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 |
|---|---|---|---|---|
| Diag laparo separate proc 49320 CPT 49320 | $689.31 | $1,276.50 | $303.67 – $715.50 | 11 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $240.84 | $446.00 | $39.54 – $87.75 | 11 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $104.76 | $194.00 | $43.97 – $104.25 | 11 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $267.84 | $496.00 | $59.73 – $144.00 | 11 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $169.02 | $313.00 | $45.79 – $106.50 | 11 |
| Diagnostic Mammogram (one breast) CPT 77065 | $137.16 | $254.00 | $37.21 – $87.00 | 11 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $64.59 | $119.62 | $6.58 – $48.00 | 6 |
| Dicyclomine injection HCPCS J0500 | $56.59 | $104.80 | $104.80 – $104.80 | 1 |
| Diffusing capacity CPT 94729 | $25.38 | $47.00 | $9.24 – $48.00 | 11 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $21.06 | $39.00 | $39.00 – $39.00 | 1 |
| Dilate esophagus 1/mult pass CPT 43450 | $360.45 | $667.50 | $71.55 – $170.64 | 11 |
| Dilate urethra stricture CPT 53600 | $185.76 | $344.00 | $298.49 – $319.03 | 6 |
| Dilate urethra stricture CPT 53601 | $180.90 | $335.00 | $298.49 – $319.03 | 6 |
| Dilation of cervical canal 57800 CPT 57800 | $426.06 | $789.00 | $41.98 – $104.25 | 11 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $25.92 | $48.00 | $35.82 – $35.82 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $21.06 | $39.00 | $1.17 – $48.00 | 6 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $9.18 | $17.00 | $17.85 – $51.00 | 5 |
| Disability dlco CPT 94727 | $30.78 | $57.00 | $11.91 – $48.00 | 11 |
| Division of fallopian tube 58605 CPT 58605 | $700.38 | $1,297.00 | $292.85 – $723.75 | 11 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $65.33 | $120.99 | $120.99 – $120.99 | 1 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $19.72 | $36.52 | $13.00 – $13.00 | 1 |
| Doppler echo complete CPT 93320 | $54.81 | $101.50 | $17.25 – $41.04 | 11 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $74.52 | $138.00 | $20.76 – $47.25 | 11 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $41.58 | $77.00 | $11.38 – $27.00 | 11 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $9.07 | $16.80 | $16.80 – $16.80 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $666.90 | $1,235.00 | $1,228.00 – $1,228.00 | 1 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $55.58 | $102.92 | $102.92 – $102.92 | 1 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $430.38 | $797.00 | $114.03 – $267.00 | 11 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $303.48 | $562.00 | $130.55 – $300.75 | 11 |
| Drainage external ear complex 69005 CPT 69005 | $340.20 | $630.00 | $142.76 – $337.50 | 11 |
| Drainage external ear simple 69000 CPT 69000 | $386.64 | $716.00 | $115.05 – $260.25 | 11 |
| Drainage of arm bursa 23931 CPT 23931 | $629.64 | $1,166.00 | $298.49 – $319.03 | 6 |
| Drainage of kidney lesion CPT 50390 | $277.56 | $514.00 | $78.71 – $207.75 | 11 |
| Drainage of mouth lesion CPT 41008 | $555.66 | $1,029.00 | $239.50 – $558.75 | 11 |
| Drainage of mouth lesion CPT 41017 | $726.30 | $1,345.00 | $315.20 – $739.50 | 11 |
| Drainage of nose lesion sept 30020 CPT 30020 | $555.66 | $1,029.00 | $109.25 – $255.00 | 11 |
| Drainage of pelvis lesion 26990 CPT 26990 | $1,429.38 | $2,647.00 | $642.62 – $1,415.25 | 11 |
| Drainage of rectal abscess 45020 CPT 45020 | $1,308.69 | $2,423.50 | $534.74 – $1,243.50 | 11 |
| Drainage of urethra abscess 53060 CPT 53060 | $396.36 | $734.00 | $298.49 – $319.03 | 6 |
| Drain blood from under nail 11740 CPT 11740 | $122.04 | $226.00 | $31.03 – $67.50 | 11 |
| Drain finger abscess;simple 26010 CPT 26010 | $703.62 | $1,303.00 | $141.85 – $300.59 | 11 |
| Drain lower leg lesion 27603 CPT 27603 | $819.18 | $1,517.00 | $361.61 – $842.25 | 11 |
| Drain neck/chest lesion 21501 CPT 21501 | $715.50 | $1,325.00 | $318.75 – $702.75 | 11 |
| Drain shoulder lesion CPT 23030 | $818.10 | $1,515.00 | $236.45 – $538.50 | 11 |
| Drain thigh/knee lesion 27301 CPT 27301 | $1,412.10 | $2,615.00 | $298.49 – $1,091.25 | 11 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $326.70 | $605.00 | $99.05 – $238.50 | 11 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $179.82 | $333.00 | $53.14 – $117.00 | 11 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $413.64 | $766.00 | $118.49 – $288.00 | 11 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $93.42 | $173.00 | $37.53 – $100.50 | 11 |
| Drng hand tendon sheath 26020 CPT 26020 | $1,188.54 | $2,201.00 | $518.02 – $1,197.00 | 11 |
