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 |
|---|---|---|---|---|
| Treat ulnar fracture CPT 24675 | $902.34 | $1,671.00 | $412.58 – $899.25 | 11 |
| Treat ulnar fracture CPT 24685 | $1,494.99 | $2,768.50 | $604.52 – $1,413.00 | 11 |
| Treat vaginal bleeding CPT 57180 | $286.74 | $531.00 | $104.03 – $249.00 | 11 |
| Treat wrist bone fracture CPT 25635 | $922.32 | $1,708.00 | $412.70 – $902.25 | 11 |
| Treat wrist dislocation CPT 25675 | $898.56 | $1,664.00 | $476.94 – $1,010.68 | 11 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $28.08 | $52.00 | $1.09 – $48.00 | 6 |
| Triamcinolone a inj prs-free HCPCS J3300 | $2.15 | $3.99 | $3.99 – $3.99 | 1 |
| Trim nail(s) HCPCS G0127 | $30.78 | $57.00 | $298.49 – $319.03 | 6 |
| Trim nondyst nails CPT 11719 | $33.21 | $61.50 | $6.58 – $17.28 | 11 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $1,402.38 | $2,597.00 | $561.93 – $1,425.00 | 11 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $1,722.06 | $3,189.00 | $684.43 – $1,755.75 | 11 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $1,367.82 | $2,533.00 | $584.67 – $1,394.25 | 11 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $1,062.72 | $1,968.00 | $453.58 – $1,072.50 | 11 |
| Tubal Ligation (Laparoscopic) CPT 58670 | $778.41 | $1,441.50 | $322.46 – $801.75 | 11 |
| Tvh >250 gms 58290 CPT 58290 | $2,479.14 | $4,591.00 | $976.11 – $2,509.50 | 11 |
| Tx closed hip disl traumatic without anes CPT 27250 | $486.00 | $900.00 | $165.68 – $756.60 | 11 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $1,237.14 | $2,291.00 | $539.48 – $1,247.25 | 11 |
| Tx closed tib shaft fx without manip CPT 27750 | $762.48 | $1,412.00 | $298.49 – $691.10 | 11 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $1,576.80 | $2,920.00 | $669.10 – $1,603.50 | 11 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $1,081.62 | $2,003.00 | $474.51 – $1,081.50 | 11 |
| Tx open nsl sptl fx CPT 21336 | $1,339.74 | $2,481.00 | $572.14 – $1,365.00 | 11 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $1,272.24 | $2,356.00 | $549.48 – $1,283.25 | 11 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $419.04 | $776.00 | $191.14 – $410.25 | 11 |
| Tympanic membrane repair CPT 69610 | $1,018.98 | $1,887.00 | $243.02 – $618.00 | 11 |
| Tympanometry & reflex thresh CPT 92550 | $41.58 | $77.00 | $21.57 – $48.00 | 11 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $778.68 | $1,442.00 | $117.25 – $279.00 | 11 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $97.20 | $180.00 | $25.30 – $58.50 | 11 |
| Ultrasound breast complete CPT 76641 | $209.52 | $388.00 | $33.30 – $77.25 | 11 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $194.67 | $360.50 | $30.97 – $72.00 | 11 |
| Ultrasound chest CPT 76604 | $102.06 | $189.00 | $27.30 – $61.50 | 11 |
| Ultrasound encephalogram CPT 76506 | $112.32 | $208.00 | $28.97 – $68.25 | 11 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $136.08 | $252.00 | $36.30 – $81.75 | 11 |
| Ultrasound guidance for vascular access CPT 76937 | $51.30 | $95.00 | $13.38 – $31.68 | 11 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $112.32 | $208.00 | $31.06 – $68.40 | 11 |
| Ultrasound joint complete left CPT 76881 | $160.38 | $297.00 | $42.31 – $66.75 | 11 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $122.58 | $227.00 | $31.63 – $51.75 | 11 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $329.94 | $611.00 | $46.55 – $105.00 | 11 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $227.88 | $422.00 | $38.97 – $87.75 | 11 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $338.04 | $626.00 | $89.62 – $201.00 | 11 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $409.32 | $758.00 | $40.31 – $90.00 | 11 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $303.48 | $562.00 | $30.30 – $69.00 | 11 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $346.14 | $641.00 | $34.97 – $79.50 | 11 |
| Ultrasound prostate/transrectal CPT 76872 | $119.34 | $221.00 | $31.50 – $72.72 | 11 |
| Ultrasound retroperitoneal limited CPT 76775 | $102.06 | $189.00 | $26.73 – $61.50 | 11 |
| Ultrasound scrotum and contents CPT 76870 | $113.40 | $210.00 | $29.30 – $67.50 | 11 |
| Ultrasound spinal canal and contents CPT 76800 | $219.24 | $406.00 | $62.10 – $124.50 | 11 |
| Ultrasound transabd ea addl gest CPT 76812 | $316.44 | $586.00 | $84.61 – $188.25 | 11 |
| Ultrasound transvaginal non obstetric CPT 76830 | $447.12 | $828.00 | $31.97 – $73.50 | 11 |
| Umbilical artery cath newborn 36660 CPT 36660 | $171.72 | $318.00 | $56.72 – $147.75 | 11 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $768.42 | $1,423.00 | $47.00 – $51.00 | 3 |
