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 |
|---|---|---|---|---|
| Complx repair fccmnaxghf 13131 CPT 13131 | $809.46 | $1,499.00 | $199.54 – $528.00 | 11 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $981.18 | $1,817.00 | $245.80 – $841.68 | 11 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $278.91 | $516.50 | $99.44 – $276.75 | 11 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $262.44 | $486.00 | $65.66 – $181.50 | 11 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $420.12 | $778.00 | $167.53 – $435.75 | 11 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $241.38 | $447.00 | $57.75 – $157.50 | 11 |
| Comprehensive hearing test CPT 92557 | $69.66 | $129.00 | $25.60 – $86.45 | 11 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $309.42 | $573.00 | $116.63 – $141.12 | 9 |
| Conditioning play audiometry 92582 CPT 92582 | $151.20 | $280.00 | $57.20 – $183.09 | 11 |
| Condylomata destruction 56420 CPT 56420 | $386.10 | $715.00 | $97.64 – $222.75 | 11 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $631.26 | $1,169.00 | $224.76 – $540.75 | 11 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $683.82 | $1,266.33 | $1,266.33 – $1,266.33 | 1 |
| Connect omega .5mm HCPCS L8613 | $852.66 | $1,579.00 | $1,579.00 – $1,579.00 | 1 |
| Consultation pathology during surgery CPT 88329 | $123.66 | $229.00 | $27.64 – $78.75 | 9 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $218.16 | $404.00 | $57.51 – $135.75 | 9 |
| Contrast x-ray gallbladder CPT 74290 | $57.24 | $106.00 | $14.48 – $33.75 | 11 |
| Contrast x-ray of ankle CPT 73615 | $145.80 | $270.00 | $27.62 – $62.25 | 11 |
| Contrast x-ray of elbow CPT 73085 | $100.44 | $186.00 | $24.73 – $62.25 | 11 |
| Contrast x-ray of hip CPT 73525 | $103.14 | $191.00 | $27.96 – $63.00 | 11 |
| Contrast x-ray of knee joint CPT 73580 | $162.54 | $301.00 | $31.00 – $61.50 | 11 |
| Contrast x-ray of wrist CPT 73115 | $100.44 | $186.00 | $26.63 – $60.00 | 11 |
| Control nosebleed pack+caut 30905 CPT 30905 | $724.68 | $1,342.00 | $95.24 – $230.25 | 11 |
| Control of nosebleed ant comp 30903 CPT 30903 | $335.88 | $622.00 | $66.99 – $171.00 | 11 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $326.70 | $605.00 | $47.85 – $123.00 | 11 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $339.66 | $629.00 | $141.73 – $354.75 | 11 |
| Control throat bleeding CPT 42961 | $884.52 | $1,638.00 | $363.99 – $894.00 | 11 |
| Control throat bleeding CPT 42962 | $1,089.72 | $2,018.00 | $446.69 – $1,102.50 | 11 |
| Copper intrauterine device HCPCS J7300 | $292.68 | $542.00 | $47.00 – $569.10 | 6 |
| Core ndl bx lng/med perq CPT 32408 | $478.98 | $887.00 | $47.00 – $269.46 | 11 |
| Cor hlx vlgs double osteot CPT 28299 | $1,266.30 | $2,345.00 | $551.37 – $1,339.92 | 11 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $1,098.36 | $2,034.00 | $475.43 – $1,110.75 | 11 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | $1,468.80 | $2,720.00 | $472.70 – $1,075.50 | 11 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | $1,614.60 | $2,990.00 | $451.43 – $1,122.48 | 11 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | $1,268.46 | $2,349.00 | $48.00 – $1,212.00 | 11 |
| Correct malrotation of bowel 44055 CPT 44055 | $3,349.89 | $6,203.50 | $1,313.57 – $3,257.25 | 11 |
| Corrj halux rigdus w/implt CPT 28291 | $1,422.36 | $2,634.00 | $48.00 – $1,058.25 | 11 |
| Corrj halux rigdus without implt CPT 28289 | $1,502.28 | $2,782.00 | $429.81 – $1,046.88 | 11 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $191.70 | $355.00 | $355.00 – $355.00 | 1 |
| Counseling smoke cess interm >10mins CPT 99407 | $64.26 | $119.00 | $21.63 – $55.50 | 11 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $27.00 | $50.00 | $49.35 – $56.40 | 2 |
| Crbrospnl fld flw imag cistern CPT 78630 | $118.80 | $220.00 | $25.76 – $71.25 | 11 |
| Create eardrum opening CPT 69436 | $737.10 | $1,365.00 | $141.57 – $336.00 | 11 |
| Crisis psychotherapy 90839 CPT 90839 | $198.18 | $367.00 | $48.00 – $276.75 | 11 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $97.20 | $180.00 | $48.00 – $132.75 | 11 |
| Critical care 30-74 minutes CPT 99291 | $712.80 | $1,320.00 | $194.37 – $471.00 | 11 |
| Critical care each additional 30 minutes CPT 99292 | $356.94 | $661.00 | $97.85 – $237.00 | 11 |
| Cryocautery of cervix 57511 CPT 57511 | $413.10 | $765.00 | $298.49 – $319.03 | 6 |
| Cryoprecipitate each unit HCPCS P9012 | $98.82 | $183.00 | $183.00 – $183.00 | 1 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $309.96 | $574.00 | $97.70 – $234.00 | 11 |
| Cryotherapy of acne 17340 CPT 17340 | $111.24 | $206.00 | $298.49 – $319.03 | 6 |
