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 |
|---|---|---|---|---|
| Brain MRI (with and without contrast) CPT 70553 | $405.00 | $750.00 | $88.25 – $243.75 | 11 |
| Brain MRI (with contrast) CPT 70552 | $315.90 | $585.00 | $68.73 – $189.75 | 11 |
| Brain MRI (without contrast) CPT 70551 | $262.44 | $486.00 | $56.90 – $158.25 | 11 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $485.46 | $899.00 | $48.00 – $342.00 | 11 |
| Breast punct aspir cyst, bil CPT 19000 | $277.56 | $514.00 | $35.29 – $94.50 | 11 |
| Brief chkin by md/qhp, 11-20 HCPCS G2252 | $35.10 | $65.00 | $298.49 – $319.03 | 6 |
| Br punct aspir ea add, l CPT 19001 | $235.98 | $437.00 | $17.53 – $47.25 | 11 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $9.79 | $18.13 | $18.13 – $18.13 | 1 |
| Bundled special stain group 1 microorganisms CPT 88312 | $93.42 | $173.00 | $24.92 – $57.75 | 9 |
| Bundled special stain group 2 CPT 88313 | $52.38 | $97.00 | $11.24 – $26.25 | 9 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $24.32 | $45.03 | $39.00 – $39.00 | 1 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $10.61 | $19.65 | $19.65 – $19.65 | 1 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $18.99 | $35.16 | $35.16 – $35.16 | 1 |
| Buprenorphine oral 1mg HCPCS J0571 | $5.35 | $9.90 | $9.90 – $9.90 | 1 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | $3,773.10 | $6,987.22 | $6,987.22 – $6,987.22 | 1 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | $3,773.10 | $6,987.22 | $6,987.22 – $6,987.22 | 1 |
| Bx bone trocar/ndl deep CPT 20225 | $406.62 | $753.00 | $110.55 – $285.00 | 11 |
| Bx breast 1st lesion strtctc CPT 19081 | $807.57 | $1,495.50 | $48.00 – $361.50 | 11 |
| Bx breast add lesion strtctc CPT 19082 | $167.94 | $311.00 | $48.00 – $181.50 | 11 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $241.38 | $447.00 | $48.00 – $168.75 | 11 |
| Bx breast perq without image 19100 CPT 19100 | $408.24 | $756.00 | $58.77 – $153.00 | 11 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $351.00 | $650.00 | $114.82 – $291.75 | 11 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $1,085.40 | $2,010.00 | $365.03 – $906.75 | 11 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $677.70 | $1,255.00 | $236.20 – $553.50 | 11 |
| Bx liver with other CPT 47001 | $235.98 | $437.00 | $87.80 – $228.00 | 11 |
| Bx muscle CPT 20200 | $197.10 | $365.00 | $86.39 – $204.75 | 11 |
| Bx of breast open 19101 CPT 19101 | $694.44 | $1,286.00 | $208.26 – $483.75 | 11 |
| Bx of cervix w/scope leep 57460 CPT 57460 | $643.14 | $1,191.00 | $136.72 – $349.50 | 11 |
| Bx pancreas pq ndl CPT 48102 | $660.42 | $1,223.00 | $198.75 – $519.00 | 11 |
| Bx perianal mass CPT 46999 | $374.22 | $693.00 | $47.00 – $51.00 | 3 |
| Bx pleura pq ndl CPT 32400 | $265.68 | $492.00 | $70.66 – $186.00 | 11 |
| Bx prostate trnsrctl u/s guid CPT 55707 | $411.48 | $762.00 | $132.66 – $281.12 | 9 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $147.42 | $273.00 | $298.49 – $319.03 | 6 |
| Bx skin punch ea sep/ addl les CPT 11105 | $124.74 | $231.00 | $20.66 – $57.00 | 11 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $103.68 | $192.00 | $298.49 – $319.03 | 6 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | $532.98 | $987.00 | $298.49 – $319.03 | 6 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $230.04 | $426.00 | $63.74 – $168.75 | 11 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $214.92 | $398.00 | $56.22 – $142.50 | 11 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $199.80 | $370.00 | $49.85 – $131.25 | 11 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $172.53 | $319.50 | $24.47 – $64.50 | 11 |
| Bypass temp external fem-fem CPT 37799 | $658.80 | $1,220.00 | $47.00 – $51.00 | 3 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $145.80 | $270.00 | $270.00 – $270.00 | 1 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $46.52 | $86.14 | $86.14 – $86.14 | 1 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $23.05 | $42.69 | $42.69 – $42.69 | 1 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $90.87 | $168.27 | $84.14 – $84.14 | 1 |
| Caloric vstblr test w/rec CPT 92538 | $42.12 | $78.00 | $15.24 – $48.00 | 11 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $715.50 | $1,325.00 | $312.45 – $723.00 | 11 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $45.36 | $84.00 | $18.83 – $18.83 | 1 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $238.14 | $441.00 | $48.00 – $142.50 | 11 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $287.01 | $531.50 | $93.27 – $266.40 | 11 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $4,584.20 | $8,489.26 | $72.00 – $72.00 | 1 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $133.92 | $248.00 | $36.68 – $84.75 | 11 |
