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 |
|---|---|---|---|---|
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $2,799.09 | $5,183.50 | $1,214.38 – $2,975.25 | 11 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $82.62 | $153.00 | $30.49 – $72.00 | 11 |
| Prgrmg eval implantable dfb CPT 93282 | $110.16 | $204.00 | $40.07 – $94.32 | 11 |
| Prgrmg eval implantable dfb CPT 93283 | $139.32 | $258.00 | $53.98 – $124.50 | 11 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $385.29 | $713.50 | $153.42 – $428.25 | 11 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $260.55 | $482.50 | $114.53 – $291.75 | 11 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $132.57 | $245.50 | $72.54 – $216.00 | 11 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $196.29 | $363.50 | $105.01 – $222.53 | 11 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $112.86 | $209.00 | $69.23 – $153.00 | 11 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $69.66 | $129.00 | $43.26 – $91.67 | 11 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $449.82 | $833.00 | $169.75 – $390.75 | 11 |
| Pr incision & drainage abscess simple/single CPT 10060 | $268.92 | $498.00 | $99.02 – $215.25 | 11 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $304.02 | $563.00 | $114.08 – $257.25 | 11 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $318.60 | $590.00 | $100.59 – $220.50 | 11 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $405.00 | $750.00 | $48.00 – $377.65 | 11 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $299.16 | $554.00 | $48.00 – $261.00 | 11 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $27.54 | $51.00 | $10.72 – $48.00 | 11 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $1,360.80 | $2,520.00 | $559.81 – $1,285.50 | 11 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $743.58 | $1,377.00 | $1,377.00 – $1,377.00 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $21.06 | $39.00 | $4.19 – $48.00 | 6 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | $3,829.95 | $7,092.50 | $1,615.58 – $3,984.75 | 11 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $102.33 | $189.50 | $43.74 – $103.50 | 11 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $155.52 | $288.00 | $67.06 – $157.50 | 11 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $54.54 | $101.00 | $47.00 – $319.03 | 9 |
| Promethazine hcl injection HCPCS J2550 | $18.19 | $33.68 | $2.94 – $48.00 | 6 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $69.15 | $128.06 | $36.35 – $36.35 | 1 |
| Prostate ca screening; dre HCPCS G0102 | $29.16 | $54.00 | $7.58 – $51.00 | 9 |
| Prostatectomy (turp) CPT 52601 | $1,871.64 | $3,466.00 | $512.93 – $1,701.36 | 11 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $121.72 | $225.40 | $225.40 – $225.40 | 1 |
| Prothrombin complex kcentra HCPCS J7168 | $3.76 | $6.96 | $6.96 – $6.96 | 1 |
| Prp i/hern init block >5 yr CPT 49507 | $2,684.88 | $4,972.00 | $544.36 – $1,280.25 | 11 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $117.72 | $218.00 | $298.49 – $319.03 | 6 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | $781.38 | $1,447.00 | $536.26 – $1,168.50 | 11 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $1,666.98 | $3,087.00 | $730.16 – $1,650.75 | 11 |
| Pr removal drug delivery implant CPT 11982 | $229.50 | $425.00 | $60.80 – $196.56 | 11 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $222.75 | $412.50 | $40.61 – $102.96 | 11 |
| Pr removal intrauterine device CPT 58301 | $227.88 | $422.00 | $55.66 – $146.25 | 11 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $637.20 | $1,180.00 | $162.12 – $409.50 | 11 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $248.67 | $460.50 | $52.11 – $194.40 | 11 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $270.81 | $501.50 | $53.07 – $221.76 | 11 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $202.77 | $375.50 | $42.26 – $187.92 | 11 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $246.78 | $457.00 | $55.02 – $208.80 | 11 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $1,755.00 | $3,250.00 | $640.29 – $1,544.25 | 11 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $57.24 | $106.00 | $34.89 – $89.25 | 11 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $736.02 | $1,363.00 | $137.40 – $349.20 | 11 |
| Psychotherapy group therapy CPT 90853 | $37.80 | $70.00 | $24.28 – $58.32 | 11 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $105.84 | $196.00 | $48.00 – $146.98 | 11 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $139.32 | $258.00 | $48.00 – $194.17 | 11 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $206.28 | $382.00 | $48.00 – $286.16 | 11 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $97.20 | $180.00 | $48.00 – $138.00 | 11 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $123.12 | $228.00 | $48.00 – $174.75 | 11 |
