CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Southern Coos Hospital & Health Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $209
Cash Discount Price: $267
vs. Medicare Baseline: 3.47x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Southern Coos Hospital & Health Center is $209. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $267. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 3.47x the Medicare baseline. Located in 900 11Th Street Se, Bandon, OR.

Cash / Self-Pay

$267

Average discount available for prompt cash payment at this facility.

Insurance Median

$209

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: $267 (443%)

Insurance Median: $209 (347%)

Cash: $267 (443% of Medicare)

Ins. Median: $209 (347% 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 347% of the Medicare baseline (a markup of 247%). 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
Tricare	$135 - $175	224%
Advanced Health - All Plans	$146 - $190	242%
Aetna	$153 - $272	254%
Atrio Mcr Adv - Allplans	$153 - $199	254%
Confederated Tribes - All Plans	$153 - $199	254%
Moda Mcr Adv	$153 - $199	254%
Pacific Source Mcr Adv	$153 - $199	254%
Cigna	$184 - $238	305%
Healthnet - All Plans	$193 - $250	320%
Moda Health Plan - All Other Plans	$207 - $269	343%
Prov Netwrk Of America - All Plans	$209 - $272	347%
Three Rivers - All Plans	$209 - $272	347%
UnitedHealthcare	$209 - $272	347%
First Choice - All Plans	$214 - $278	355%
Blue Cross Blue Shield	$216 - $281	358%
Multiplan - All Plans	$216 - $281	358%
First Health - All Plans	$221 - $287	367%
Pacific Source - All Other Plans	$221 - $287	367%
Providence Preferred - All Plans	$221 - $287	367%

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 $267.
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 Southern Coos Hospital & Health Center 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.