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 |
|---|---|---|---|---|
| Cystoscopy and treatment CPT 52276 | $618.84 | $1,146.00 | $227.12 – $571.50 | 11 |
| Cystoscopy and treatment CPT 52300 | $578.34 | $1,071.00 | $240.41 – $604.50 | 11 |
| Cystoscopy and treatment CPT 52301 | $652.86 | $1,209.00 | $248.22 – $626.25 | 11 |
| Cystoscopy and treatment CPT 52310 | $632.34 | $1,171.00 | $130.91 – $326.25 | 11 |
| Cystoscopy and treatment CPT 52315 | $644.76 | $1,194.00 | $235.64 – $593.25 | 11 |
| Cystoscopy and treatment CPT 52320 | $534.60 | $990.00 | $210.51 – $533.25 | 11 |
| Cystoscopy and treatment CPT 52330 | $573.48 | $1,062.00 | $224.80 – $570.00 | 11 |
| Cystoscopy (Bladder Scope) CPT 52000 | $462.24 | $856.00 | $69.10 – $259.20 | 11 |
| Cystoscopy chemodenervation CPT 52287 | $349.38 | $647.00 | $48.00 – $366.75 | 11 |
| Cystoscopy implant stent CPT 52282 | $784.35 | $1,452.50 | $288.26 – $730.50 | 11 |
| Cystoscopy removal of clots CPT 52001 | $667.17 | $1,235.50 | $245.89 – $620.25 | 11 |
| Cystoscopy stone removal CPT 52325 | $754.65 | $1,397.50 | $273.61 – $691.50 | 11 |
| Cystoscopy & ureter catheter CPT 52005 | $822.96 | $1,524.00 | $116.57 – $285.75 | 11 |
| Cystouretero & or pyeloscope CPT 52351 | $705.51 | $1,306.50 | $259.27 – $659.52 | 11 |
| Cystouretero w/biopsy CPT 52354 | $857.52 | $1,588.00 | $356.00 – $902.25 | 11 |
| Cysto/uretero w/lithotripsy CPT 52356 | $980.91 | $1,816.50 | $48.00 – $898.50 | 11 |
| Cystouretero w/lithotripsy CPT 52353 | $919.62 | $1,703.00 | $334.20 – $891.36 | 11 |
| Cystouretero w/stone remove CPT 52352 | $827.82 | $1,533.00 | $302.94 – $774.72 | 11 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $642.60 | $1,190.00 | $132.90 – $327.75 | 11 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $814.86 | $1,509.00 | $123.43 – $305.25 | 11 |
| Cystourethro w/addl implant 52442 CPT 52442 | $103.95 | $192.50 | $42.77 – $113.75 | 11 |
| Cystourethro w/implant CPT 52441 | $432.54 | $801.00 | $48.00 – $455.25 | 11 |
| Cysto w/ureter stricture tx CPT 52341 | $656.37 | $1,215.50 | $243.74 – $614.25 | 11 |
| Cyto/molecular report CPT 88291 | $123.12 | $228.00 | $32.81 – $72.00 | 9 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $190.08 | $352.00 | $25.92 – $111.60 | 9 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $311.58 | $577.00 | $32.56 – $116.90 | 5 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $245.16 | $454.00 | $65.19 – $153.75 | 9 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $87.09 | $161.27 | $2.07 – $2.07 | 1 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $10,800.00 | $20,000.00 | $20,000.00 – $20,000.00 | 1 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $38.34 | $71.00 | $71.00 – $71.00 | 1 |
| D&c after delivery 59160 CPT 59160 | $423.36 | $784.00 | $158.85 – $396.75 | 11 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $619.92 | $1,148.00 | $203.03 – $492.00 | 11 |
| Dch validity tests CPT 81002 | $13.23 | $24.50 | $0.85 – $48.00 | 5 |
| Debr g/per/abd wall 11006 CPT 11006 | $1,420.20 | $2,630.00 | $595.54 – $1,536.75 | 11 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $123.66 | $229.00 | $23.87 – $61.50 | 11 |
| Debridement (>20 cm) charge pt CPT 97598 | $45.90 | $85.00 | $21.10 – $91.65 | 11 |
| Debridement bone <= 20 sq cm CPT 11044 | $810.54 | $1,501.00 | $194.54 – $589.68 | 11 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $128.52 | $238.00 | $45.85 – $121.50 | 11 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $228.96 | $424.00 | $48.00 – $214.50 | 11 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $271.08 | $502.00 | $54.42 – $131.25 | 11 |
| Debride nail1-5 11720 CPT 11720 | $69.66 | $129.00 | $12.39 – $32.40 | 11 |
| Debride nail6 or more 11721 CPT 11721 | $95.04 | $176.00 | $20.87 – $55.44 | 11 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $614.52 | $1,138.00 | $255.16 – $651.75 | 11 |
| Debride skin bone at fx site CPT 11012 | $851.31 | $1,576.50 | $348.93 – $906.75 | 11 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $1,169.37 | $2,165.50 | $483.33 – $1,251.00 | 11 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $1,763.64 | $3,266.00 | $658.05 – $1,704.00 | 11 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $82.62 | $153.00 | $21.34 – $57.75 | 11 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $165.78 | $307.00 | $43.18 – $115.20 | 11 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $574.02 | $1,063.00 | $241.71 – $597.00 | 11 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $585.90 | $1,085.00 | $133.97 – $428.40 | 11 |