| Psytx pt w/e&m 53+ min CPT 90838 | $163.08 | $302.00 | $48.00 – $230.96 | 11 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | $120.96 | $224.00 | $24.49 – $54.00 | 11 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $80.73 | $149.50 | $29.51 – $81.00 | 11 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $56.16 | $104.00 | $298.49 – $319.03 | 6 |
| Pulmonary vent imaging CPT 78579 | $85.32 | $158.00 | $18.75 – $51.00 | 11 |
| Pulse ox multiple CPT 94761 | $11.61 | $21.50 | $4.23 – $11.52 | 11 |
| Pulse ox single CPT 94760 | $6.48 | $12.00 | $3.89 – $8.24 | 11 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $41.31 | $76.50 | $12.82 – $33.75 | 11 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $297.00 | $550.00 | $89.75 – $203.25 | 11 |
| Puncture spinal lumbar diagnostic CPT 62270 | $303.48 | $562.00 | $55.87 – $146.88 | 11 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $145.26 | $269.00 | $31.71 – $87.00 | 11 |
| Quant diff pulm perf w/imaging CPT 78597 | $126.36 | $234.00 | $27.83 – $75.00 | 11 |
| Racepinephrine hcl soln nebu 2.25% (base equivalent) HCPCS J7699 | $1.35 | $2.50 | $2.50 – $51.00 | 6 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $137.70 | $255.00 | $30.01 – $87.84 | 11 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $173.34 | $321.00 | $37.87 – $109.44 | 11 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $185.76 | $344.00 | $41.28 – $111.75 | 11 |
| Radphm lcl tumor plr sgl day CPT 78800 | $112.32 | $208.00 | $25.50 – $68.25 | 11 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $68.04 | $126.00 | $57.00 – $57.00 | 1 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $146.88 | $272.00 | $272.00 – $272.00 | 1 |
| Reconstruct head of radius CPT 24366 | $1,443.42 | $2,673.00 | $615.86 – $1,478.25 | 11 |
| Reconstruction knee CPT 27427 | $1,496.88 | $2,772.00 | $643.00 – $1,539.75 | 11 |
| Reconstruction knee CPT 27428 | $2,550.69 | $4,723.50 | $1,006.70 – $2,415.00 | 11 |
| Reconstruction of nose CPT 30420 | $3,011.04 | $5,576.00 | $1,284.81 – $3,024.75 | 11 |
| Reconstruct shoulder joint CPT 23470 | $2,791.80 | $5,170.00 | $1,051.01 – $2,604.00 | 11 |
| Reconstruct shoulder joint CPT 23472 | $3,004.02 | $5,563.00 | $1,255.31 – $3,148.50 | 11 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $375.84 | $696.00 | $696.00 – $696.00 | 1 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $452.79 | $838.50 | $752.00 – $752.00 | 1 |
| Reduce bowel obstruction 44050 CPT 44050 | $1,919.70 | $3,555.00 | $842.07 – $2,043.75 | 11 |
| Reduce testis torsion CPT 54600 | $952.56 | $1,764.00 | $407.11 – $980.25 | 11 |
| Reduction of procidentia 45900 CPT 45900 | $441.18 | $817.00 | $203.24 – $460.50 | 11 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $462.78 | $857.00 | $810.81 – $810.81 | 1 |
| Reinforce hip bones CPT 27187 | $2,088.72 | $3,868.00 | $889.26 – $2,157.00 | 11 |
| Release of lower leg tendon CPT 27680 | $902.34 | $1,671.00 | $398.23 – $916.50 | 11 |
| Release palm contracture CPT 26123 | $1,783.62 | $3,303.00 | $759.77 – $1,803.00 | 11 |
| Release palm contracture CPT 26125 | $630.72 | $1,168.00 | $219.40 – $590.25 | 11 |
| Release thumb contracture CPT 26508 | $1,425.60 | $2,640.00 | $629.36 – $1,395.75 | 11 |
| Relieve bladder contracture CPT 52640 | $685.26 | $1,269.00 | $295.92 – $684.00 | 11 |
| Rem/biv cast full arm/leg CPT 29705 | $97.47 | $180.50 | $39.41 – $98.25 | 11 |
| Remote 30 day ecg rev/report CPT 93228 | $117.45 | $217.50 | $24.72 – $57.00 | 11 |
| Removal anal seton other marker 46030 CPT 46030 | $180.36 | $334.00 | $78.02 – $194.25 | 11 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $350.73 | $649.50 | $121.62 – $297.75 | 11 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $458.46 | $849.00 | $167.21 – $413.25 | 11 |
| Removal cerumen impacted (both sides) CPT 69210 | $150.66 | $279.00 | $26.34 – $72.00 | 11 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $132.30 | $245.00 | $298.49 – $319.03 | 6 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $250.56 | $464.00 | $113.42 – $254.25 | 11 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $199.80 | $370.00 | $85.65 – $207.75 | 11 |
| Removal foreign body foot cmplx CPT 28193 | $1,684.80 | $3,120.00 | $298.49 – $797.25 | 11 |
| Removal foreign body foot subcutaneous right CPT 28190 | $507.87 | $940.50 | $125.29 – $288.75 | 11 |
| Removal implant superficial separate procedure CPT 20670 | $735.48 | $1,362.00 | $136.98 – $313.50 | 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.