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 |
|---|---|---|---|---|
| Inj w/fluor eval cv device CPT 36598 | $113.40 | $210.00 | $29.68 – $179.40 | 11 |
| Ins cerv dilator (sep proc) CPT 59200 | $273.78 | $507.00 | $298.49 – $319.03 | 6 |
| Insert and remove bone pin CPT 20650 | $355.86 | $659.00 | $155.93 – $340.50 | 11 |
| Insert cath pleura with image CPT 32557 | $505.44 | $936.00 | $48.00 – $330.00 | 11 |
| Insert cath pleura without image CPT 32556 | $318.06 | $589.00 | $48.00 – $267.00 | 11 |
| Insert drug delivery implant CPT 11981 | $210.06 | $389.00 | $52.65 – $160.56 | 11 |
| Insert intrauterine device iud CPT 58300 | $162.54 | $301.00 | $89.05 – $319.03 | 9 |
| Insertion catheter bladder non indwelling CPT 51701 | $92.34 | $171.00 | $21.34 – $57.00 | 11 |
| Insertion catheter bladder temporary simple CPT 51702 | $167.67 | $310.50 | $22.00 – $61.92 | 11 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $517.05 | $957.50 | $176.16 – $448.56 | 11 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $397.44 | $736.00 | $75.16 – $238.32 | 11 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $291.06 | $539.00 | $82.85 – $204.75 | 11 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $261.90 | $485.00 | $48.00 – $183.75 | 11 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $405.27 | $750.50 | $134.09 – $364.32 | 11 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $927.45 | $1,717.50 | $290.20 – $730.50 | 11 |
| Insert pessary/other device CPT 57160 | $154.44 | $286.00 | $298.49 – $319.03 | 6 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $204.66 | $379.00 | $48.00 – $196.50 | 11 |
| Ins pq tunnld ip cath w/img CPT 49418 | $410.94 | $761.00 | $48.00 – $449.15 | 11 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $244.89 | $453.50 | $36.96 – $173.52 | 11 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $1,935.90 | $3,585.00 | $295.17 – $693.75 | 11 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $598.05 | $1,107.50 | $225.88 – $568.08 | 11 |
| Ins tun intraperit dia cath CPT 49421 | $645.84 | $1,196.00 | $196.39 – $706.32 | 11 |
| Interrog evl pm/ldls pm ip CPT 93288 | $54.00 | $100.00 | $19.92 – $48.24 | 11 |
| Int hrhc lig 1 hroid without img CPT 46945 | $722.52 | $1,338.00 | $306.15 – $727.68 | 11 |
| Int hrhc lig 2+hroid without img CPT 46946 | $804.06 | $1,489.00 | $329.55 – $814.50 | 11 |
| Intranasal biopsy 30100 CPT 30100 | $291.60 | $540.00 | $59.73 – $143.25 | 11 |
| Intubation endotracheal emergency procedure CPT 31500 | $382.05 | $707.50 | $128.10 – $310.50 | 11 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $37,551.75 | $69,540.27 | $249.00 – $249.00 | 1 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $235.44 | $436.00 | $186.55 – $246.75 | 3 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $340.74 | $631.00 | $268.45 – $359.25 | 3 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $468.72 | $868.00 | $334.75 – $432.00 | 3 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $112.32 | $208.00 | $126.10 – $159.75 | 3 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $209.96 | $388.82 | $42.00 – $42.00 | 1 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $47.52 | $88.00 | $88.00 – $88.00 | 1 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $65.23 | $120.80 | $13.00 – $13.00 | 1 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $113.64 | $210.44 | $210.44 – $210.44 | 1 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $37.80 | $70.00 | $21.22 – $45.75 | 11 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $117.72 | $218.00 | $66.50 – $150.00 | 11 |
| IV njx tst vasc flo flap/grf CPT 15860 | $240.03 | $444.50 | $89.45 – $234.75 | 11 |
| Ivp w/nephrotomography CPT 74415 | $86.40 | $160.00 | $22.39 – $51.75 | 11 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $86.94 | $161.00 | $22.39 – $51.75 | 11 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $78.84 | $146.00 | $146.00 – $146.00 | 1 |
| J-tube placement CPT 44015 | $301.05 | $557.50 | $120.36 – $311.25 | 11 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $21.06 | $39.00 | $0.64 – $48.00 | 6 |
| Kidney imaging morphology CPT 78700 | $77.76 | $144.00 | $16.85 – $46.50 | 11 |
| Kidney imag w/bld flow multi CPT 78709 | $243.54 | $451.00 | $53.01 – $144.75 | 11 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $164.16 | $304.00 | $36.45 – $99.75 | 11 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $130.14 | $241.00 | $33.64 – $78.00 | 11 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $1,313.82 | $2,433.00 | $569.34 – $1,343.25 | 11 |