| Decalcification CPT 88311 | $43.20 | $80.00 | $11.24 – $27.00 | 9 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $42.12 | $78.00 | $78.00 – $78.00 | 1 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $973.62 | $1,803.00 | $424.74 – $1,052.25 | 11 |
| Decomp forearm 1 space 25020 CPT 25020 | $1,547.10 | $2,865.00 | $708.54 – $1,501.47 | 11 |
| Decompress forearm 2 spaces CPT 25024 | $1,638.90 | $3,035.00 | $703.87 – $1,692.75 | 11 |
| Decompression of lower leg CPT 27600 | $836.46 | $1,549.00 | $363.10 – $878.25 | 11 |
| Decompression of lower leg CPT 27601 | $922.86 | $1,709.00 | $406.33 – $966.00 | 11 |
| Decompression of tibia nerve CPT 28035 | $771.66 | $1,429.00 | $336.54 – $765.75 | 11 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $7.02 | $13.00 | $10.12 – $10.12 | 1 |
| Delivery of placenta 59414 CPT 59414 | $204.93 | $379.50 | $77.16 – $199.50 | 11 |
| Delivery only failed vbac 59620 CPT 59620 | $2,105.73 | $3,899.50 | $799.05 – $2,066.25 | 11 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $7,410.46 | $13,723.07 | $22.00 – $22.00 | 1 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $633.42 | $1,173.00 | $175.50 – $393.96 | 11 |
| Depo-estradiol cypionate inj HCPCS J1000 | $41.58 | $77.00 | $26.45 – $80.85 | 6 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $19.17 | $35.50 | $19.00 – $19.00 | 1 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $297.54 | $551.00 | $298.49 – $319.03 | 6 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $379.62 | $703.00 | $298.49 – $319.03 | 6 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $433.08 | $802.00 | $298.49 – $319.03 | 6 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $316.44 | $586.00 | $298.49 – $319.03 | 6 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $351.54 | $651.00 | $298.49 – $319.03 | 6 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $396.90 | $735.00 | $298.49 – $319.03 | 6 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $210.60 | $390.00 | $298.49 – $319.03 | 6 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $313.20 | $580.00 | $298.49 – $319.03 | 6 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $375.30 | $695.00 | $91.46 – $239.25 | 11 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $407.16 | $754.00 | $298.49 – $319.03 | 6 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $325.62 | $603.00 | $155.08 – $328.63 | 11 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $161.19 | $298.50 | $47.06 – $114.75 | 11 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $576.72 | $1,068.00 | $184.70 – $447.75 | 11 |
| Destroy vulva lesion simple 56501 CPT 56501 | $400.14 | $741.00 | $117.19 – $270.00 | 11 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $280.26 | $519.00 | $72.86 – $175.50 | 11 |
| Destruction 2-14 lesions 17003 CPT 17003 | $14.04 | $26.00 | $1.67 – $8.64 | 11 |
| Destruction anal lesion(s) CPT 46910 | $551.61 | $1,021.50 | $126.72 – $288.00 | 11 |
| Destruction anal lesion(s) CPT 46924 | $383.40 | $710.00 | $167.48 – $390.00 | 11 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $510.84 | $946.00 | $298.49 – $319.03 | 6 |
| Destruction benign lesions < 14 lesions CPT 17110 | $239.22 | $443.00 | $61.62 – $143.25 | 11 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $441.18 | $817.00 | $298.49 – $319.03 | 6 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $307.26 | $569.00 | $298.49 – $319.03 | 6 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $367.74 | $681.00 | $147.91 – $367.50 | 11 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $350.46 | $649.00 | $81.41 – $244.80 | 11 |
| Destruction vag lesions complex 57065 CPT 57065 | $512.46 | $949.00 | $161.28 – $390.00 | 11 |
| Destruction vag lesions simple 57061 CPT 57061 | $348.30 | $645.00 | $103.14 – $231.75 | 11 |
| Device intraute mirena HCPCS J7298 | $488.16 | $904.00 | $47.00 – $949.20 | 6 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $36.18 | $67.00 | $6.75 – $21.75 | 11 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $2.41 | $4.46 | $4.46 – $4.46 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $10.39 | $19.24 | $2.12 – $51.00 | 6 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $299.70 | $555.00 | $555.00 – $555.00 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $34.27 | $63.46 | $63.46 – $63.46 | 1 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $34.55 | $63.99 | $63.99 – $63.99 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $25.93 | $48.02 | $48.02 – $48.02 | 1 |
| Dextrose 5 % IV bolus HCPCS J7070 | $32.09 | $59.43 | $59.43 – $59.43 | 1 |
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.