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 |
|---|---|---|---|---|
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $19.08 | $35.34 | $35.34 – $35.34 | 1 |
| Parathyroid planar imaging CPT 78070 | $138.78 | $257.00 | $30.57 – $84.24 | 11 |
| Parial mast w/lymph removal 19302 CPT 19302 | $1,868.40 | $3,460.00 | $831.42 – $1,965.00 | 11 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $147.96 | $274.00 | $13.39 – $43.92 | 11 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $424.44 | $786.00 | $176.65 – $426.00 | 11 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $1,340.28 | $2,482.00 | $298.49 – $966.96 | 11 |
| Partial hip replacement CPT 27125 | $2,621.43 | $4,854.50 | $1,000.22 – $2,454.00 | 11 |
| Partial hysterectomy CPT 58180 | $1,993.68 | $3,692.00 | $835.80 – $2,088.00 | 11 |
| Partial removal finger bone CPT 26235 | $753.84 | $1,396.00 | $451.93 – $1,065.00 | 11 |
| Partial removal finger bone CPT 26236 | $948.24 | $1,756.00 | $411.03 – $952.50 | 11 |
| Partial removal foot fascia CPT 28060 | $766.80 | $1,420.00 | $337.05 – $777.00 | 11 |
| Partial removal of foot bone CPT 28288 | $928.80 | $1,720.00 | $408.97 – $934.50 | 11 |
| Partial removal of thyroid CPT 60220 | $1,651.59 | $3,058.50 | $618.35 – $1,525.50 | 11 |
| Partial removal of toe CPT 28160 | $572.40 | $1,060.00 | $251.18 – $576.75 | 11 |
| Partial thyroid excision CPT 60210 | $1,471.50 | $2,725.00 | $623.87 – $1,530.00 | 11 |
| Part removal of metatarsal CPT 28110 | $631.26 | $1,169.00 | $277.16 – $626.25 | 11 |
| Part removal of metatarsal CPT 28113 | $1,472.58 | $2,727.00 | $399.79 – $913.50 | 11 |
| Part removal of metatarsal 28112 CPT 28112 | $1,115.91 | $2,066.50 | $291.55 – $675.00 | 11 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $5,275.53 | $9,769.50 | $9,769.50 – $9,769.50 | 1 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $3,159.00 | $5,850.00 | $5,850.00 – $5,850.00 | 1 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $215.46 | $399.00 | $47.06 – $129.75 | 11 |
| Pelvic CT scan (with contrast) CPT 72193 | $205.20 | $380.00 | $44.79 – $123.00 | 11 |
| Pelvic CT scan (without contrast) CPT 72192 | $192.24 | $356.00 | $41.75 – $115.50 | 11 |
| Pelvic MRI (with and without contrast) CPT 72197 | $387.72 | $718.00 | $85.13 – $232.50 | 11 |
| Pelvic MRI (with contrast) CPT 72196 | $307.26 | $569.00 | $66.74 – $184.50 | 11 |
| Pelvic MRI (without contrast) CPT 72195 | $258.66 | $479.00 | $56.13 – $156.00 | 11 |
| Pelvic Ultrasound (complete) CPT 76856 | $394.20 | $730.00 | $31.97 – $72.75 | 11 |
| Pelvic Ultrasound (limited) CPT 76857 | $181.44 | $336.00 | $23.39 – $52.50 | 11 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $6,127.38 | $11,347.00 | $100.00 – $100.00 | 1 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $81.54 | $151.00 | $79.00 – $79.00 | 1 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $645.67 | $1,195.68 | $9.72 – $48.00 | 6 |
| Penile injection CPT 54235 | $192.78 | $357.00 | $66.55 – $157.50 | 11 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $231.82 | $429.29 | $429.29 – $429.29 | 1 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $648.67 | $1,201.24 | $1,201.24 – $1,201.24 | 1 |
| Perq skel fix ulnar styld fx CPT 25651 | $1,093.77 | $2,025.50 | $461.43 – $1,053.75 | 11 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $7,660.77 | $14,186.62 | $24.00 – $24.00 | 1 |
| Pet CT skull-mid thgh initial CPT 78815 | $421.20 | $780.00 | $92.02 – $252.75 | 11 |
| Pet CT whole body initial CPT 78816 | $424.44 | $786.00 | $93.44 – $256.32 | 11 |
| Pet image w/ct lmtd CPT 78814 | $379.62 | $703.00 | $82.75 – $226.08 | 11 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $44.28 | $82.00 | $298.49 – $319.03 | 6 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $76.14 | $141.00 | $28.85 – $82.50 | 11 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $24.30 | $45.00 | $298.49 – $319.03 | 6 |
| Phalangectomy ea toe 28150 CPT 28150 | $883.71 | $1,636.50 | $260.82 – $600.75 | 11 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $116.97 | $216.61 | $216.61 – $216.61 | 1 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $21.06 | $39.00 | $39.00 – $39.00 | 1 |
| Phlebotomy therapeutic CPT 99195 | $184.68 | $342.00 | $65.00 – $213.75 | 11 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $1,757.70 | $3,255.00 | $234.47 – $866.88 | 11 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $100.93 | $186.91 | $95.85 – $95.85 | 1 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $966.60 | $1,790.00 | $418.54 – $981.75 | 11 |
| Pin finger dislocation CPT 26776 | $970.38 | $1,797.00 | $424.69 – $963.00 | 11 |
