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 |
|---|---|---|---|---|
| Enterorrhaphy 1perforation 44602 CPT 44602 | $3,061.26 | $5,669.00 | $1,229.62 – $3,081.75 | 11 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | $3,487.59 | $6,458.50 | $1,416.89 – $3,536.25 | 11 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | $1,726.38 | $3,197.00 | $761.71 – $1,840.50 | 11 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $158.22 | $293.00 | $42.93 – $127.44 | 11 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $31.61 | $58.53 | $58.53 – $58.53 | 1 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $34.41 | $63.73 | $63.73 – $63.73 | 1 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $19.44 | $36.00 | $36.00 – $37.80 | 3 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $299.16 | $554.00 | $125.95 – $319.50 | 11 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $86.94 | $161.00 | $40.00 – $40.00 | 1 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $2,451.47 | $4,539.76 | $4,539.76 – $4,539.76 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $198.18 | $367.00 | $367.00 – $367.00 | 1 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $142.80 | $264.44 | $264.44 – $264.44 | 1 |
| ER Visit (level 1, minor) CPT 99281 | $58.05 | $107.50 | $10.72 – $48.00 | 11 |
| ER Visit (level 2) CPT 99282 | $139.86 | $259.00 | $39.30 – $92.25 | 11 |
| ER Visit (level 3) CPT 99283 | $235.98 | $437.00 | $67.45 – $142.93 | 11 |
| ER Visit (level 4) CPT 99284 | $402.30 | $745.00 | $114.71 – $253.50 | 11 |
| ER Visit (level 5, high severity) CPT 99285 | $582.66 | $1,079.00 | $166.50 – $368.25 | 11 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $22.57 | $41.80 | $41.80 – $41.80 | 1 |
| Esophagoscopy balloon <30mm CPT 43220 | $260.55 | $482.50 | $103.17 – $255.00 | 11 |
| Esophagoscopy flex biopsy CPT 43202 | $212.22 | $393.00 | $90.99 – $222.75 | 11 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $213.03 | $394.50 | $77.31 – $197.28 | 11 |
| Esophagoscopy flex remove fb CPT 43215 | $311.58 | $577.00 | $123.88 – $306.00 | 11 |
| Esophagoscopy retro balloon CPT 43213 | $530.82 | $983.00 | $48.00 – $561.00 | 11 |
| Esoph egd dilation <30 mm CPT 43249 | $340.47 | $630.50 | $133.14 – $336.24 | 11 |
| Essure 58565 CPT 58565 | $950.40 | $1,760.00 | $391.52 – $972.75 | 11 |
| Established Patient Office Visit (level 1) CPT 99211 | $22.41 | $41.50 | $14.30 – $19.50 | 4 |
| Established Patient Office Visit (level 2) CPT 99212 | $81.54 | $151.00 | $38.35 – $319.03 | 10 |
| Established Patient Office Visit (level 3) CPT 99213 | $131.76 | $244.00 | $72.15 – $319.03 | 10 |
| Established Patient Office Visit (level 4) CPT 99214 | $185.22 | $343.00 | $113.75 – $319.03 | 10 |
| Established Patient Office Visit (level 5) CPT 99215 | $260.28 | $482.00 | $163.80 – $319.03 | 10 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $37.51 | $69.47 | $10.36 – $48.00 | 6 |
| Etanercept injection HCPCS J1438 | $654.48 | $1,212.00 | $1,212.00 – $1,212.00 | 1 |
| Etonogestrel implant system HCPCS J7307 | $530.28 | $982.00 | $47.00 – $1,310.98 | 6 |
| Evacuate mole of uterus CPT 59870 | $1,101.06 | $2,039.00 | $461.51 – $1,103.25 | 11 |
| Evaluation psychiatric diagnostic CPT 90791 | $223.02 | $413.00 | $48.00 – $290.42 | 11 |
| Event monitor CPT 93270 | $83.43 | $154.50 | $8.22 – $70.20 | 11 |
| Evoked auditory tst complete CPT 92588 | $63.18 | $117.00 | $28.59 – $62.25 | 11 |
| Evoked oa emissions ltd CPT 92587 | $40.50 | $75.00 | $12.35 – $39.75 | 11 |
| Exam of vagina w/scope 57420 CPT 57420 | $278.10 | $515.00 | $78.11 – $196.50 | 11 |
| Exam pelvic add-on CPT 99459 | $35.10 | $65.00 | $298.49 – $319.03 | 6 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $220.32 | $408.00 | $93.44 – $230.25 | 11 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $1,156.14 | $2,141.00 | $504.67 – $1,176.75 | 11 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $1,450.44 | $2,686.00 | $48.00 – $1,509.00 | 11 |
| Exc abd les sc 3 cm/> CPT 22903 | $918.54 | $1,701.00 | $48.00 – $954.00 | 11 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $851.58 | $1,577.00 | $48.00 – $879.75 | 11 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $1,104.84 | $2,046.00 | $298.49 – $710.25 | 11 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $1,050.84 | $1,946.00 | $298.49 – $786.00 | 11 |
| Exc back tum deep 5 cm/> CPT 21933 | $1,531.98 | $2,837.00 | $48.00 – $1,603.50 | 11 |