| C-Section Delivery (full care) CPT 59510 | $5,450.76 | $10,094.00 | $2,341.70 – $5,118.00 | 11 |
| CT 3d report other modality w/workstation CPT 76377 | $139.86 | $259.00 | $36.54 – $84.75 | 11 |
| Cta abdomen without & /or w/contrast CPT 74175 | $319.68 | $592.00 | $69.70 – $194.40 | 11 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $416.88 | $772.00 | $91.77 – $251.25 | 11 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $332.64 | $616.00 | $72.73 – $199.50 | 11 |
| Cta neck without &/or w/contrast CPT 70498 | $309.42 | $573.00 | $67.31 – $186.00 | 11 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $525.15 | $972.50 | $48.00 – $232.50 | 11 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $321.30 | $595.00 | $69.98 – $196.56 | 11 |
| CT Angiogram of the Head CPT 70496 | $309.42 | $573.00 | $67.31 – $186.00 | 11 |
| CT angio pelvis CPT 72191 | $315.90 | $585.00 | $69.13 – $190.50 | 11 |
| CT bone density axial CPT 77078 | $43.74 | $81.00 | $8.21 – $26.25 | 11 |
| CT guidance for needle placement CPT 77012 | $259.20 | $480.00 | $66.18 – $157.50 | 9 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $204.12 | $378.00 | $53.60 – $124.50 | 11 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $103.14 | $191.00 | $22.44 – $61.50 | 11 |
| CT limited or localized follow-up study CPT 76380 | $168.48 | $312.00 | $37.42 – $102.75 | 11 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $329.13 | $609.50 | $44.79 – $123.00 | 11 |
| CT lower extremity without contrast (both sides) CPT 73700 | $309.96 | $574.00 | $38.92 – $110.88 | 11 |
| CT lwr extremity w/o&w/dye CPT 73702 | $345.60 | $640.00 | $46.78 – $129.00 | 11 |
| CT neck soft tissue w/contrast CPT 70491 | $245.16 | $454.00 | $53.30 – $147.00 | 11 |
| CT neck soft tissue without contrast CPT 70490 | $227.34 | $421.00 | $49.61 – $136.50 | 11 |
| CT neck soft tissue without & w/contrast CPT 70492 | $285.12 | $528.00 | $62.01 – $173.25 | 11 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $223.56 | $414.00 | $48.76 – $146.88 | 11 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $199.80 | $370.00 | $43.66 – $140.40 | 11 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $227.34 | $421.00 | $49.61 – $135.75 | 11 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $788.40 | $1,460.00 | $114.88 – $294.00 | 11 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $363.15 | $672.50 | $48.00 – $213.00 | 11 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $337.23 | $624.50 | $48.00 – $194.25 | 11 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $317.25 | $587.50 | $48.00 – $185.25 | 11 |
| CT thoracic spine w/contrast CPT 72129 | $216.00 | $400.00 | $47.06 – $129.75 | 11 |
| CT thoracic spine without contrast CPT 72128 | $175.50 | $325.00 | $38.92 – $118.08 | 11 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $191.16 | $354.00 | $47.00 – $59.04 | 11 |
| CT t-spine w /wo contrast CPT 72130 | $224.64 | $416.00 | $49.05 – $135.00 | 11 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $329.40 | $610.00 | $44.79 – $123.00 | 11 |
| CT upper extremity without contrast (both sides) CPT 73200 | $286.74 | $531.00 | $38.92 – $110.88 | 11 |
| CT uppr extremity w/o&w/dye CPT 73202 | $215.46 | $399.00 | $46.78 – $129.75 | 11 |
| Curette/treat cornea CPT 65435 | $145.80 | $270.00 | $59.65 – $148.50 | 11 |
| Cv stress test i&r only 93018 CPT 93018 | $163.62 | $303.00 | $13.58 – $32.40 | 11 |
| Cv stress test/supervision only 93016 CPT 93016 | $244.89 | $453.50 | $20.59 – $48.96 | 11 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $21.20 | $39.27 | $1.95 – $48.00 | 6 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $435.84 | $807.12 | $111.00 – $111.00 | 1 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $56.16 | $104.00 | $14.82 – $33.75 | 11 |
| Cystorrhaphy wound comp 51865 CPT 51865 | $1,937.52 | $3,588.00 | $787.16 – $1,947.75 | 11 |
| Cystorrhaphy wound simple 51860 CPT 51860 | $1,546.56 | $2,864.00 | $661.49 – $1,616.25 | 11 |
| Cystoscopy and biopsy CPT 52007 | $343.44 | $636.00 | $143.85 – $357.00 | 11 |
| Cystoscopy and treatment CPT 52214 | $360.18 | $667.00 | $147.61 – $455.04 | 11 |
| Cystoscopy and treatment CPT 52224 | $1,559.52 | $2,888.00 | $170.72 – $441.75 | 11 |
| Cystoscopy and treatment CPT 52234 | $567.00 | $1,050.00 | $210.93 – $531.00 | 11 |
| Cystoscopy and treatment CPT 52235 | $667.17 | $1,235.50 | $247.55 – $623.25 | 11 |
| Cystoscopy and treatment CPT 52240 | $852.12 | $1,578.00 | $334.67 – $1,061.28 | 11 |
| Cystoscopy and treatment CPT 52260 | $433.62 | $803.00 | $180.48 – $456.00 | 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.