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 |
|---|---|---|---|---|
| Excision of neck cyst CPT 42815 | $1,194.48 | $2,212.00 | $467.06 – $1,171.50 | 11 |
| Excision of neck cyst confined 42810 CPT 42810 | $913.41 | $1,691.50 | $252.66 – $607.50 | 11 |
| Excision of penis lesion(s) 54060 CPT 54060 | $279.18 | $517.00 | $120.00 – $280.50 | 11 |
| Excision of tongue lesion CPT 41112 | $711.72 | $1,318.00 | $221.54 – $527.25 | 11 |
| Excision of uvula CPT 42140 | $347.22 | $643.00 | $149.34 – $334.50 | 11 |
| Excision olecranon bursa CPT 24105 | $778.68 | $1,442.00 | $349.78 – $763.50 | 11 |
| Excision radial head CPT 24130 | $1,157.22 | $2,143.00 | $472.17 – $1,101.75 | 11 |
| Excision tongue lesion without closure 41110 CPT 41110 | $477.36 | $884.00 | $116.58 – $279.75 | 11 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $981.18 | $1,817.00 | $48.00 – $1,021.50 | 11 |
| Excis partial tal calc CPT 28120 | $1,446.66 | $2,679.00 | $458.30 – $1,074.75 | 11 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | $451.98 | $837.00 | $298.49 – $319.03 | 6 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $426.60 | $790.00 | $108.71 – $269.25 | 11 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $563.22 | $1,043.00 | $151.43 – $391.50 | 11 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $814.32 | $1,508.00 | $233.65 – $610.50 | 11 |
| Exc malig feenl >4cm 11646 CPT 11646 | $1,059.48 | $1,962.00 | $298.49 – $846.00 | 11 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $414.72 | $768.00 | $106.94 – $262.50 | 11 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $482.22 | $893.00 | $126.67 – $320.25 | 11 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $621.00 | $1,150.00 | $173.67 – $452.25 | 11 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $413.64 | $766.00 | $106.28 – $259.50 | 11 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $479.52 | $888.00 | $125.67 – $318.00 | 11 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $515.16 | $954.00 | $134.11 – $347.25 | 11 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $586.44 | $1,086.00 | $159.81 – $415.50 | 11 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $652.86 | $1,209.00 | $176.81 – $459.00 | 11 |
| Exc neck tum deep < 5 cm CPT 21556 | $1,233.63 | $2,284.50 | $298.49 – $1,141.50 | 11 |
| Exc neck tum deep 5 cm/> CPT 21554 | $1,523.34 | $2,821.00 | $48.00 – $1,584.75 | 11 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $548.91 | $1,016.50 | $174.69 – $400.50 | 11 |
| Exc prtl bn phlnx toe CPT 28124 | $1,004.40 | $1,860.00 | $298.49 – $716.25 | 11 |
| Exc rect tum transanal part CPT 45171 | $1,364.85 | $2,527.50 | $48.00 – $1,312.50 | 11 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | $1,097.82 | $2,033.00 | $247.20 – $552.00 | 11 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $531.36 | $984.00 | $141.15 – $363.75 | 11 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | $705.78 | $1,307.00 | $198.04 – $513.75 | 11 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $847.80 | $1,570.00 | $246.33 – $633.00 | 11 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | $647.46 | $1,199.00 | $289.96 – $702.72 | 11 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $1,033.56 | $1,914.00 | $48.00 – $966.75 | 11 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $907.20 | $1,680.00 | $288.90 – $659.25 | 11 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | $1,105.38 | $2,047.00 | $48.00 – $745.50 | 11 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $1,079.46 | $1,999.00 | $297.98 – $681.75 | 11 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | $859.68 | $1,592.00 | $48.00 – $895.50 | 11 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $881.82 | $1,633.00 | $48.00 – $911.25 | 11 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $881.28 | $1,632.00 | $48.00 – $908.25 | 11 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | $887.76 | $1,644.00 | $48.00 – $899.25 | 11 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | $979.02 | $1,813.00 | $48.00 – $1,017.75 | 11 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | $1,286.82 | $2,383.00 | $298.49 – $678.00 | 11 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $1,038.96 | $1,924.00 | $298.49 – $675.75 | 11 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $237.60 | $440.00 | $105.26 – $241.50 | 11 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | $696.06 | $1,289.00 | $278.20 – $708.00 | 11 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $935.82 | $1,733.00 | $266.56 – $686.25 | 11 |
