Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution at NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK

1000 3rd St, Tillamook, OR · Adventisthealth · · NPI 1871575225

Source: hospital's published price file ↗ · Published May 22, 2026 · Ingested Sep 16, 2026

$21.06

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$39.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$4.19 with AETNA- ALL OTHER PLANS vs $14.00 with DEVOTED HEALTH — 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 →

Payer
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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
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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- ALL OTHER PLANS AETNA- ALL OTHER PLANS $4.19 ↓ -80%
REGENCE BCBS MCARE REGENCE BCBS MCARE $6.58 ↓ -69%
ODS HEALTH MEDICARE ODS HEALTH MEDICARE $6.58 ↓ -69%
MODA HEALTH PLAN - ALL PLANS MODA HEALTH PLAN - ALL PLANS $6.58 ↓ -69%
HVHS MCARE - ALL PLANS HVHS MCARE - ALL PLANS $6.65 ↓ -68%
STERLING LIFE - ALL PLANS STERLING LIFE - ALL PLANS $6.84 ↓ -68%
AETNA MCARE AETNA MCARE $7.31 ↓ -65%
REGENCE BCBS PREFERRED REGENCE BCBS PREFERRED $11.90 ↓ -43%
REGENCE BCBS - ALL OTHER PLANS REGENCE BCBS - ALL OTHER PLANS $12.18 ↓ -42%
LIFEWISE - ALL PLANS LIFEWISE - ALL PLANS $12.63 ↓ -40%
FIRST CHOICE HEALTH- ALL PLANS FIRST CHOICE HEALTH- ALL PLANS $13.16 ↓ -38%
HEALTH NET - ALL PLANS HEALTH NET - ALL PLANS $13.16 ↓ -38%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $13.16 ↓ -38%
UHC - ALL PLANS UHC - ALL PLANS $13.30 ↓ -37%
CIGNA - ALL PLANS CIGNA - ALL PLANS $13.30 ↓ -37%
PHCS PREFERRED - ALL PLANS PHCS PREFERRED - ALL PLANS $13.30 ↓ -37%
PACIFICSOURCE - ALL PLANS PACIFICSOURCE - ALL PLANS $13.44 ↓ -36%
ODS HEALTH PLAN - ALL OTHER PLANS ODS HEALTH PLAN - ALL OTHER PLANS $13.58 ↓ -36%
PROVIDENCE PREFERRED - ALL PLANS PROVIDENCE PREFERRED - ALL PLANS $13.72 ↓ -35%
WORKERS COMP WORKERS COMP $14.00 ↓ -34%
DEVOTED HEALTH DEVOTED HEALTH $14.00 ↓ -34%

Visitor-reported prices

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Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution at other Oregon hospitals

Hospital City Cash price Negotiated range
Sunnyside Medical Center CLACKAMAS $36.33 $2.52 – $2.52
Westside Medical Center HILLSBORO $36.33 $2.52 – $2.52
Providence Hood River Memorial Hospital Hood River $71.09 not published
Providence Medford Medical Center Medford $71.09 not published
Providence Newberg Medical Center Newberg $71.09 $2.78 – $2.78
Providence Seaside Hospital Seaside $94.27 not published
Providence Willamette Falls Medical Center Oregon City $71.09 $2.78 – $8.85
Providence Milwaukie Hospital Milwaukie $71.09 $2.78 – $8.85

All Oregon hospitals for this procedure →