Providence St Joseph Medical Center
6 13th Ave E, Polson, MT · Providence · · NPI 1821184888
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 |
|---|---|---|---|---|
| Candida dna CPT 87480 | $36.80 | $46.00 | $25.06 – $61.89 | 2 |
| Candida skin test CPT 86485 | $80.00 | $100.00 | $81.43 – $81.43 | 1 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $1,506.59 – $2,067.04 | 2 |
| Canthotomy 67715 CPT 67715 | not published | not published | $6,898.76 – $6,898.76 | 1 |
| Capecitabine, oral, 50 mg HCPCS J8522 | not published | not published | $0.12 – $0.16 | 2 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $7.61 – $10.43 | 2 |
| Capsular contracture release CPT 23020 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | $565.60 | $707.00 | $4,680.86 – $4,680.86 | 1 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $713.60 | $892.00 | $9,712.92 – $9,712.92 | 1 |
| Carbamazepine free CPT 80157 | $60.00 | $75.00 | $16.56 – $40.90 | 2 |
| Carbamazepine free -sendout CPT 80161 | $81.60 | $102.00 | $23.30 – $57.54 | 2 |
| Carbamazepine total therapeutic drug level CPT 80156 | $156.80 | $196.00 | $18.21 – $44.98 | 2 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $547.08 – $750.60 | 2 |
| Carbohydrate deficient transf - sendout CPT 82373 | not published | not published | $22.58 – $55.75 | 2 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $6.88 – $16.98 | 2 |
| Carbon dioxide CPT 82374 | $35.20 | $44.00 | $6.10 – $15.06 | 2 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $186.10 | $232.62 | $4.75 – $6.52 | 2 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $460.80 | $576.00 | not published | 0 |
| Carboxyhemoglobin quantitative CPT 82375 | $112.80 | $141.00 | $15.40 – $38.03 | 2 |
| Carcinoembryonic ag (cea) CPT 82378 | $91.20 | $114.00 | $23.70 – $58.53 | 2 |
| Cardiac drug stress test CPT 93024 | not published | not published | $1,232.01 – $1,232.01 | 1 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $1,641.72 – $1,641.72 | 1 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $1,641.72 – $1,641.72 | 1 |
| Cardiac MRI w/stress img CPT 75559 | $1,607.20 | $2,009.00 | $1,641.72 – $1,641.72 | 1 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $4,330.91 – $4,330.91 | 1 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $4,330.91 – $4,330.91 | 1 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $456.00 | $570.00 | $4,330.91 – $4,330.91 | 1 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $170.40 | $213.00 | $391.78 – $391.78 | 1 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $159.20 | $199.00 | $391.78 – $391.78 | 1 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Cardiokymography HCPCS Q0035 | not published | not published | $110.81 – $110.81 | 1 |
| Cardiolipin antibody iga CPT 86147 | $147.20 | $184.00 | $31.81 – $78.56 | 2 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $628.00 | $785.00 | $1,919.11 – $1,919.11 | 1 |
| Cardioversion/elective/internal 92961 CPT 92961 | not published | not published | $1,919.11 – $1,919.11 | 1 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $4,645.29 | $5,806.61 | $123.95 – $170.06 | 2 |
| Car ion chnnlpath inc 10 gns CPT 81413 | $170.40 | $213.00 | $731.13 – $1,805.59 | 2 |
| Car ion chnnlpath inc 2 gns CPT 81414 | $89.60 | $112.00 | $731.13 – $1,805.59 | 2 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | not published | not published | $390.70 – $536.04 | 2 |
| Carotene CPT 82380 | $118.40 | $148.00 | $11.53 – $28.46 | 2 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $458.40 | $573.00 | $761.98 – $761.98 | 1 |
| Carpal Tunnel Release Surgery CPT 64721 | $656.00 | $820.00 | $5,865.36 – $5,865.36 | 1 |
| Car seat/bed test 60 minutes CPT 94780 | $73.60 | $92.00 | $110.81 – $110.81 | 1 |
| Car seat/bed test additional 30 minutes CPT 94781 | $73.60 | $92.00 | not published | 0 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $281.60 | $352.00 | $2,711.70 – $2,711.70 | 1 |
| Caspofungin acetate HCPCS J0637 | not published | not published | $5.10 – $7.00 | 2 |
| Cataract Surgery CPT 66984 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $34.13 – $84.28 | 2 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $1,960.00 | $2,450.00 | not published | 0 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | not published | not published | $9,653.52 – $9,653.52 | 1 |
