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 |
|---|---|---|---|---|
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | $1,162.62 | $2,153.00 | $497.76 – $1,054.80 | 9 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $858.60 | $1,590.00 | $368.33 – $780.53 | 9 |
| Rpr fem hernia init blocked CPT 49553 | $1,308.42 | $2,423.00 | $583.09 – $1,378.50 | 11 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | $1,534.68 | $2,842.00 | $651.51 – $1,380.61 | 9 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | $1,905.12 | $3,528.00 | $808.42 – $1,713.12 | 9 |
| Rpr rem hernia init reduce CPT 49550 | $2,093.58 | $3,877.00 | $534.89 – $1,258.50 | 11 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $761.40 | $1,410.00 | $336.32 – $778.50 | 11 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $2,657.84 | $4,921.92 | $4,921.92 – $4,921.92 | 1 |
| Same day nb discharge 99463 CPT 99463 | $153.36 | $284.00 | $93.49 – $234.00 | 11 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $106.38 | $197.00 | $66.92 – $146.25 | 11 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $154.44 | $286.00 | $97.02 – $205.60 | 11 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $59.40 | $110.00 | $36.53 – $93.00 | 11 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $255.42 | $473.00 | $52.17 – $185.76 | 11 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $73.98 | $137.00 | $20.06 – $47.25 | 11 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $131.22 | $243.00 | $36.01 – $83.25 | 11 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $79.92 | $148.00 | $21.87 – $51.75 | 11 |
| Scan proc cranial extra CPT 61782 | $356.40 | $660.00 | $48.00 – $380.25 | 11 |
| Scope plantar fasciotomy CPT 29893 | $942.30 | $1,745.00 | $411.52 – $928.50 | 11 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $446.58 | $827.00 | $51.00 – $415.44 | 9 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $446.58 | $827.00 | $51.00 – $415.44 | 9 |
| Screening Mammogram CPT 77067 | $129.60 | $240.00 | $34.64 – $81.75 | 11 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $8.64 | $16.00 | $4.55 – $6.00 | 3 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $1,713.15 | $3,172.50 | $768.95 – $1,781.25 | 11 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $239.76 | $444.00 | $35.68 – $100.50 | 11 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $285.12 | $528.00 | $49.63 – $137.25 | 11 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $324.54 | $601.00 | $59.11 – $162.75 | 11 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $378.00 | $700.00 | $298.49 – $319.03 | 6 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $218.16 | $404.00 | $32.02 – $84.75 | 11 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $253.80 | $470.00 | $39.93 – $108.75 | 11 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $286.20 | $530.00 | $50.31 – $140.25 | 11 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $301.86 | $559.00 | $298.49 – $319.03 | 6 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $207.36 | $384.00 | $27.10 – $74.25 | 11 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $252.18 | $467.00 | $40.92 – $112.50 | 11 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $285.66 | $529.00 | $47.49 – $132.00 | 11 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $1,920.24 | $3,556.00 | $816.80 – $1,989.00 | 11 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $1,318.14 | $2,441.00 | $501.10 – $1,247.25 | 11 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $1,242.00 | $2,300.00 | $537.38 – $1,268.25 | 11 |
| Sho arthrs srg prtl synvct CPT 29820 | $1,133.46 | $2,099.00 | $487.40 – $1,161.00 | 11 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | $1,347.57 | $2,495.50 | $534.25 – $1,268.25 | 11 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $1,437.75 | $2,662.50 | $542.33 – $1,357.50 | 11 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $2,233.98 | $4,137.00 | $944.59 – $2,318.25 | 11 |
| Shoulder MRI (with and without contrast) CPT 73223 | $381.24 | $706.00 | $83.50 – $228.00 | 11 |
| Shoulder MRI (with contrast) CPT 73222 | $457.38 | $847.00 | $63.14 – $174.00 | 11 |
| Shoulder MRI (without contrast) CPT 73221 | $383.40 | $710.00 | $53.01 – $146.25 | 11 |
| Shoulder X-ray CPT 73030 | $128.52 | $238.00 | $8.91 – $20.25 | 11 |
| Sialolithotomy 42330 CPT 42330 | $491.40 | $910.00 | $146.77 – $351.75 | 11 |
| Sigmoidoscopy and biopsy CPT 45331 | $321.03 | $594.50 | $65.31 – $154.50 | 11 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $240.30 | $445.00 | $97.39 – $271.44 | 11 |