| Exc vagina lesion 57135 CPT 57135 | $515.16 | $954.00 | $163.52 – $393.00 | 11 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | $455.22 | $843.00 | $120.16 – $292.50 | 11 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | $1,628.91 | $3,016.50 | $698.07 – $1,678.50 | 11 |
| Exploration maxillary sinus CPT 31256 | $448.47 | $830.50 | $148.23 – $387.75 | 11 |
| Exploration of knee joint CPT 27310 | $1,582.20 | $2,930.00 | $667.54 – $1,583.25 | 11 |
| Exploration of middle ear CPT 69440 | $1,442.34 | $2,671.00 | $611.91 – $1,463.25 | 11 |
| Exploration of toe joint CPT 28024 | $664.20 | $1,230.00 | $292.54 – $653.25 | 11 |
| Explore limb vessels 35860 CPT 35860 | $1,737.72 | $3,218.00 | $696.15 – $1,823.25 | 11 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $716.58 | $1,327.00 | $305.99 – $750.75 | 11 |
| Explore small intestine 44020 CPT 44020 | $1,997.46 | $3,699.00 | $874.20 – $2,128.50 | 11 |
| Explore/treat finger joint CPT 26075 | $730.08 | $1,352.00 | $322.05 – $723.00 | 11 |
| Explore/treat finger joint CPT 26080 | $860.76 | $1,594.00 | $378.60 – $848.25 | 11 |
| Explore wound abdomen 20102 CPT 20102 | $527.58 | $977.00 | $235.01 – $557.25 | 11 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $787.86 | $1,459.00 | $48.00 – $553.50 | 11 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $714.96 | $1,324.00 | $48.00 – $729.00 | 11 |
| Extensive prostate surgery CPT 55842 | $3,247.83 | $6,014.50 | $1,015.16 – $2,971.44 | 11 |
| Extensive prostate surgery CPT 55845 | $3,760.02 | $6,963.00 | $1,176.87 – $3,399.84 | 11 |
| Facial bones <3 CPT 70140 | $36.18 | $67.00 | $9.58 – $21.75 | 11 |
| Family therapy without pt 50min 90846 CPT 90846 | $132.30 | $245.00 | $98.88 – $213.75 | 11 |
| Family therapy with patient 50 min 90847 CPT 90847 | $137.70 | $255.00 | $102.65 – $222.00 | 11 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $19.88 | $36.81 | $36.81 – $36.81 | 1 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $30.78 | $57.00 | $41.14 – $41.14 | 1 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $1,938.30 | $3,589.44 | $1.28 – $1.28 | 1 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $188.46 | $349.00 | $49.55 – $111.00 | 11 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $85.86 | $159.00 | $34.92 – $80.25 | 11 |
| Fetal non stress test CPT 59025 | $101.52 | $188.00 | $28.07 – $63.00 | 11 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $615.90 | $1,140.56 | $1,140.56 – $1,140.56 | 1 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1.71 | $3.17 | $3.00 – $3.00 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $285.12 | $528.00 | $48.00 – $201.75 | 9 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $110.70 | $205.00 | $298.49 – $319.03 | 6 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $147.42 | $273.00 | $41.97 – $106.50 | 9 |
| Fine needle asp without image guide 10021 CPT 10021 | $210.60 | $390.00 | $44.67 – $298.49 | 10 |
| Fitting of diaphragm/cap 57170 CPT 57170 | $160.92 | $298.00 | $298.49 – $319.03 | 6 |
| Fixation of knee joint CPT 27570 | $342.90 | $635.00 | $145.98 – $325.50 | 11 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $1,512.81 | $2,801.50 | $623.61 – $1,433.25 | 11 |
| Flexible Sigmoidoscopy CPT 45330 | $263.79 | $488.50 | $52.50 – $120.75 | 11 |
| Floor of mouth biopsy 41108 CPT 41108 | $353.16 | $654.00 | $82.51 – $189.00 | 11 |
| Flow cytometry interp 16 or more CPT 88189 | $85.05 | $157.50 | $78.38 – $200.88 | 9 |
| #flow interp 9 - 15 markers CPT 88188 | $89.64 | $166.00 | $57.79 – $157.68 | 9 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $30.24 | $56.00 | $56.00 – $56.00 | 1 |
| Fluid pressure muscle 20950 CPT 20950 | $185.76 | $344.00 | $81.18 – $192.00 | 11 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $105.84 | $196.00 | $27.96 – $63.75 | 9 |
| Fluoroguide needle placement CPT 77002 | $149.04 | $276.00 | $26.72 – $59.25 | 9 |
| Fluoroscopy up to 1 hour CPT 76000 | $56.16 | $104.00 | $13.65 – $33.00 | 11 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $54.11 | $100.21 | $73.50 – $73.50 | 1 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | $17.82 | $33.00 | $33.00 – $51.00 | 4 |
| Fna bx w/ct gdn 1st les CPT 10009 | $348.30 | $645.00 | $48.00 – $246.00 | 9 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $0.56 | $1.03 | $1.03 – $1.03 | 1 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $12.42 | $23.00 | $23.00 – $23.00 | 1 |
| Foot X-ray CPT 73630 | $190.62 | $353.00 | $7.91 – $18.00 | 11 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $133.38 | $247.00 | $48.91 – $124.50 | 11 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $586.09 | $1,085.36 | $4.41 – $4.41 | 1 |
| Foscarnet sodium injection HCPCS J1455 | $37.80 | $70.00 | $70.00 – $70.00 | 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.