| Catheter declot mechanical CPT 36596 | not published | not published | $4,854.90 – $4,854.90 | 1 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $29.60 | $37.00 | $11.36 – $28.06 | 2 |
| Catheter stripping venous CPT 36595 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $220.00 | $275.00 | not published | 0 |
| Cath left heart/lv gram CPT 93452 | not published | not published | $9,653.52 – $9,653.52 | 1 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | not published | not published | $9,653.52 – $9,653.52 | 1 |
| Cath plc art/angio/rt hrt cath CPT 93456 | not published | not published | $9,653.52 – $9,653.52 | 1 |
| Cath plc art/grft/angio right hrt CPT 93457 | not published | not published | $9,653.52 – $9,653.52 | 1 |
| Cath right heart w/o2 sat & card CPT 93451 | $1,215.20 | $1,519.00 | $9,653.52 – $9,653.52 | 1 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $376.00 | $470.00 | not published | 0 |
| Cauterization chemical granulation tissue CPT 17250 | $133.60 | $167.00 | $589.25 – $589.25 | 1 |
| Cauterization of cervix 57510 CPT 57510 | $252.00 | $315.00 | $9,225.99 – $9,225.99 | 1 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $22.50 – $55.57 | 2 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $259.14 – $639.97 | 2 |
| Cdna analysis for variants CPT 81403 | not published | not published | $231.50 – $571.71 | 2 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $378.88 – $378.88 | 1 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $378.88 – $378.88 | 1 |
| Cebpa gene full sequence CPT 81218 | $1,009.60 | $1,262.00 | $302.38 – $746.75 | 2 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $80.08 | $100.10 | $1.88 – $2.58 | 2 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $85.22 | $106.53 | $2.77 – $3.80 | 2 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $89.66 | $112.07 | $11.55 – $15.85 | 2 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $214.43 | $268.04 | $9.55 – $13.10 | 2 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $97.42 | $121.78 | $3.69 – $5.07 | 2 |
| Ceftazidime and avibactam HCPCS J0714 | not published | not published | $236.14 – $323.98 | 2 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $80.58 | $100.72 | $1.08 – $1.48 | 2 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $78.58 | $98.23 | $5.15 – $7.07 | 2 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $118.43 – $292.46 | 2 |
| #celiac hla-dq8 CPT 81383 | $455.20 | $569.00 | $136.41 – $336.88 | 2 |
| Cell count body fluid CPT 89050 | $121.60 | $152.00 | $5.90 – $14.57 | 2 |
| Cell count w differential body fluid CPT 89051 | $121.60 | $152.00 | $7.00 – $17.29 | 2 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $16.34 – $40.35 | 2 |
| Cell enumeration & id CPT 86152 | not published | not published | $313.48 – $774.16 | 2 |
| Cell function assay w/stim CPT 86352 | $325.60 | $407.00 | $169.83 – $419.40 | 2 |
| Cell marker study CPT 88182 | not published | not published | $163.59 – $163.59 | 1 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $64.57 – $88.59 | 2 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $9,225.99 – $9,225.99 | 1 |
| Cerebrospinal fld flw imag CPT 78645 | not published | not published | $1,646.19 – $1,646.19 | 1 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $10.09 – $13.85 | 2 |
| Cervical lymphadenectomy 38720 CPT 38720 | $2,012.80 | $2,516.00 | $28,733.32 – $28,733.32 | 1 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $58.40 | $73.00 | $247.51 – $247.51 | 1 |
| Cesarean section delivery only 59514 CPT 59514 | $1,483.20 | $1,854.00 | not published | 0 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $2,024.88 | $2,531.10 | $176.55 – $242.23 | 2 |
| #cf-97variants CPT 81220 | $722.40 | $903.00 | $695.75 – $1,718.22 | 2 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $543.84 – $1,343.06 | 2 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $210.94 – $520.93 | 2 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $121.53 – $300.12 | 2 |
| Change cystostomy tube; complex 51710 CPT 51710 | $201.60 | $252.00 | $2,040.48 – $2,040.48 | 1 |
| Change cystostomy tube simple CPT 51705 | $342.40 | $428.00 | $701.12 – $701.12 | 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.