CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Bay Area Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $179
Cash Discount Price: $138
vs. Medicare Baseline: 2.97x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Bay Area Hospital is $179. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $138. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.97x the Medicare baseline. Located in 1775 Thompson Road, Coos Bay, OR.

Cash / Self-Pay

$138

Average discount available for prompt cash payment at this facility.

Insurance Median

$179

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$60.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $60.27 (100%)

Cash / Self-Pay: $138 (229%)

Insurance Median: $179 (297%)

Cash: $138 (229% of Medicare)

Ins. Median: $179 (297% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $60.27 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 297% of the Medicare baseline (a markup of 197%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Nasomah Hlth Grp - All Plans	$43 - $179	71%
Southwest Oregon Ipa - All Plans	$58	96%
Pacificsource - All Plans	$60 - $253	100%
Moda Connexus/Synergy	$63 - $265	105%
Aetna	$65 - $274	108%
Cigna	$65 - $274	108%
First Choice - All Plans	$65 - $271	108%
Providence - All Other Plans	$66 - $277	110%
Healthnet Comm- All Other Plans	$67 - $283	111%
UnitedHealthcare	$67 - $283	111%
Healthnet Mcaid	$70	116%
Healthnet Mcr Adv	$76	126%
Moda Hlth Mcr Adv	$77	128%
Moda Beacon - All Other Plans	$190	315%
Blue Cross Blue Shield	$254 - $1,067	421%
Providence Pebb	$271	450%
Ods Ppo/Pos - All Plans	$273	453%

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 $138.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93005.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Bay Area Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93005.
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.