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 |
|---|---|---|---|---|
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | $2,178.63 | $4,034.50 | $928.37 – $2,269.50 | 11 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $5,204.77 | $9,638.47 | $133.00 – $133.00 | 1 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $69.12 | $128.00 | $127.00 – $127.00 | 1 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $2,549.34 | $4,721.00 | $677.00 – $677.00 | 1 |
| Implant hormone pellet(s) 11980 CPT 11980 | $197.10 | $365.00 | $298.49 – $319.03 | 6 |
| Inactivated je vacc im CPT 90738 | $184.68 | $342.00 | $47.00 – $410.40 | 5 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | $1,095.66 | $2,029.00 | $481.46 – $1,105.50 | 11 |
| Incise inner ear CPT 69801 | $506.52 | $938.00 | $298.49 – $319.03 | 6 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $355.86 | $659.00 | $113.26 – $255.75 | 11 |
| Incision of anal sphincter CPT 46080 | $501.66 | $929.00 | $144.90 – $345.00 | 11 |
| Incision of breast lesion CPT 19020 | $923.13 | $1,709.50 | $306.54 – $669.75 | 11 |
| Incision of eardrum CPT 69420 | $399.60 | $740.00 | $108.34 – $254.25 | 11 |
| Incision of eardrum CPT 69421 | $883.44 | $1,636.00 | $135.18 – $315.75 | 11 |
| Incision of finger tendon CPT 26455 | $976.86 | $1,809.00 | $450.83 – $955.35 | 11 |
| Incision of foot fascia CPT 28008 | $629.64 | $1,166.00 | $271.51 – $636.75 | 11 |
| Incision of foot tendon 28234 CPT 28234 | $581.04 | $1,076.00 | $256.66 – $571.50 | 11 |
| Incision of metatarsal CPT 28306 | $1,405.08 | $2,602.00 | $376.99 – $866.25 | 11 |
| Incision of metatarsal CPT 28308 | $827.82 | $1,533.00 | $364.32 – $822.75 | 11 |
| Incision of palm tendon CPT 26450 | $983.88 | $1,822.00 | $450.83 – $955.35 | 11 |
| Incision of rectal abscess CPT 46060 | $1,028.16 | $1,904.00 | $478.78 – $1,043.25 | 11 |
| Incision of spinal nerve 64772 CPT 64772 | $1,172.88 | $2,172.00 | $501.34 – $1,220.25 | 11 |
| Incision of tendon & muscle CPT 23405 | $1,299.24 | $2,406.00 | $558.04 – $1,341.00 | 11 |
| Incision of tendon sheath CPT 25000 | $749.52 | $1,388.00 | $333.00 – $730.50 | 11 |
| Incision of toe tendons 28011 CPT 28011 | $676.08 | $1,252.00 | $260.02 – $607.50 | 11 |
| Incision of tongue fold CPT 41010 | $446.04 | $826.00 | $100.71 – $231.75 | 11 |
| Incision of urethra CPT 53020 | $200.88 | $372.00 | $84.01 – $210.00 | 11 |
| Incision tendon sheath CPT 26055 | $1,231.74 | $2,281.00 | $281.16 – $623.25 | 11 |
| Incisn of toe tndn CPT 28010 | $501.12 | $928.00 | $195.12 – $449.25 | 11 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $1,327.08 | $2,457.55 | $246.00 – $246.00 | 1 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,195.72 | $2,214.30 | $2,214.30 – $2,214.30 | 1 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $23.22 | $43.00 | $45.15 – $51.60 | 5 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | $182.79 | $338.50 | $66.62 – $141.17 | 9 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | $200.34 | $371.00 | $73.09 – $154.89 | 9 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $190.35 | $352.50 | $69.52 – $147.32 | 9 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $118.53 | $219.50 | $70.18 – $191.25 | 11 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $212.76 | $394.00 | $170.95 – $319.03 | 9 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $2.86 | $5.30 | $5.30 – $5.30 | 1 |
| Inj alymsys 10 mg HCPCS Q5126 | $3,725.22 | $6,898.56 | $2,143.48 – $2,143.48 | 1 |
| Inj, brixadi, 7 days or less HCPCS J0577 | $760.91 | $1,409.10 | $1,409.10 – $1,409.10 | 1 |
| Inj brixadi, more than 7 day HCPCS J0578 | $3,043.66 | $5,636.40 | $5,636.40 – $5,636.40 | 1 |
| Inj, bupivacaine liposome HCPCS J0666 | $697.54 | $1,291.74 | $781.78 – $781.78 | 1 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $136.62 | $253.00 | $33.25 – $88.50 | 11 |
| Inj disk cerv-thor ea lev CPT 62291 | $357.21 | $661.50 | $131.10 – $342.75 | 11 |
| Inj dx for sinogram CPT 20501 | $116.64 | $216.00 | $30.35 – $82.50 | 11 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $172.26 | $319.00 | $48.00 – $177.00 | 11 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $184.95 | $342.50 | $56.25 – $150.00 | 11 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $173.34 | $321.00 | $47.69 – $123.75 | 11 |
| Injection, daratumumab 10 mg HCPCS J9145 | $3,600.00 | $6,666.67 | $111.00 – $111.00 | 1 |
| Injection epidural blood patch or clot CPT 62273 | $354.78 | $657.00 | $100.02 – $244.50 | 11 |
| Injection for arthrography wrist (both sides) CPT 25246 | $229.50 | $425.00 | $60.03 – $160.50 | 11 |