| Pin finger fracture each CPT 26756 | $914.76 | $1,694.00 | $405.26 – $909.00 | 11 |
| Pin hand dislocation CPT 26676 | $1,098.90 | $2,035.00 | $477.31 – $1,090.50 | 11 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $26.27 | $48.65 | $39.00 – $39.00 | 1 |
| Place duod/jej tube perc CPT 49441 | $515.16 | $954.00 | $210.21 – $524.25 | 11 |
| Place gastrostomy tube perc CPT 49440 | $417.96 | $774.00 | $173.95 – $473.76 | 11 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $311.58 | $577.00 | $48.00 – $217.50 | 11 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $265.68 | $492.00 | $48.00 – $186.75 | 11 |
| Placement of seton CPT 46020 | $342.09 | $633.50 | $107.17 – $511.50 | 11 |
| Platelets each unit HCPCS P9019 | $163.35 | $302.50 | $302.50 – $302.50 | 1 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $224.91 | $416.50 | $416.50 – $416.50 | 1 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $1,015.20 | $1,880.00 | $1,880.00 – $1,880.00 | 1 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,015.20 | $1,880.00 | $1,880.00 – $1,880.00 | 1 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,060.29 | $1,963.50 | $1,880.00 – $1,880.00 | 1 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,015.20 | $1,880.00 | $1,880.00 – $1,880.00 | 1 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $201.96 | $374.00 | $48.00 – $184.50 | 11 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $30.78 | $57.00 | $11.91 – $48.00 | 11 |
| Pm device progr eval dual CPT 93280 | $111.78 | $207.00 | $36.40 – $86.40 | 11 |
| Pm device progr eval multi CPT 93281 | $110.16 | $204.00 | $40.40 – $100.80 | 11 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $314.01 | $581.50 | $122.68 – $362.88 | 11 |
| Postpartum Care Only CPT 59430 | $540.00 | $1,000.00 | $152.44 – $323.04 | 11 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $69.50 | $128.70 | $38.51 – $38.51 | 1 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,487.70 | $2,755.00 | $685.95 – $1,453.60 | 11 |
| Pr application of long arm splint CPT 29105 | $178.20 | $330.00 | $36.03 – $109.44 | 11 |
| Pr application splint static short arm CPT 29125 | $145.26 | $269.00 | $40.10 – $84.98 | 11 |
| Pr biopsy skin punch single lesion CPT 11104 | $258.66 | $479.00 | $37.15 – $105.00 | 11 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $1,270.08 | $2,352.00 | $549.81 – $1,305.00 | 11 |
| Pr correction hammertoe CPT 28285 | $955.26 | $1,769.00 | $363.93 – $820.50 | 11 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $31.05 | $57.50 | $10.48 – $26.25 | 11 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $700.38 | $1,297.00 | $135.90 – $334.50 | 11 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $188.46 | $349.00 | $30.55 – $78.75 | 11 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $115.56 | $214.00 | $73.54 – $155.84 | 11 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $226.26 | $419.00 | $104.84 – $226.50 | 11 |
| Pr ecg 12 lead report only CPT 93010 | $41.31 | $76.50 | $8.24 – $18.00 | 11 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $117.45 | $217.50 | $17.58 – $56.88 | 11 |
| Prednisone 1 mg tablet HCPCS J7512 | $2.29 | $4.23 | $2.02 – $2.02 | 1 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $509.49 | $943.50 | $172.92 – $483.84 | 11 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $506.52 | $938.00 | $46.55 – $105.75 | 11 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $440.10 | $815.00 | $45.88 – $105.75 | 11 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $165.78 | $307.00 | $128.05 – $319.03 | 9 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $1,153.44 | $2,136.00 | $298.49 – $782.88 | 11 |
| Prenatal Care Only (7+ visits) CPT 59426 | $2,109.24 | $3,906.00 | $298.49 – $1,435.41 | 11 |
| Prep skin to 100cm2 other CPT 15004 | $743.04 | $1,376.00 | $222.41 – $573.75 | 11 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $453.60 | $840.00 | $190.39 – $483.75 | 11 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $250.56 | $464.00 | $48.00 – $333.93 | 11 |
| Preventive counseling group CPT 99411 | $22.41 | $41.50 | $298.49 – $319.03 | 6 |
| Preventive counseling group CPT 99412 | $29.70 | $55.00 | $298.49 – $319.03 | 6 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $219.78 | $407.00 | $298.49 – $319.03 | 6 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $266.22 | $493.00 | $74.91 – $175.50 | 11 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $471.42 | $873.00 | $148.12 – $349.50 | 11 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $447.93 | $829.50 | $92.65 – $319.68 | 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.