| Knee arthroscopy/drainage CPT 29871 | $1,094.04 | $2,026.00 | $477.02 – $1,110.75 | 11 |
| Knee arthroscopy dx CPT 29870 | $1,321.92 | $2,448.00 | $388.81 – $885.75 | 11 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $1,489.32 | $2,758.00 | $500.86 – $1,179.36 | 11 |
| Knee arthroscopy/surgery CPT 29874 | $1,135.08 | $2,102.00 | $491.04 – $1,163.25 | 11 |
| Knee arthroscopy/surgery CPT 29875 | $1,053.54 | $1,951.00 | $460.42 – $1,073.25 | 11 |
| Knee arthroscopy/surgery CPT 29876 | $1,379.70 | $2,555.00 | $596.28 – $1,413.75 | 11 |
| Knee arthroscopy/surgery CPT 29879 | $1,398.06 | $2,589.00 | $604.13 – $1,431.75 | 11 |
| Knee arthroscopy/surgery CPT 29880 | $1,431.81 | $2,651.50 | $517.52 – $1,266.48 | 11 |
| Knee arthroscopy/surgery CPT 29882 | $1,452.06 | $2,689.00 | $622.45 – $1,498.50 | 11 |
| Knee arthroscopy/surgery CPT 29883 | $1,934.01 | $3,581.50 | $760.73 – $1,821.00 | 11 |
| Knee arthroscopy/surgery CPT 29888 | $2,071.44 | $3,836.00 | $860.96 – $2,124.00 | 11 |
| Knee MRI (with and without contrast) CPT 73723 | $549.72 | $1,018.00 | $83.22 – $228.00 | 11 |
| Knee MRI (with contrast) CPT 73722 | $287.82 | $533.00 | $63.14 – $174.00 | 11 |
| Knee MRI (without contrast) CPT 73721 | $441.99 | $818.50 | $52.73 – $144.00 | 11 |
| Knee X-ray CPT 73564 | $173.34 | $321.00 | $10.91 – $24.00 | 11 |
| Kyleena, 19.5 mg HCPCS J7296 | $589.68 | $1,092.00 | $47.00 – $1,146.60 | 6 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $49.14 | $91.00 | $15.49 – $40.50 | 11 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | $39.69 | $73.50 | $12.49 – $33.00 | 11 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $23.70 | $43.89 | $43.89 – $43.89 | 1 |
| Lactated ringers intravenous solution HCPCS J7120 | $21.20 | $39.26 | $39.26 – $39.26 | 1 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $60.48 | $112.00 | $112.00 – $112.00 | 1 |
| Laparo-asst vag hysterectomy CPT 58550 | $1,891.89 | $3,503.50 | $759.77 – $1,919.25 | 11 |
| Laparo cholecystectomy/graph CPT 47563 | $1,596.78 | $2,957.00 | $654.37 – $1,566.75 | 11 |
| Laparo partial colectomy 44204 CPT 44204 | $3,524.58 | $6,527.00 | $1,354.71 – $3,352.50 | 11 |
| Laparo radical nephrectomy CPT 50545 | $3,072.60 | $5,690.00 | $1,153.80 – $2,899.50 | 11 |
| Laparoscopic myomectomy CPT 58545 | $1,925.91 | $3,566.50 | $778.77 – $1,955.25 | 11 |
| Laparoscopic nephrectomy CPT 50546 | $2,681.37 | $4,965.50 | $1,048.75 – $2,608.50 | 11 |
| Laparoscopy aspiration CPT 49322 | $1,567.08 | $2,902.00 | $340.85 – $813.75 | 11 |
| Laparoscopy biopsy CPT 49321 | $730.62 | $1,353.00 | $316.39 – $751.50 | 11 |
| Laparoscopy excise lesions CPT 58662 | $1,514.16 | $2,804.00 | $623.13 – $1,547.25 | 11 |
| Laparoscopy lysis CPT 58660 | $1,446.93 | $2,679.50 | $603.41 – $1,473.75 | 11 |
| Laparoscopy remove adnexa CPT 58661 | $2,770.20 | $5,130.00 | $564.47 – $1,414.50 | 11 |
| Laparoscopy tubal block 58671 CPT 58671 | $773.82 | $1,433.00 | $322.46 – $800.25 | 11 |
| Laparo-vag hyst incl t/o CPT 58552 | $2,104.65 | $3,897.50 | $846.58 – $2,139.00 | 11 |
| Laparo-vag hyst w/t/o compl CPT 58554 | $2,833.38 | $5,247.00 | $1,119.73 – $2,859.75 | 11 |
| Lap colectomy part w/ileum 44205 CPT 44205 | $2,854.17 | $5,285.50 | $1,177.45 – $2,911.50 | 11 |
| Lap enterolysis CPT 44180 | $1,950.75 | $3,612.50 | $825.86 – $2,009.25 | 11 |
| Lap ing hernia repair recur CPT 49651 | $1,760.40 | $3,260.00 | $527.96 – $1,221.00 | 11 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | $380.70 | $705.00 | $157.95 – $407.25 | 11 |
| Lap rmvl gastr adj device CPT 43772 | $1,950.48 | $3,612.00 | $854.42 – $2,081.25 | 11 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $332.64 | $616.00 | $133.68 – $342.00 | 11 |
| Laryngoscopy w/biopsy CPT 31535 | $393.12 | $728.00 | $157.35 – $404.25 | 11 |
| Laryngoscopy w/bx & op scope CPT 31536 | $476.01 | $881.50 | $173.98 – $450.00 | 11 |
| Laryngoscopy w/exc of tumor CPT 31540 | $511.38 | $947.00 | $199.45 – $516.75 | 11 |
| Laryngoscopy w/fb removal CPT 31530 | $430.38 | $797.00 | $167.77 – $427.50 | 11 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $231.66 | $429.00 | $98.82 – $235.50 | 11 |
| Larynscop w/tumr exc + scope CPT 31541 | $543.78 | $1,007.00 | $216.88 – $564.00 | 11 |
| Laser surgery of prostate CPT 52648 | $1,448.82 | $2,683.00 | $515.17 – $1,495.50 | 11 |
| Lat retinacular release open CPT 27425 | $973.08 | $1,802.00 | $430.96 – $972.00 | 11 |
| Lavh >250 gms 58553 CPT 58553 | $2,313.90 | $4,285.00 | $950.76 – $2,452.50 | 11 |
| Lb with mastopexy 15839 CPT 15839 | $1,548.18 | $2,867.00 | $661.80 – $1,593.00 | 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.