Incision of breast lesion at NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
1000 3rd St, Tillamook, OR · Adventisthealth · · NPI 1871575225
$923.13
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.
$1,709.50
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.
$306.54 with AETNA MCARE vs $1,709.50 with WORKERS COMP — 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 |
|---|---|---|---|
| AETNA MCARE | AETNA MCARE | $306.54 | ↓ -67% |
| MODA HEALTH PLAN - ALL PLANS | MODA HEALTH PLAN - ALL PLANS | $312.67 | ↓ -66% |
| STERLING LIFE - ALL PLANS | STERLING LIFE - ALL PLANS | $318.80 | ↓ -65% |
| ODS HEALTH MEDICARE | ODS HEALTH MEDICARE | $321.87 | ↓ -65% |
| DEVOTED HEALTH | DEVOTED HEALTH | $331.06 | ↓ -64% |
| REGENCE BCBS MCARE | REGENCE BCBS MCARE | $352.52 | ↓ -62% |
| HVHS MCARE - ALL PLANS | HVHS MCARE - ALL PLANS | $370.91 | ↓ -60% |
| AETNA- ALL OTHER PLANS | AETNA- ALL OTHER PLANS | $427.05 | ↓ -54% |
| PACIFICSOURCE - ALL PLANS | PACIFICSOURCE - ALL PLANS | $514.80 | ↓ -44% |
| UHC - ALL PLANS | UHC - ALL PLANS | $649.59 | ↓ -30% |
| ODS HEALTH PLAN - ALL OTHER PLANS | ODS HEALTH PLAN - ALL OTHER PLANS | $669.75 | ↓ -27% |
| REGENCE BCBS PREFERRED | REGENCE BCBS PREFERRED | $1,453.08 | ↑ +57% |
| REGENCE BCBS - ALL OTHER PLANS | REGENCE BCBS - ALL OTHER PLANS | $1,487.27 | ↑ +61% |
| LIFEWISE - ALL PLANS | LIFEWISE - ALL PLANS | $1,541.97 | ↑ +67% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,606.93 | ↑ +74% |
| FIRST CHOICE HEALTH- ALL PLANS | FIRST CHOICE HEALTH- ALL PLANS | $1,606.93 | ↑ +74% |
| HEALTH NET - ALL PLANS | HEALTH NET - ALL PLANS | $1,606.93 | ↑ +74% |
| PROVIDENCE PREFERRED - ALL PLANS | PROVIDENCE PREFERRED - ALL PLANS | $1,675.31 | ↑ +81% |
| WORKERS COMP | WORKERS COMP | $1,709.50 | ↑ +85% |
Visitor-reported prices
Comments
Incision of breast lesion at other Oregon hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sunnyside Medical Center | CLACKAMAS | $3,976.30 | not published |
| Westside Medical Center | HILLSBORO | $3,976.30 | not published |
| Providence Hood River Memorial Hospital | Hood River | $3,527.25 | not published |
| Providence Medford Medical Center | Medford | $8,016.00 | $1,673.79 – $4,184.48 |
| Providence Newberg Medical Center | Newberg | $8,984.25 | $1,806.42 – $3,359.50 |
| Providence Seaside Hospital | Seaside | $3,718.50 | not published |
| Providence Willamette Falls Medical Center | Oregon City | $8,984.25 | $1,806.42 – $13,592.00 |
| Providence Milwaukie Hospital | Milwaukie | $8,984.25 | $1,806.42 – $13,592.00 |