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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 1 View
71045Cash Price
(No Insurance)
$38
Gross Charge
$38
Medicare Rate
$24
Insurance Negotiated Rates
Tricare West - All Plans$7
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$46
Gross Charge
$46
Medicare Rate
$31
Insurance Negotiated Rates
Tricare West - All Plans$9
Cash Price
(No Insurance)
$1,619
Gross Charge
$1,619
Medicare Rate
$356
Insurance Negotiated Rates
Tricare West - All Plans$141
Cash Price
(No Insurance)
$1,778
Gross Charge
$1,778
Medicare Rate
$450
Insurance Negotiated Rates
Tricare West - All Plans$153
Cash Price
(No Insurance)
$2,316
Gross Charge
$2,316
Medicare Rate
$471
Insurance Negotiated Rates
Tricare West - All Plans$192
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
Medicare Rate
$280
Insurance Negotiated Rates
Tricare West - All Plans$73
Cash Price
(No Insurance)
$325
Gross Charge
$325
Medicare Rate
$172
Insurance Negotiated Rates
Tricare West - All Plans$69
CT Chest Low Dose
71271Cash Price
(No Insurance)
$201
Gross Charge
$201
Medicare Rate
$128
Insurance Negotiated Rates
Tricare West - All Plans$43
Cash Price
(No Insurance)
$225
Gross Charge
$225
Medicare Rate
$156
Insurance Negotiated Rates
Tricare West - All Plans$47
ER Visit Level 3
99283Cash Price
(No Insurance)
$394
Gross Charge
$394
Medicare Rate
$69
Insurance Negotiated Rates
Tricare West - All Plans$59
ER Visit Level 4
99284Cash Price
(No Insurance)
$593
Gross Charge
$593
Medicare Rate
$117
Insurance Negotiated Rates
Tricare West - All Plans$101
ER Visit Level 5
99285Cash Price
(No Insurance)
$906
Gross Charge
$906
Medicare Rate
$170
Insurance Negotiated Rates
Tricare West - All Plans$147
Hemoglobin A1C
83036Cash Price
(No Insurance)
$99
Gross Charge
$99
Insurance Negotiated Rates
Healthnet - All Plans$4
Knee X-Ray
73560Cash Price
(No Insurance)
$50
Gross Charge
$50
Medicare Rate
$32
Insurance Negotiated Rates
Tricare West - All Plans$7
Cash Price
(No Insurance)
$4,533
Gross Charge
$4,533
Medicare Rate
$615
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
Medicare Rate
$146
Insurance Negotiated Rates
Tricare West - All Plans$40
Mammogram Screening
77067Cash Price
(No Insurance)
$35
Gross Charge
$35
Medicare Rate
$118
Insurance Negotiated Rates
Tricare West - All Plans$30
MRI Brain
70551Cash Price
(No Insurance)
$312
Gross Charge
$312
Medicare Rate
$183
Insurance Negotiated Rates
Tricare West - All Plans$59
Cash Price
(No Insurance)
$497
Gross Charge
$497
Medicare Rate
$296
Insurance Negotiated Rates
Tricare West - All Plans$91
MRI Cervical Spine
72141Cash Price
(No Insurance)
$254
Gross Charge
$254
Medicare Rate
$179
Insurance Negotiated Rates
Tricare West - All Plans$59
MRI Knee
73721Cash Price
(No Insurance)
$425
Gross Charge
$425
Medicare Rate
$191
Insurance Negotiated Rates
Tricare West - All Plans$55
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$234
Gross Charge
$234
Medicare Rate
$180
Insurance Negotiated Rates
Tricare West - All Plans$60
MRI Shoulder
73221Cash Price
(No Insurance)
$283
Gross Charge
$283
Medicare Rate
$191
Insurance Negotiated Rates
Tricare West - All Plans$55
Office Visit Level 3
99213Cash Price
(No Insurance)
$265
Gross Charge
$265
Medicare Rate
$91
Insurance Negotiated Rates
Tricare West - All Plans$148
Office Visit Level 4
99214Cash Price
(No Insurance)
$342
Gross Charge
$342
Medicare Rate
$130
Insurance Negotiated Rates
Tricare West - All Plans$198
Shoulder X-Ray
73030Cash Price
(No Insurance)
$61
Gross Charge
$61
Medicare Rate
$33
Insurance Negotiated Rates
Tricare West - All Plans$8
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
Medicare Rate
$107
Insurance Negotiated Rates
Tricare West - All Plans$33
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$129
Gross Charge
$129
Medicare Rate
$98
Insurance Negotiated Rates
Tricare West - All Plans$28
Cash Price
(No Insurance)
$129
Gross Charge
$129
Medicare Rate
$109
Insurance Negotiated Rates
Tricare West - All Plans$28
Cash Price
(No Insurance)
$1,210
Gross Charge
$1,210
Medicare Rate
$301
Insurance Negotiated Rates
Tricare West - All Plans$95
Cash Price
(No Insurance)
$1,367
Gross Charge
$1,367
Medicare Rate
$390
Insurance Negotiated Rates
Tricare West - All Plans$106
Urinalysis
81001Cash Price
(No Insurance)
$15
Gross Charge
$15
Insurance Negotiated Rates
Healthnet - All Plans$0