| Injection for bladder x-ray CPT 51600 | $146.07 | $270.50 | $36.49 – $96.00 | 11 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $119.07 | $220.50 | $41.17 – $110.25 | 11 |
| Injection, fulvestrant HCPCS J9395 | $1,177.98 | $2,181.45 | $212.00 – $212.00 | 1 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $5,464.92 | $10,120.23 | $10,120.23 – $10,120.23 | 1 |
| Injection, necitumumab, 1 mg HCPCS J9295 | $2.86 | $5.30 | $5.30 – $5.30 | 1 |
| Injection,onabotulinumtoxina HCPCS J0585 | $8.64 | $16.00 | $6.14 – $48.00 | 6 |
| Injection, renflexis HCPCS Q5104 | $951.99 | $1,762.94 | $1,762.94 – $1,762.94 | 1 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $191.43 | $354.50 | $59.55 – $131.76 | 11 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $156.06 | $289.00 | $37.67 – $136.08 | 11 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $349.92 | $648.00 | $97.72 – $240.75 | 11 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $185.22 | $343.00 | $48.00 – $129.75 | 11 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $451.98 | $837.00 | $48.00 – $228.00 | 11 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $158.76 | $294.00 | $42.93 – $111.75 | 11 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $376.65 | $697.50 | $48.00 – $193.50 | 11 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $335.88 | $622.00 | $48.00 – $231.75 | 11 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $311.04 | $576.00 | $48.00 – $214.50 | 11 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $122.04 | $226.00 | $32.48 – $84.75 | 11 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $109.62 | $203.00 | $35.00 – $83.25 | 11 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $126.36 | $234.00 | $39.90 – $93.75 | 11 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $33.21 | $61.50 | $15.55 – $47.52 | 11 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $83.43 | $154.50 | $37.42 – $108.72 | 11 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $27.00 | $50.00 | $15.23 – $41.76 | 11 |
| Inject sacroiliac joint CPT 27096 | $396.90 | $735.00 | $72.34 – $179.25 | 11 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $331.56 | $614.00 | $298.49 – $319.03 | 6 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $176.31 | $326.50 | $48.00 – $182.25 | 11 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $15,102.48 | $27,967.56 | $27,967.56 – $27,967.56 | 1 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $10.80 | $20.00 | $20.00 – $20.00 | 1 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | $18.36 | $34.00 | $34.00 – $51.00 | 6 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $120.96 | $224.00 | $23.53 – $65.25 | 11 |
| Inj intralesional > 7 lsns CPT 11901 | $147.42 | $273.00 | $298.49 – $319.03 | 6 |
| Inj ivig privigen 500 mg HCPCS J1459 | $5,856.26 | $10,844.93 | $130.00 – $130.00 | 1 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | $3.83 | $7.09 | $7.09 – $7.09 | 1 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $26.94 | $49.88 | $39.00 – $39.00 | 1 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $146.88 | $272.00 | $53.56 – $113.50 | 9 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $28.43 | $52.65 | $39.00 – $39.00 | 1 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $137.70 | $255.00 | $48.00 – $141.00 | 11 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | $8,235.38 | $15,250.71 | $15,250.71 – $15,250.71 | 1 |
| Inj ogivri 10 mg HCPCS Q5114 | $1,218.90 | $2,257.22 | $153.90 – $153.90 | 1 |
| Inj proc ankle arthr CPT 27648 | $159.30 | $295.00 | $42.34 – $114.00 | 11 |
| Inj proc elbow arthro CPT 24220 | $186.57 | $345.50 | $54.79 – $146.25 | 11 |
| Inj proc myelogram lumbar CPT 62284 | $264.06 | $489.00 | $70.16 – $187.50 | 11 |
| Inj retro urethrocysto CPT 51610 | $170.10 | $315.00 | $56.51 – $138.75 | 11 |
| Inj secretin synthetic human HCPCS J2850 | $18.90 | $35.00 | $35.00 – $35.00 | 1 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $2,672.51 | $4,949.10 | $4,949.10 – $4,949.10 | 1 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $204.12 | $378.00 | $47.00 – $319.03 | 9 |
| Inj testosterone cypionate HCPCS J1071 | $53.35 | $98.80 | $98.80 – $98.80 | 1 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $182.79 | $338.50 | $66.62 – $141.17 | 9 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $164.16 | $304.00 | $60.04 – $127.23 | 9 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $2,474.64 | $4,582.66 | $2,700.00 – $2,700.00 | 1 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | $3,511.64 | $6,503.04 | $2,137.50 – $2,137.50 | 1 |
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.