| Exc bartholins gland/cyst CPT 56740 | $653.40 | $1,210.00 | $273.90 – $669.00 | 11 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $596.70 | $1,105.00 | $195.48 – $486.75 | 11 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $810.00 | $1,500.00 | $298.49 – $319.03 | 6 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $501.12 | $928.00 | $161.04 – $383.25 | 11 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $268.92 | $498.00 | $75.22 – $174.75 | 11 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $299.70 | $555.00 | $96.53 – $220.50 | 11 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $406.62 | $753.00 | $129.48 – $310.50 | 11 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $480.06 | $889.00 | $156.05 – $381.00 | 11 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $334.80 | $620.00 | $97.00 – $234.75 | 11 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $433.62 | $803.00 | $140.68 – $333.75 | 11 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $691.20 | $1,280.00 | $238.12 – $591.75 | 11 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $327.24 | $606.00 | $92.75 – $222.00 | 11 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $416.34 | $771.00 | $132.86 – $317.25 | 11 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | $844.02 | $1,563.00 | $493.10 – $1,150.50 | 11 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | $1,258.20 | $2,330.00 | $549.50 – $1,269.75 | 11 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $979.02 | $1,813.00 | $294.97 – $696.00 | 11 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $1,096.20 | $2,030.00 | $48.00 – $1,125.00 | 11 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $497.34 | $921.00 | $131.81 – $333.75 | 11 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $661.50 | $1,225.00 | $188.85 – $491.25 | 11 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | $954.18 | $1,767.00 | $48.00 – $980.25 | 11 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | $816.48 | $1,512.00 | $243.11 – $564.00 | 11 |
| Exc forearm les sc 3 cm/> CPT 25071 | $894.24 | $1,656.00 | $48.00 – $918.75 | 11 |
| Exc forearm tum deep < 3 cm CPT 25076 | $1,105.38 | $2,047.00 | $298.49 – $319.03 | 6 |
| Exc forearm tum deep 3 cm/> CPT 25073 | $1,136.70 | $2,105.00 | $48.00 – $1,157.25 | 11 |
| Exc hand les sc < 1.5 cm CPT 26115 | $1,154.52 | $2,138.00 | $298.49 – $713.25 | 11 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | $1,123.20 | $2,080.00 | $298.49 – $1,134.75 | 11 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | $529.74 | $981.00 | $235.98 – $525.75 | 11 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | $942.03 | $1,744.50 | $272.53 – $608.25 | 11 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | $1,713.69 | $3,173.50 | $48.00 – $1,602.75 | 11 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | $1,386.18 | $2,567.00 | $48.00 – $1,438.50 | 11 |
| Excise anal ext tag/papilla CPT 46220 | $522.18 | $967.00 | $116.47 – $257.25 | 11 |
| Excise parotid gland/lesion CPT 42410 | $1,320.30 | $2,445.00 | $541.95 – $1,343.25 | 11 |
| Excise parotid gland/lesion CPT 42415 | $2,214.00 | $4,100.00 | $894.19 – $2,268.75 | 11 |
| Excise parotid gland/lesion CPT 42420 | $2,476.98 | $4,587.00 | $996.49 – $2,549.25 | 11 |
| Excise pharynx lesion CPT 42808 | $351.54 | $651.00 | $144.59 – $349.50 | 11 |
| Excise/repair mouth lesion CPT 40812 | $581.04 | $1,076.00 | $165.14 – $408.75 | 11 |
| Excise submaxillary gland CPT 42440 | $876.42 | $1,623.00 | $361.02 – $885.00 | 11 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $990.90 | $1,835.00 | $48.00 – $717.75 | 11 |
| Excise wrist tendon sheath CPT 25118 | $826.74 | $1,531.00 | $360.64 – $822.00 | 11 |
| Excision addl breast lesion 19126 CPT 19126 | $363.69 | $673.50 | $136.62 – $351.00 | 11 |
| Excision aural polyp CPT 69540 | $272.70 | $505.00 | $118.16 – $268.50 | 11 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $364.50 | $675.00 | $118.10 – $279.75 | 11 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $376.92 | $698.00 | $121.92 – $291.00 | 11 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $361.26 | $669.00 | $100.56 – $245.25 | 11 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $668.52 | $1,238.00 | $221.08 – $531.75 | 11 |
| Excision breast lesion CPT 19125 | $1,114.83 | $2,064.50 | $435.20 – $999.75 | 11 |
| Excision floor mouth lesion 41116 CPT 41116 | $459.00 | $850.00 | $197.41 – $463.50 | 11 |
| Excision lesion mouth roof CPT 42106 | $341.82 | $633.00 | $147.01 – $364.50 | 11 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | $518.40 | $960.00 | $298.49 – $319.03 | 6 |
| Excision of anal lesion(s) CPT 46922 | $289.44 | $536.00 | $130.46 – $294.75 | 11 |
| Excision of gum lesion 41825 CPT 41825 | $460.08 | $852.00 | $108.87 – $257.25 | 11 |
| Excision of meckels diverticulum 44800 CPT 44800 | $1,600.02 | $2,963.00 | $709.96 – $1,677.75 | 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.