| Sigmoidoscopy for bleeding CPT 45334 | $332.91 | $616.50 | $103.56 – $316.08 | 11 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $421.20 | $780.00 | $60.97 – $174.24 | 11 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $616.68 | $1,142.00 | $106.27 – $271.44 | 11 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $552.96 | $1,024.00 | $84.21 – $208.80 | 11 |
| Simple cystometrogram 51725 CPT 51725 | $456.57 | $845.50 | $298.49 – $319.03 | 6 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $228.26 | $422.70 | $422.70 – $422.70 | 1 |
| Sinus CT scan (with and without contrast) CPT 70488 | $224.64 | $416.00 | $49.05 – $144.00 | 11 |
| Sinus CT scan (with contrast) CPT 70487 | $199.80 | $370.00 | $43.66 – $133.20 | 11 |
| Sinus CT scan (without contrast) CPT 70486 | $162.81 | $301.50 | $33.33 – $115.92 | 11 |
| Skin Biopsy CPT 11102 | $208.44 | $386.00 | $298.49 – $319.03 | 6 |
| Skyla, 13.5 mg HCPCS J7301 | $451.44 | $836.00 | $47.00 – $877.80 | 6 |
| Sleep Study (Polysomnography) CPT 95810 | $301.86 | $559.00 | $118.35 – $337.68 | 11 |
| Sleep study unattended CPT 95806 | $151.20 | $280.00 | $44.31 – $161.28 | 11 |
| Slitting of prepuce CPT 54001 | $302.94 | $561.00 | $126.73 – $301.50 | 11 |
| Small bowel endoscopy CPT 44376 | $650.97 | $1,205.50 | $242.89 – $615.00 | 11 |
| Smear wet mount CPT 87210 | $22.14 | $41.00 | $2.39 – $48.00 | 5 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $28.56 | $52.89 | $45.00 – $45.00 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $24.30 | $45.00 | $40.00 – $40.00 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $21.43 | $39.68 | $39.68 – $39.68 | 1 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $21.60 | $40.00 | $40.00 – $40.00 | 1 |
| Speech audiometry complete CPT 92556 | $78.30 | $145.00 | $40.30 – $97.78 | 11 |
| Speech recep thresh CPT 92555 | $50.22 | $93.00 | $27.30 – $62.53 | 11 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $205.47 | $380.50 | $48.00 – $194.25 | 11 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $166.32 | $308.00 | $10.24 – $28.80 | 11 |
| Splenectomy total open 38100 CPT 38100 | $2,448.63 | $4,534.50 | $1,025.12 – $2,519.25 | 11 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $1,971.00 | $3,650.00 | $597.82 – $1,496.25 | 11 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | $1,151.28 | $2,132.00 | $399.47 – $1,057.50 | 11 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $50.22 | $93.00 | $15.06 – $62.64 | 11 |
| Strapping of knee CPT 29530 | $50.22 | $93.00 | $15.26 – $69.84 | 11 |
| Strapping of toes 29550 CPT 29550 | $32.40 | $60.00 | $9.48 – $59.04 | 11 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $11.34 | $21.00 | $21.00 – $21.00 | 1 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $25.92 | $48.00 | $33.00 – $51.00 | 6 |
| Surg dx exam anorectal CPT 45990 | $219.78 | $407.00 | $95.95 – $230.25 | 11 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | $1,687.50 | $3,125.00 | $694.87 – $1,761.75 | 11 |
| Surgical pathology level 1 gross examination only CPT 88300 | $43.74 | $81.00 | $4.24 – $9.75 | 9 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $92.88 | $172.00 | $6.57 – $15.00 | 9 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $92.88 | $172.00 | $10.24 – $24.75 | 9 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $160.92 | $298.00 | $34.93 – $81.75 | 9 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $287.28 | $532.00 | $76.10 – $180.00 | 9 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $507.06 | $939.00 | $133.94 – $317.25 | 9 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | $2,771.82 | $5,133.00 | $1,209.38 – $2,946.00 | 11 |
| Surgical revision intestine CPT 44680 | $2,400.84 | $4,446.00 | $961.78 – $2,315.25 | 11 |
| Suspension of testis CPT 54620 | $624.78 | $1,157.00 | $265.78 – $648.00 | 11 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $2,152.44 | $3,986.00 | $931.32 – $2,308.50 | 11 |
| Synvisc or synvisc-one HCPCS J7325 | $16.74 | $31.00 | $10.14 – $48.00 | 6 |
| Tah w/mmk 58152 CPT 58152 | $2,557.98 | $4,737.00 | $1,052.09 – $2,725.50 | 11 |
| Telavancin injection HCPCS J3095 | $2.86 | $5.30 | $5.30 – $5.30 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $38.34 | $71.00 | $71.00 – $71.00 | 1 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $10,484.42 | $19,415.59 | $225.00 – $225.00 | 1 |
| Tenosynovectomy radic 26145 CPT 26145 | $1,105.92 | $2,048.00 | $474.04 – $1,110.75 | 11 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $45.32 | $83.92 | $83.92 – $83.92 | 1 |
| Ther fx nasal inf turbinate CPT 30930 | $375.84 | $696.00 | $106.86 – $252.75 | 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.