NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
1000 3rd St, Tillamook, OR · Adventisthealth · · NPI 1871575225
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $115.38 | $213.68 | $213.68 – $213.68 | 1 |
| Fracture assessment via dxa CPT 77086 | $29.70 | $55.00 | $5.77 – $48.00 | 11 |
| Fragmenting of kidney stone CPT 50590 | $1,210.41 | $2,241.50 | $508.21 – $1,231.50 | 11 |
| Freeing of bowel adhesion 44005 CPT 44005 | $2,324.97 | $4,305.50 | $974.29 – $2,388.75 | 11 |
| Frenectomy 41115 CPT 41115 | $540.54 | $1,001.00 | $130.52 – $312.00 | 11 |
| Frenotomy 40806 CPT 40806 | $211.68 | $392.00 | $28.06 – $65.25 | 11 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $148.50 | $275.00 | $275.00 – $275.00 | 1 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $135.54 | $251.00 | $251.00 – $251.00 | 1 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $1,784.16 | $3,304.00 | $713.26 – $1,813.50 | 11 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $1,563.03 | $2,894.50 | $525.70 – $1,311.00 | 11 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $230.04 | $426.00 | $55.75 – $152.25 | 11 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $1,676.70 | $3,105.00 | $683.63 – $1,705.50 | 11 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $18.16 | $33.62 | $3.18 – $3.34 | 3 |
| Fusion of ankle joint open CPT 27870 | $2,378.97 | $4,405.50 | $899.85 – $2,213.25 | 11 |
| Fusion of big toe joint CPT 28750 | $1,883.79 | $3,488.50 | $523.96 – $1,260.75 | 11 |
| Fusion of big toe joint CPT 28755 | $717.12 | $1,328.00 | $457.48 – $969.45 | 11 |
| Fusion of finger joint CPT 26860 | $1,293.30 | $2,395.00 | $595.86 – $1,262.69 | 11 |
| Fusion of foot bones CPT 28730 | $1,530.90 | $2,835.00 | $661.20 – $1,590.75 | 11 |
| Fusion of foot bones CPT 28740 | $1,301.40 | $2,410.00 | $563.78 – $1,342.50 | 11 |
| Fusion of tibiofibular joint CPT 27871 | $1,595.16 | $2,954.00 | $627.53 – $1,491.00 | 11 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $1,580.04 | $2,926.00 | $604.65 – $1,439.25 | 11 |
| Gamma globulin 1 cc inj HCPCS J1460 | $56.70 | $105.00 | $105.00 – $105.00 | 1 |
| Gamunex-c/gammaked HCPCS J1561 | $30.24 | $56.00 | $54.00 – $54.00 | 1 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | $2,753.46 | $5,099.00 | $1,200.23 – $2,938.50 | 11 |
| Gated heart multiple CPT 78473 | $253.26 | $469.00 | $57.07 – $156.96 | 11 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $148.18 | $274.40 | $274.40 – $274.40 | 1 |
| General health panel CPT 80050 | $262.44 | $486.00 | $47.00 – $51.00 | 3 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $12.45 | $23.05 | $23.05 – $23.05 | 1 |
| Ghs abscess perianal iandd CPT 46050 | $392.85 | $727.50 | $100.94 – $213.90 | 11 |
| Ghs abscess postoperative iandd complex CPT 10180 | $626.94 | $1,161.00 | $170.39 – $383.25 | 11 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $34.02 | $63.00 | $15.72 – $43.92 | 11 |
| Ghs aspiration bladder - needle CPT 51100 | $99.63 | $184.50 | $32.82 – $84.00 | 11 |
| Ghs bladder cath - complex-foley CPT 51703 | $309.96 | $574.00 | $65.53 – $169.20 | 11 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $241.11 | $446.50 | $298.49 – $319.03 | 6 |
| Ghs central line insert < age 5, failed CPT 36555 | $425.52 | $788.00 | $77.53 – $249.12 | 11 |
| Ghs change cysto/gastrost CPT 43762 | $461.16 | $854.00 | $32.89 – $82.50 | 11 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $636.66 | $1,179.00 | $298.49 – $635.84 | 11 |
| Ghs closed reduction ankle dislocation CPT 27840 | $834.84 | $1,546.00 | $441.16 – $934.86 | 11 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $922.32 | $1,708.00 | $451.66 – $957.11 | 11 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $974.16 | $1,804.00 | $434.49 – $920.73 | 11 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,048.14 | $1,941.00 | $486.38 – $1,064.25 | 11 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,664.82 | $3,083.00 | $298.49 – $1,724.25 | 11 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $734.40 | $1,360.00 | $298.49 – $663.30 | 11 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $942.84 | $1,746.00 | $477.57 – $1,012.02 | 11 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $1,056.24 | $1,956.00 | $464.71 – $1,068.75 | 11 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $1,122.12 | $2,078.00 | $508.73 – $1,078.05 | 11 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $745.74 | $1,381.00 | $298.49 – $719.12 | 11 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $107.46 | $199.00 | $29.73 – $92.16 | 11 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $90.45 | $167.50 | $24.15 – $76.32 | 11 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $126.36 | $234.00 | $36.80 – $89.25 | 11 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $142.56 | $264.00 | $41.30 – $109.50 | 11 |
