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Southern Coos Hospital & Health Center
Bandon, OR · CMS ID: 381304
This hospital has pricing data for 36 procedures ranging from $15 to $4,533.
Procedures (36)
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$46
Gross Charge
$46
Insurance Negotiated Rates
Cigna$18
Cash Price
(No Insurance)
$1,619
Gross Charge
$1,619
Insurance Negotiated Rates
Moda Health Plan - All Other Plans$306
Cash Price
(No Insurance)
$1,778
Gross Charge
$1,778
Insurance Negotiated Rates
Moda Health Plan - All Other Plans$477
Cash Price
(No Insurance)
$2,316
Gross Charge
$2,316
Insurance Negotiated Rates
Cigna$564
Cash Price
(No Insurance)
$80
Gross Charge
$80
Insurance Negotiated Rates
Healthnet - All Plans$5
Cash Price
(No Insurance)
$20
Gross Charge
$20
Insurance Negotiated Rates
Healthnet - All Plans$2
Cash Price
(No Insurance)
$341
Gross Charge
$341
Insurance Negotiated Rates
Cigna$153
Cash Price
(No Insurance)
$325
Gross Charge
$325
Insurance Negotiated Rates
Cigna$146
CT Chest Low Dose
71271Cash Price
(No Insurance)
$201
Gross Charge
$201
Insurance Negotiated Rates
Tricare West - All Plans$177
Cash Price
(No Insurance)
$225
Gross Charge
$225
Insurance Negotiated Rates
Cigna$104
ER Visit Level 3
99283Cash Price
(No Insurance)
$394
Gross Charge
$394
Insurance Negotiated Rates
Tricare West - All Plans$347
ER Visit Level 4
99284Cash Price
(No Insurance)
$593
Gross Charge
$593
Insurance Negotiated Rates
Tricare West - All Plans$522
ER Visit Level 5
99285Cash Price
(No Insurance)
$906
Gross Charge
$906
Insurance Negotiated Rates
Tricare West - All Plans$797
Hemoglobin A1C
83036Cash Price
(No Insurance)
$99
Gross Charge
$99
Insurance Negotiated Rates
Healthnet - All Plans$4
Cash Price
(No Insurance)
$4,533
Gross Charge
$4,533
Insurance Negotiated Rates
Cigna$450
Lipid Panel
80061Cash Price
(No Insurance)
$468
Gross Charge
$468
Insurance Negotiated Rates
Healthnet - All Plans$3
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$85
Gross Charge
$85
Insurance Negotiated Rates
Tricare West - All Plans$55
Mammogram Screening
77067Cash Price
(No Insurance)
$35
Gross Charge
$35
Insurance Negotiated Rates
Tricare West - All Plans$31
Cash Price
(No Insurance)
$497
Gross Charge
$497
Insurance Negotiated Rates
Cigna$192
MRI Cervical Spine
72141Cash Price
(No Insurance)
$254
Gross Charge
$254
Insurance Negotiated Rates
Cigna$124
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$234
Gross Charge
$234
Insurance Negotiated Rates
Cigna$124
MRI Shoulder
73221Cash Price
(No Insurance)
$283
Gross Charge
$283
Insurance Negotiated Rates
Moda Health Plan - All Other Plans$115
Office Visit Level 3
99213Cash Price
(No Insurance)
$265
Gross Charge
$265
Insurance Negotiated Rates
Tricare West - All Plans$148
Office Visit Level 4
99214Cash Price
(No Insurance)
$342
Gross Charge
$342
Insurance Negotiated Rates
Tricare West - All Plans$198
TSH (Thyroid)
84443Cash Price
(No Insurance)
$123
Gross Charge
$123
Insurance Negotiated Rates
Healthnet - All Plans$21
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$134
Gross Charge
$134
Insurance Negotiated Rates
Cigna$68
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$129
Gross Charge
$129
Insurance Negotiated Rates
Cigna$57
Cash Price
(No Insurance)
$129
Gross Charge
$129
Insurance Negotiated Rates
Cigna$58
Cash Price
(No Insurance)
$1,210
Gross Charge
$1,210
Insurance Negotiated Rates
Cigna$397
Cash Price
(No Insurance)
$1,367
Gross Charge
$1,367
Insurance Negotiated Rates
Cigna$809
Urinalysis
81001Cash Price
(No Insurance)
$15
Gross Charge
$15
Insurance Negotiated Rates
Healthnet - All Plans$0