Vaccine influenza quadrivalent live (laiv4) intranasal 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

$22.68

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.

$42.00

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.

$12.22 with REGENCE BCBS MCARE vs $26.00 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 →

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
REGENCE BCBS MCARE REGENCE BCBS MCARE $12.22 ↓ -46%
MODA HEALTH PLAN - ALL PLANS MODA HEALTH PLAN - ALL PLANS $12.22 ↓ -46%
ODS HEALTH MEDICARE ODS HEALTH MEDICARE $12.22 ↓ -46%
HVHS MCARE - ALL PLANS HVHS MCARE - ALL PLANS $12.34 ↓ -46%
STERLING LIFE - ALL PLANS STERLING LIFE - ALL PLANS $12.71 ↓ -44%
DEVOTED HEALTH DEVOTED HEALTH $13.20 ↓ -42%
AETNA MCARE AETNA MCARE $13.57 ↓ -40%
REGENCE BCBS PREFERRED REGENCE BCBS PREFERRED $22.10 ↓ -3%
REGENCE BCBS - ALL OTHER PLANS REGENCE BCBS - ALL OTHER PLANS $22.62 ↓ -0%
LIFEWISE - ALL PLANS LIFEWISE - ALL PLANS $23.45 ↑ +3%
AETNA- ALL OTHER PLANS AETNA- ALL OTHER PLANS $24.18 ↑ +7%
HEALTH NET - ALL PLANS HEALTH NET - ALL PLANS $24.44 ↑ +8%
FIRST CHOICE HEALTH- ALL PLANS FIRST CHOICE HEALTH- ALL PLANS $24.44 ↑ +8%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $24.44 ↑ +8%
UHC - ALL PLANS UHC - ALL PLANS $24.70 ↑ +9%
PHCS PREFERRED - ALL PLANS PHCS PREFERRED - ALL PLANS $24.70 ↑ +9%
CIGNA - ALL PLANS CIGNA - ALL PLANS $24.70 ↑ +9%
PACIFICSOURCE - ALL PLANS PACIFICSOURCE - ALL PLANS $24.96 ↑ +10%
ODS HEALTH PLAN - ALL OTHER PLANS ODS HEALTH PLAN - ALL OTHER PLANS $25.22 ↑ +11%
PROVIDENCE PREFERRED - ALL PLANS PROVIDENCE PREFERRED - ALL PLANS $25.48 ↑ +12%
WORKERS COMP WORKERS COMP $26.00 ↑ +15%

Visitor-reported prices

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Vaccine influenza quadrivalent live (laiv4) intranasal at other Oregon hospitals

Hospital City Cash price Negotiated range
Providence Hood River Memorial Hospital Hood River $26.25 not published
Providence Seaside Hospital Seaside $24.00 not published
PORTLAND ADVENTIST MEDICAL CENTER Portland $31.85 $76.68 – $199.08
MID-COLUMBIA MEDICAL CENTER The Dalles $43.68 $47.32 – $91.00
Providence Willamette Falls Medical Center Oregon City not published $91.17 – $91.17
Providence Milwaukie Hospital Milwaukie not published $91.17 – $91.17
Providence Portland Medical Center Portland not published $91.17 – $91.17
Providence St Vincent Medical Center Portland not published $91.17 – $91.17

All Oregon hospitals for this procedure →