| Unlisted px foot/toes CPT 28899 | $466.56 | $864.00 | $47.00 – $51.00 | 3 |
| Unlisted px leg/ankle CPT 27899 | $813.24 | $1,506.00 | $47.00 – $51.00 | 3 |
| Unlisted ultrasound procedure CPT 76999 | $75.06 | $139.00 | $47.00 – $51.00 | 3 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $405.00 | $750.00 | $88.53 – $261.36 | 11 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $315.90 | $585.00 | $69.01 – $195.84 | 11 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $262.44 | $486.00 | $57.18 – $162.72 | 11 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $301.32 | $558.00 | $108.04 – $279.36 | 11 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $355.05 | $657.50 | $120.76 – $330.48 | 11 |
| Uppr gi scope w/submuc inj CPT 43236 | $357.48 | $662.00 | $120.76 – $339.12 | 11 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $58.86 | $109.00 | $15.15 – $34.56 | 11 |
| Urethrocystography void s&i CPT 74455 | $57.78 | $107.00 | $15.48 – $34.56 | 11 |
| Urography, antegrade CPT 74425 | $89.10 | $165.00 | $23.39 – $53.25 | 11 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $14.58 | $27.00 | $27.00 – $27.00 | 1 |
| Vaccine dtap < 7 years im CPT 90700 | $12.96 | $24.00 | $25.20 – $51.00 | 5 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $49.68 | $92.00 | $47.00 – $110.40 | 5 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $75.60 | $140.00 | $47.00 – $168.00 | 5 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $15.66 | $29.00 | $29.66 – $48.00 | 5 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $26.46 | $49.00 | $47.00 – $58.80 | 5 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $58.86 | $109.00 | $47.00 – $130.80 | 5 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $59.94 | $111.00 | $47.00 – $114.00 | 5 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $26.46 | $49.00 | $13.65 – $51.00 | 5 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $57.24 | $106.00 | $47.00 – $127.20 | 5 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $143.64 | $266.00 | $47.00 – $319.20 | 5 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $25.92 | $48.00 | $47.00 – $57.60 | 5 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $99.90 | $185.00 | $47.00 – $274.02 | 5 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $67.50 | $125.00 | $47.00 – $150.00 | 5 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $67.50 | $125.00 | $47.00 – $150.00 | 5 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $17.82 | $33.00 | $34.65 – $51.00 | 5 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $18.36 | $34.00 | $35.70 – $51.00 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $18.36 | $34.00 | $21.52 – $48.00 | 5 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $22.68 | $42.00 | $44.10 – $51.00 | 5 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $59.40 | $110.00 | $47.00 – $132.00 | 5 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $29.70 | $55.00 | $47.00 – $66.00 | 5 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $102.87 | $190.50 | $47.00 – $228.60 | 5 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $70.20 | $130.00 | $47.00 – $156.00 | 5 |
| Vaccine mmr live subcutaneous CPT 90707 | $50.76 | $94.00 | $47.00 – $90.77 | 5 |
| Vaccine mmrv live subcutaneous CPT 90710 | $93.96 | $174.00 | $47.00 – $267.10 | 5 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $108.00 | $200.00 | $47.00 – $240.00 | 5 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $208.98 | $387.00 | $47.00 – $464.40 | 5 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $253.26 | $469.00 | $47.00 – $562.80 | 5 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $29.16 | $54.00 | $47.00 – $55.20 | 5 |
| Vaccine rabies im CPT 90675 | $274.32 | $508.00 | $47.00 – $609.60 | 5 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $329.94 | $611.00 | $611.00 – $641.55 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $329.94 | $611.00 | $611.00 – $641.55 | 2 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $74.52 | $138.00 | $47.00 – $165.60 | 5 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $50.22 | $93.00 | $47.00 – $111.60 | 5 |
| Vaccine tdap >=7 years im CPT 90715 | $32.40 | $60.00 | $38.28 – $72.00 | 5 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $29.70 | $55.00 | $28.01 – $66.00 | 5 |
| Vaccine typhoid vicps im CPT 90691 | $73.44 | $136.00 | $47.00 – $163.20 | 5 |
| Vaccine varicella live subcutaneous CPT 90716 | $98.28 | $182.00 | $47.00 – $163.06 | 5 |
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.