| Carpal Tunnel Release Surgery CPT 64721 | $933.12 | $1,728.00 | $412.46 – $927.75 | 11 |
| Caspofungin acetate HCPCS J0637 | $19.44 | $36.00 | $36.00 – $36.00 | 1 |
| Catheter insert artery CPT 36625 | $268.65 | $497.50 | $92.19 – $229.50 | 11 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $333.72 | $618.00 | $618.00 – $618.00 | 1 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $143.64 | $266.00 | $44.37 – $116.25 | 11 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $176.04 | $326.00 | $50.64 – $123.75 | 11 |
| Cauterization chemical granulation tissue CPT 17250 | $178.20 | $330.00 | $34.64 – $80.25 | 11 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | $27.54 | $51.00 | $32.28 – $61.20 | 5 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $21.06 | $39.00 | $33.96 – $33.96 | 1 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $76.19 | $141.10 | $71.30 – $71.30 | 1 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $27.22 | $50.40 | $48.00 – $48.00 | 1 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $21.06 | $39.00 | $0.50 – $48.00 | 6 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $23.76 | $44.00 | $44.00 – $44.00 | 1 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $51.30 | $95.00 | $23.99 – $298.49 | 10 |
| Cesarean section delivery only 59514 CPT 59514 | $1,926.45 | $3,567.50 | $773.50 – $1,994.25 | 11 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $62.64 | $116.00 | $115.00 – $115.00 | 1 |
| Change cystostomy tube; complex 51710 CPT 51710 | $331.29 | $613.50 | $71.37 – $195.84 | 11 |
| Change cystostomy tube simple CPT 51705 | $301.32 | $558.00 | $45.85 – $137.52 | 11 |
| Change of windpipe airway 31502 CPT 31502 | $83.16 | $154.00 | $29.57 – $75.75 | 11 |
| Chemodenerv eccrine glands 64650 CPT 64650 | $183.60 | $340.00 | $32.28 – $89.25 | 11 |
| Chemodenerv musc migraine 64615 CPT 64615 | $311.04 | $576.00 | $48.00 – $266.25 | 11 |
| Chest 2 vws w oblique CPT 71048 | $55.08 | $102.00 | $14.48 – $48.00 | 11 |
| Chest apical lordotic proj CPT 71047 | $49.14 | $91.00 | $12.58 – $48.00 | 11 |
| Chest CT scan (with and without contrast) CPT 71270 | $220.32 | $408.00 | $48.20 – $146.25 | 11 |
| Chest CT scan (with contrast) CPT 71260 | $206.28 | $382.00 | $45.08 – $132.75 | 11 |
| Chest CT scan (without contrast) CPT 71250 | $191.16 | $354.00 | $41.47 – $123.00 | 11 |
| Chest X-ray CPT 71046 | $124.74 | $231.00 | $9.91 – $48.00 | 11 |
| Chest X-ray (single view) CPT 71045 | $108.54 | $201.00 | $8.24 – $48.00 | 11 |
| Chlnggrphy intraop addl s&i CPT 74301 | $37.80 | $70.00 | $9.24 – $22.50 | 11 |
| Chloroprocaine hcl injection HCPCS J2401 | $51.48 | $95.34 | $95.34 – $95.34 | 1 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $52.11 | $96.50 | $12.72 – $38.25 | 11 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | $2,311.20 | $4,280.00 | $1,014.04 – $2,460.00 | 11 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $21.48 | $39.78 | $39.78 – $39.78 | 1 |
| Circum 28 days or older CPT 54161 | $415.80 | $770.00 | $176.63 – $426.00 | 11 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $487.62 | $903.00 | $298.49 – $319.03 | 6 |
| Circumcision (newborn) CPT 54150 | $309.96 | $574.00 | $81.73 – $213.00 | 11 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $54.54 | $101.00 | $101.00 – $101.00 | 1 |
| Claviculectomy partial CPT 23120 | $1,250.64 | $2,316.00 | $549.03 – $1,264.50 | 11 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $30.02 | $55.59 | $9.01 – $9.46 | 3 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $834.30 | $1,545.00 | $374.70 – $794.03 | 11 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $858.06 | $1,589.00 | $381.43 – $849.00 | 11 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $922.32 | $1,708.00 | $429.22 – $919.50 | 11 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $736.02 | $1,363.00 | $298.49 – $688.92 | 11 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $975.24 | $1,806.00 | $460.79 – $976.46 | 11 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $235.44 | $436.00 | $107.84 – $240.00 | 11 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $1,332.18 | $2,467.00 | $540.72 – $1,260.00 | 11 |
| Closed tx septal&nose fx CPT 21337 | $642.60 | $1,190.00 | $276.32 – $630.75 | 11 |
| Closed tx sesamoid fx 28530 CPT 28530 | $227.34 | $421.00 | $101.77 – $216.00 | 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.