| Ghs cricothyroidotomy CPT 31605 | $672.30 | $1,245.00 | $288.83 – $727.50 | 11 |
| Ghs cutdown placement age 1 and over CPT 36425 | $97.47 | $180.50 | $32.15 – $86.25 | 11 |
| Ghs cutdown placement under 1 yr CPT 36420 | $128.79 | $238.50 | $43.69 – $104.25 | 11 |
| Ghs dislocation elbow closed treatment CPT 24600 | $743.58 | $1,377.00 | $391.13 – $828.84 | 11 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $254.88 | $472.00 | $48.00 – $237.00 | 11 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $73.17 | $135.50 | $29.13 – $72.00 | 11 |
| Ghs electrostagmgraphy CPT 92537 | $76.68 | $142.00 | $30.25 – $67.50 | 11 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $316.98 | $587.00 | $298.49 – $319.03 | 6 |
| Ghs excision ingrown nail CPT 11765 | $347.76 | $644.00 | $88.10 – $198.00 | 11 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $542.70 | $1,005.00 | $99.40 – $246.00 | 11 |
| Ghs fb removal foot - deep - left CPT 28192 | $961.74 | $1,781.00 | $288.54 – $675.75 | 11 |
| Ghs fb removal from muscle - complicated CPT 20525 | $521.64 | $966.00 | $226.21 – $533.25 | 11 |
| Ghs fb removal - incisional CPT 10121 | $554.58 | $1,027.00 | $167.63 – $399.75 | 11 |
| Ghs fb removal - non-incisional CPT 20520 | $313.20 | $580.00 | $138.99 – $316.50 | 11 |
| Ghs gastric intub aspiration lavage CPT 43753 | $58.05 | $107.50 | $19.57 – $48.75 | 11 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $481.41 | $891.50 | $195.03 – $463.50 | 11 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,168.56 | $2,164.00 | $298.49 – $912.00 | 11 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $707.40 | $1,310.00 | $163.63 – $369.75 | 11 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $516.78 | $957.00 | $102.99 – $221.25 | 11 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $432.54 | $801.00 | $104.57 – $234.75 | 11 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $279.18 | $517.00 | $113.45 – $284.25 | 11 |
| Ghs init tx 1st degree burn CPT 16000 | $167.94 | $311.00 | $40.57 – $99.75 | 11 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $252.18 | $467.00 | $109.22 – $330.48 | 11 |
| Ghs inj tendon origin/insertion CPT 20551 | $120.96 | $224.00 | $32.25 – $86.25 | 11 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $132.03 | $244.50 | $51.97 – $149.76 | 11 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $410.94 | $761.00 | $114.44 – $282.75 | 11 |
| Ghs insertion of needle - bone CPT 36680 | $153.36 | $284.00 | $55.46 – $130.50 | 11 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $812.70 | $1,505.00 | $217.94 – $520.50 | 11 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $906.12 | $1,678.00 | $260.88 – $611.25 | 11 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $677.70 | $1,255.00 | $296.57 – $714.75 | 11 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $23.22 | $43.00 | $14.30 – $19.50 | 3 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $307.80 | $570.00 | $125.18 – $289.50 | 11 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $322.92 | $598.00 | $162.15 – $343.61 | 11 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $548.10 | $1,015.00 | $130.75 – $327.00 | 11 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $550.26 | $1,019.00 | $126.57 – $316.50 | 11 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $590.22 | $1,093.00 | $146.17 – $363.75 | 11 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $659.34 | $1,221.00 | $169.04 – $430.50 | 11 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $648.54 | $1,201.00 | $165.09 – $423.00 | 11 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $758.16 | $1,404.00 | $182.89 – $465.00 | 11 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $698.76 | $1,294.00 | $175.88 – $443.25 | 11 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $799.74 | $1,481.00 | $186.07 – $462.00 | 11 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $795.96 | $1,474.00 | $191.74 – $476.25 | 11 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $861.84 | $1,596.00 | $261.11 – $582.00 | 11 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,089.45 | $2,017.50 | $285.06 – $649.50 | 11 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $658.26 | $1,219.00 | $301.65 – $681.00 | 11 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $802.98 | $1,487.00 | $338.61 – $832.50 | 11 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $727.92 | $1,348.00 | $332.34 – $759.75 | 11 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $875.34 | $1,621.00 | $371.02 – $921.00 | 11 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $170.10 | $315.00 | $48.00 – $166.50 | 11 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.