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 |
|---|---|---|---|---|
| Appl unipln uni ext fixj sys CPT 20690 | $1,346.22 | $2,493.00 | $412.75 – $1,291.50 | 11 |
| Apply forearm splintdynamic 29126 CPT 29126 | $104.76 | $194.00 | $44.45 – $105.00 | 11 |
| Apply hand/wrist cast 29085 CPT 29085 | $209.52 | $388.00 | $61.76 – $144.00 | 11 |
| Apply short leg castambul type 29425 CPT 29425 | $163.62 | $303.00 | $50.12 – $132.48 | 11 |
| App topical fluoride varnish CPT 99188 | $9.18 | $17.00 | $298.49 – $319.03 | 6 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $795.33 | $1,472.84 | $1,472.84 – $1,472.84 | 1 |
| Arterial blood draw/perc 36620 CPT 36620 | $124.74 | $231.00 | $39.93 – $100.08 | 11 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $297.54 | $551.00 | $78.15 – $183.75 | 11 |
| Arthrd wrst iliac/oth agrft CPT 25810 | $1,999.62 | $3,703.00 | $770.79 – $1,874.25 | 11 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $180.36 | $334.00 | $31.24 – $81.00 | 11 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $184.68 | $342.00 | $48.00 – $129.75 | 11 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $169.56 | $314.00 | $30.57 – $78.00 | 11 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $204.12 | $378.00 | $38.42 – $99.00 | 11 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $1,549.53 | $2,869.50 | $620.35 – $1,459.50 | 11 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | $1,091.61 | $2,021.50 | $448.27 – $1,033.50 | 11 |
| Arthrotomy hip w/drainage CPT 27030 | $1,959.66 | $3,629.00 | $831.48 – $2,034.00 | 11 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | $1,903.23 | $3,524.50 | $723.05 – $1,791.00 | 11 |
| Arthrt ac sc jt exp/rmvl fb CPT 23044 | $1,183.14 | $2,191.00 | $525.87 – $1,224.75 | 11 |
| Arthrt gh jt expl/drg/rmv fb CPT 23040 | $1,514.70 | $2,805.00 | $652.43 – $1,553.25 | 11 |
| Arthrt rdcrpl/midcarpl jt CPT 25040 | $1,189.62 | $2,203.00 | $509.42 – $1,213.50 | 11 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $1,531.98 | $2,837.00 | $141.76 – $1,243.44 | 11 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $307.80 | $570.00 | $122.54 – $416.65 | 11 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $137.16 | $254.00 | $35.80 – $89.25 | 11 |
| Aspirate pleura without imaging 32554 CPT 32554 | $449.82 | $833.00 | $48.00 – $194.25 | 11 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $231.12 | $428.00 | $48.00 – $155.25 | 9 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $216.54 | $401.00 | $40.63 – $106.50 | 11 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $41.04 | $76.00 | $76.00 – $76.00 | 1 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $26.34 | $48.78 | $48.78 – $48.78 | 1 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $104.76 | $194.00 | $62.29 – $158.25 | 11 |
| Audiometry air + bone CPT 92553 | $80.46 | $149.00 | $47.45 – $103.43 | 11 |
| Auditory function 60 min CPT 92620 | $165.24 | $306.00 | $298.49 – $319.03 | 6 |
| Autgrft implnt knee w/scope CPT 29866 | $2,211.84 | $4,096.00 | $947.56 – $2,274.75 | 11 |
| Autolog prp diab wound ulcer HCPCS G0465 | $1,433.70 | $2,655.00 | $298.49 – $319.03 | 6 |
| Avul nail plate addl CPT 11732 | $72.09 | $133.50 | $14.73 – $58.32 | 11 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $240.84 | $446.00 | $47.92 – $117.75 | 11 |
| Azacitidine injection HCPCS J9025 | $83.11 | $153.90 | $13.00 – $13.00 | 1 |
| Azathioprine 50 mg tablet HCPCS J7500 | $1.71 | $3.17 | $3.17 – $3.17 | 1 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $22.11 | $40.95 | $40.95 – $40.95 | 1 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $379.08 | $702.00 | $158.69 – $393.75 | 11 |
| Basic vestibular evaluation CPT 92540 | $202.50 | $375.00 | $48.00 – $169.50 | 11 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $1,458.00 | $2,700.00 | $2,700.00 – $2,700.00 | 1 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $49.14 | $91.00 | $90.00 – $90.00 | 1 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | $30.24 | $56.00 | $56.00 – $56.00 | 1 |
| Benign lesion paring 2-4 CPT 11056 | $171.72 | $318.00 | $19.30 – $61.92 | 11 |
| Benign lesion paring 4+ CPT 11057 | $187.38 | $347.00 | $24.88 – $80.64 | 11 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $64.26 | $119.00 | $6.82 – $48.00 | 6 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $90.18 | $167.00 | $165.00 – $165.00 | 1 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $3,617.00 | $6,698.14 | $2,137.50 – $2,137.50 | 1 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $3,179.87 | $5,888.64 | $5,888.64 – $5,888.64 | 1 |
