Bend Bend Surgery
Cascade Surgicenter
Boise, ID Saint Alphonsus Regional Medical Center
Coos Bay Bay Area Hospital
Corvallis Good Samaritan Regional Medical Center
Eugene PeaceHealth - Sacred Heart
Slocum Surgery Center
Grants Pass Asante Three Rivers Medical Center
Grants Pass Surgery Center
Gresham Legacy Mt. Hood
Hillsboro Tuality Community Hospital
Klamath Falls Sky Lakes Medical Center
La Grande Grande Ronde Hospital
McMinnville Willamette Valley Medical Center
Medford Asante Rogue Regional Medical Center
Providence Medford Medical Center
Nampa, ID Saint Alphonsus Regional Medical Center
Newberg Providence Newberg Medical Center
Milwaukie Providence Milwaukie Hospital
Ontario Saint Alphonsus Regional Medical Center
Oregon City Providence Willamette Falls
Pendleton East Oregon Surgery Center
*Knee replacements only
St. Anthony Hospital
Portland Adventist Medical Center
Legacy Emanuel Hospital
Legacy Good Samaritan
OHSU
Providence Portland Medical Center
Providence St. Vincent Medical Center
Shriners Hospital for Children
Roseburg Mercy Medical
Salem Salem Hospital
Willamette Surgery Center
Silverton Silverton Hospital
Springfield PeaceHealth - Riverbend
McKenzie Willamette Medical Center
Stayton Santiam Memorial Hospital
The Dalles Mid-Columbia Medical Center
Tualatin Legacy Meridian Park
Vancouver, WA Legacy Salmon Creek
Peacehealth Southwest Medical Center
Participating Centers of Excellence - Bariatric Surgery
Location Facility
Albany Samaritan Albany General Hospital
Coos Bay Bay Area Hospital
Corvallis Good Samaritan Regional Medical Center
Grants Pass Asante Three Rivers Medical Center
Hillsboro Tuality Community Hospital
Klamath Falls Sky Lakes Medical Center
McMinville Willamette Valley Medical Center
Medford Asante Rogue Regional Medical Center
Portland OHSU
Legacy Good Samaritan
Salem Salem Hospital
Springfield PeaceHealth (Oregon Bariatric Center)
Participating Centers of Excellence - Gender Confirming Services
Location Facility
Portland Oregon Health Science University (OHSU)

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