Tongue biopsy; posterior one-third 41105 at NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
1000 3rd St, Tillamook, OR · Adventisthealth · · NPI 1871575225
$393.12
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.
$728.00
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.
$98.37 with AETNA MCARE vs $691.60 with PHCS PREFERRED - ALL 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 |
|---|---|---|---|
| AETNA MCARE | AETNA MCARE | $98.37 | ↓ -75% |
| MODA HEALTH PLAN - ALL PLANS | MODA HEALTH PLAN - ALL PLANS | $100.34 | ↓ -74% |
| STERLING LIFE - ALL PLANS | STERLING LIFE - ALL PLANS | $102.30 | ↓ -74% |
| ODS HEALTH MEDICARE | ODS HEALTH MEDICARE | $103.29 | ↓ -74% |
| DEVOTED HEALTH | DEVOTED HEALTH | $106.24 | ↓ -73% |
| REGENCE BCBS MCARE | REGENCE BCBS MCARE | $113.13 | ↓ -71% |
| HVHS MCARE - ALL PLANS | HVHS MCARE - ALL PLANS | $119.03 | ↓ -70% |
| AETNA- ALL OTHER PLANS | AETNA- ALL OTHER PLANS | $176.15 | ↓ -55% |
| PACIFICSOURCE - ALL PLANS | PACIFICSOURCE - ALL PLANS | $203.04 | ↓ -48% |
| UHC - ALL PLANS | UHC - ALL PLANS | $208.46 | ↓ -47% |
| ODS HEALTH PLAN - ALL OTHER PLANS | ODS HEALTH PLAN - ALL OTHER PLANS | $233.25 | ↓ -41% |
| REGENCE BCBS PREFERRED | REGENCE BCBS PREFERRED | $368.05 | ↓ -6% |
| REGENCE BCBS - ALL OTHER PLANS | REGENCE BCBS - ALL OTHER PLANS | $376.71 | ↓ -4% |
| LIFEWISE - ALL PLANS | LIFEWISE - ALL PLANS | $390.57 | ↓ -1% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $407.02 | ↑ +4% |
| HEALTH NET - ALL PLANS | HEALTH NET - ALL PLANS | $407.02 | ↑ +4% |
| FIRST CHOICE HEALTH- ALL PLANS | FIRST CHOICE HEALTH- ALL PLANS | $407.02 | ↑ +4% |
| PROVIDENCE PREFERRED - ALL PLANS | PROVIDENCE PREFERRED - ALL PLANS | $424.34 | ↑ +8% |
| WORKERS COMP | WORKERS COMP | $433.00 | ↑ +10% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $691.60 | ↑ +76% |
| PHCS PREFERRED - ALL PLANS | PHCS PREFERRED - ALL PLANS | $691.60 | ↑ +76% |
Visitor-reported prices
Comments
Tongue biopsy; posterior one-third 41105 at other Oregon hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Newberg Medical Center | Newberg | $14,888.25 | $3,626.25 – $6,743.94 |
| Providence Willamette Falls Medical Center | Oregon City | $14,888.25 | $3,626.25 – $13,592.00 |
| Providence Milwaukie Hospital | Milwaukie | $14,888.25 | $3,626.25 – $13,592.00 |
| Providence Portland Medical Center | Portland | $14,888.25 | $3,626.25 – $13,592.00 |
| Providence St Vincent Medical Center | Portland | $14,888.25 | $3,626.25 – $13,592.00 |
| Sunnyside Medical Center | CLACKAMAS | not published | not published |
| Westside Medical Center | HILLSBORO | not published | not published |
| Providence Medford Medical Center | Medford | not published | $3,360.01 – $8,400.02 |