| Bilateral n block inj occipital 64405 CPT 64405 | $120.15 | $222.50 | $43.98 – $136.80 | 11 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $233.82 | $433.00 | $45.28 – $117.36 | 11 |
| Bile duct endoscopy add-on 47550 CPT 47550 | $349.11 | $646.50 | $137.82 – $360.75 | 11 |
| Biopsy abdominal mass CPT 49180 | $245.43 | $454.50 | $69.32 – $182.25 | 11 |
| Biopsy, bone open deep CPT 20245 | $707.40 | $1,310.00 | $292.57 – $1,158.48 | 11 |
| Biopsy bone trocar/needle superficial CPT 20220 | $273.24 | $506.00 | $74.73 – $191.25 | 11 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $315.36 | $584.00 | $66.30 – $162.75 | 11 |
| Biopsy external ear 69100 CPT 69100 | $198.72 | $368.00 | $36.68 – $102.75 | 11 |
| Biopsy eyelid & lid margin CPT 67810 | $390.96 | $724.00 | $298.49 – $319.03 | 6 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $157.41 | $291.50 | $48.00 – $168.00 | 11 |
| Biopsy lower leg soft tissue CPT 27613 | $574.56 | $1,064.00 | $147.43 – $345.00 | 11 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | $1,362.96 | $2,524.00 | $592.27 – $1,403.25 | 11 |
| Biopsy muscle percutaneous needle CPT 20206 | $179.28 | $332.00 | $49.95 – $125.25 | 11 |
| Biopsy needle liver percutaneous CPT 47000 | $274.32 | $508.00 | $74.73 – $198.00 | 11 |
| Biopsy needle lymph node superficial CPT 38505 | $361.26 | $669.00 | $73.06 – $154.82 | 11 |
| Biopsy of lip 40490 CPT 40490 | $256.50 | $475.00 | $298.49 – $319.03 | 6 |
| Biopsy of nail unit 11755 CPT 11755 | $255.96 | $474.00 | $298.49 – $319.03 | 6 |
| Biopsy of penis 54100 CPT 54100 | $255.96 | $474.00 | $101.75 – $262.50 | 11 |
| Biopsy of salivary gland 42400 CPT 42400 | $111.24 | $206.00 | $46.89 – $115.50 | 11 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | $639.36 | $1,184.00 | $197.20 – $486.00 | 11 |
| Biopsy of upper nose/throat CPT 42804 | $450.90 | $835.00 | $110.85 – $245.25 | 11 |
| Biopsy of urethra CPT 53200 | $334.26 | $619.00 | $124.03 – $306.75 | 11 |
| Biopsy/removal lymph nodes CPT 38525 | $1,823.58 | $3,377.00 | $413.90 – $952.50 | 11 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $372.60 | $690.00 | $107.74 – $292.32 | 11 |
| Biopsy roof of mouth CPT 42100 | $306.18 | $567.00 | $99.55 – $231.00 | 11 |
| Biopsy skin incisional single lesion CPT 11106 | $321.84 | $596.00 | $45.20 – $126.75 | 11 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $487.62 | $903.00 | $140.39 – $335.25 | 11 |
| Biopsy tongue anterior two-thirds CPT 41100 | $391.50 | $725.00 | $95.47 – $226.50 | 11 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | $306.72 | $568.00 | $132.06 – $294.75 | 11 |
| Biopsy vestibule of mouth 40808 CPT 40808 | $354.24 | $656.00 | $298.49 – $319.03 | 6 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $159.30 | $295.00 | $25.34 – $92.16 | 11 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $204.12 | $378.00 | $70.96 – $293.15 | 11 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $214.38 | $397.00 | $66.38 – $255.45 | 11 |
| Block paracervical nrv CPT 64435 | $274.59 | $508.50 | $298.49 – $319.03 | 6 |
| Block plantar digital nerve CPT 64455 | $104.76 | $194.00 | $29.35 – $77.76 | 11 |
| Block tap inj(s) w/wo img bi CPT 64488 | $362.88 | $672.00 | $48.00 – $150.00 | 11 |
| Block tap inj(s) w/wo img uni CPT 64486 | $139.59 | $258.50 | $47.51 – $121.50 | 11 |
| Blood smear interpretation CPT 85060 | $83.70 | $155.00 | $18.83 – $52.50 | 9 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | $7,123.68 | $13,192.00 | $11,150.00 – $11,150.00 | 1 |
| Bone biopsy open superficial CPT 20240 | $292.14 | $541.00 | $123.49 – $423.36 | 11 |
| Bone Density Scan (DEXA) CPT 77080 | $35.10 | $65.00 | $6.75 – $21.00 | 11 |
| Bone/joint imaging ltd area CPT 78300 | $109.62 | $203.00 | $23.57 – $66.00 | 11 |
| Bone marrow;aspiration only 38220 CPT 38220 | $183.06 | $339.00 | $54.50 – $150.75 | 11 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $253.80 | $470.00 | $56.64 – $150.00 | 11 |
| Bone marrow interpretation CPT 85097 | $79.65 | $147.50 | $38.56 – $106.50 | 9 |
| Bone survey-lead poisoning CPT 77074 | $235.98 | $437.00 | $14.88 – $47.25 | 11 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $85.32 | $158.00 | $101.00 – $101.00 | 1 |
| Bowel imaging CPT 78290 | $118.80 | $220.00 | $26.04 – $70.50 | 11 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $261.36 | $484.00 | $56.90 – $182.88 | 11 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $211.68 | $392.00 | $46.21 – $127.50 | 11 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $212.76 | $394.00 | $46.21 – $127.50 | 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.