| Drng of eyelid abscess 67700 CPT 67700 | $581.04 | $1,076.00 | $101.24 – $246.00 | 11 |
| Drng of finger abscess comp 26011 CPT 26011 | $983.34 | $1,821.00 | $177.72 – $399.00 | 11 |
| Drng of hydrocele 55000 CPT 55000 | $255.15 | $472.50 | $298.49 – $319.03 | 6 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $665.82 | $1,233.00 | $273.31 – $669.00 | 11 |
| Drng of scrotum abscess 55100 CPT 55100 | $486.00 | $900.00 | $159.94 – $360.00 | 11 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $2,272.05 | $4,207.50 | $982.89 – $2,401.50 | 11 |
| Drng peritoneal abscess open 49020 CPT 49020 | $3,302.64 | $6,116.00 | $1,423.49 – $3,477.00 | 11 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $26.01 | $48.17 | $48.17 – $48.17 | 1 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | $512.46 | $949.00 | $298.49 – $319.03 | 6 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $4,564.03 | $8,451.90 | $152.00 – $152.00 | 1 |
| Dx laryngoscopy w/oper scope CPT 31526 | $327.24 | $606.00 | $131.45 – $334.50 | 11 |
| Ear and throat examination CPT 92502 | $174.96 | $324.00 | $85.28 – $201.75 | 11 |
| Ear irrigation 69209 CPT 69209 | $60.75 | $112.50 | $298.49 – $319.03 | 6 |
| Ecallantide injection HCPCS J1290 | $5,916.58 | $10,956.63 | $10,956.63 – $10,956.63 | 1 |
| Ecg 12 lead tracing only CPT 93005 | $17.82 | $33.00 | $6.89 – $27.95 | 11 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | $18.90 | $35.00 | $6.91 – $15.84 | 11 |
| Ecg/review interpret only CPT 93272 | $83.43 | $154.50 | $23.49 – $54.72 | 11 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $177.66 | $329.00 | $66.90 – $156.00 | 11 |
| Echocardiography doppler color flow mapping CPT 93325 | $11.61 | $21.50 | $3.34 – $7.92 | 11 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $76.68 | $142.00 | $24.49 – $58.32 | 11 |
| Echo exam of fetal heart CPT 76827 | $103.14 | $191.00 | $27.16 – $60.75 | 11 |
| Echo exam uterus 76831- CPT 76831 | $128.52 | $238.00 | $34.30 – $76.50 | 11 |
| Echo guide for amniocentesis CPT 76946 | $68.04 | $126.00 | $18.15 – $39.75 | 11 |
| Echo stress CPT 93350 | $192.24 | $356.00 | $66.90 – $160.56 | 11 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $130.68 | $242.00 | $42.74 – $99.36 | 11 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $208.98 | $387.00 | $38.06 – $84.00 | 11 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $208.98 | $387.00 | $55.87 – $123.00 | 11 |
| Egd control bleeding any CPT 43255 | $574.83 | $1,064.50 | $172.96 – $546.48 | 11 |
| Egd dilate stricture CPT 43245 | $380.97 | $705.50 | $152.65 – $381.00 | 11 |
| Egd guide wire insertion CPT 43248 | $373.68 | $692.00 | $144.43 – $365.04 | 11 |
| Egd injection varices CPT 43243 | $554.04 | $1,026.00 | $203.62 – $516.24 | 11 |
| Egd remove foreign body CPT 43247 | $416.61 | $771.50 | $153.37 – $386.64 | 11 |
| Egd remove lesion snare CPT 43251 | $442.80 | $820.00 | $168.96 – $424.50 | 11 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $437.67 | $810.50 | $148.31 – $370.50 | 11 |
| EKG (Electrocardiogram) CPT 93000 | $40.50 | $75.00 | $15.13 – $42.25 | 11 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $3.44 | $6.37 | $6.37 – $6.37 | 1 |
| Emb w/colposcopy 58110 CPT 58110 | $103.68 | $192.00 | $33.99 – $89.25 | 11 |
| Emb without cervical dilation 58100 CPT 58100 | $215.19 | $398.50 | $52.99 – $168.48 | 11 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $2,060.64 | $3,816.00 | $234.95 – $668.88 | 11 |
| Endocerv curettage w/scope 57456 CPT 57456 | $315.90 | $585.00 | $85.83 – $221.25 | 11 |
| Endocervical curettage 57505 CPT 57505 | $320.22 | $593.00 | $97.24 – $217.50 | 11 |
| Endome abla/them without hystero guide 58353 CPT 58353 | $2,287.17 | $4,235.50 | $197.43 – $490.50 | 11 |
| Endoscopy maxillary sinus CPT 31267 | $1,350.81 | $2,501.50 | $217.37 – $617.04 | 11 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $348.30 | $645.00 | $140.25 – $375.84 | 11 |
| Endovenous rf abl vein addl CPT 36476 | $518.67 | $960.50 | $111.87 – $326.88 | 11 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $4,585.70 | $8,492.04 | $6,741.60 – $6,741.60 | 1 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $25.92 | $48.00 | $39.00 – $39.00 | 1 |
| Enterectomy small intestine addl 44121 CPT 44121 | $511.65 | $947.50 | $205.68 – $528.00 | 11 |
| Enterectomy small intestine single 44120 CPT 44120 | $2,603.07 | $4,820.50 | $1,084.55 – $2,672.25 | 11 |
| Enteroenterostomy fusion 44130 CPT 44130 | $2,738.34 | $5,071.00 | $1,176.52 – $2,871.00 | 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.