Annual Physical, Established Patient (age 40-64) at NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
1000 3rd St, Tillamook, OR · Adventisthealth · · NPI 1871575225
$158.76
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$294.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$47.20 with UHC - ALL PLANS vs $170.72 with ODS HEALTH PLAN - ALL OTHER PLANS — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UHC - ALL PLANS | UHC - ALL PLANS | $47.20 | ↓ -70% |
| DEVOTED HEALTH | DEVOTED HEALTH | $53.10 | ↓ -67% |
| MODA HEALTH PLAN - ALL PLANS | MODA HEALTH PLAN - ALL PLANS | $70.80 | ↓ -55% |
| ODS HEALTH MEDICARE | ODS HEALTH MEDICARE | $70.80 | ↓ -55% |
| REGENCE BCBS MCARE | REGENCE BCBS MCARE | $82.72 | ↓ -48% |
| HVHS MCARE - ALL PLANS | HVHS MCARE - ALL PLANS | $83.55 | ↓ -47% |
| STERLING LIFE - ALL PLANS | STERLING LIFE - ALL PLANS | $86.03 | ↓ -46% |
| REGENCE BCBS PREFERRED | REGENCE BCBS PREFERRED | $100.30 | ↓ -37% |
| REGENCE BCBS - ALL OTHER PLANS | REGENCE BCBS - ALL OTHER PLANS | $102.66 | ↓ -35% |
| LIFEWISE - ALL PLANS | LIFEWISE - ALL PLANS | $106.44 | ↓ -33% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $110.92 | ↓ -30% |
| HEALTH NET - ALL PLANS | HEALTH NET - ALL PLANS | $110.92 | ↓ -30% |
| FIRST CHOICE HEALTH- ALL PLANS | FIRST CHOICE HEALTH- ALL PLANS | $110.92 | ↓ -30% |
| PROVIDENCE PREFERRED - ALL PLANS | PROVIDENCE PREFERRED - ALL PLANS | $115.64 | ↓ -27% |
| AETNA MCARE | AETNA MCARE | $116.00 | ↓ -27% |
| WORKERS COMP | WORKERS COMP | $118.00 | ↓ -26% |
| AETNA- ALL OTHER PLANS | AETNA- ALL OTHER PLANS | $128.05 | ↓ -19% |
| PACIFICSOURCE - ALL PLANS | PACIFICSOURCE - ALL PLANS | $152.64 | ↓ -4% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $167.20 | ↑ +5% |
| PHCS PREFERRED - ALL PLANS | PHCS PREFERRED - ALL PLANS | $167.20 | ↑ +5% |
| ODS HEALTH PLAN - ALL OTHER PLANS | ODS HEALTH PLAN - ALL OTHER PLANS | $170.72 | ↑ +8% |
Visitor-reported prices
Comments
Annual Physical, Established Patient (age 40-64) at other Oregon hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Hood River Memorial Hospital | Hood River | $267.00 | not published |
| Providence Seaside Hospital | Seaside | $267.00 | not published |
| PORTLAND ADVENTIST MEDICAL CENTER | Portland | $57.60 | $293.40 – $404.96 |
| MID-COLUMBIA MEDICAL CENTER | The Dalles | $158.88 | $133.44 – $331.00 |