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 |
|---|---|---|---|---|
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $675.49 – $675.49 | 1 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $675.49 – $675.49 | 1 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $482.40 | $603.00 | $675.49 – $675.49 | 1 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $485.60 | $607.00 | $675.49 – $675.49 | 1 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $675.49 – $675.49 | 1 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $493.60 | $617.00 | $675.49 – $675.49 | 1 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $461.60 | $577.00 | $675.49 – $675.49 | 1 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $675.49 – $675.49 | 1 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $523.20 | $654.00 | $675.49 – $675.49 | 1 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $829.60 | $1,037.00 | $4,680.86 – $4,680.86 | 1 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $675.49 – $675.49 | 1 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $4,529.52 – $4,529.52 | 1 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Cltx post ankle fx CPT 27767 | not published | not published | $675.49 – $675.49 | 1 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $591.20 | $739.00 | $675.49 – $675.49 | 1 |
| Cltx thigh fx CPT 27267 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $4,529.52 – $4,529.52 | 1 |
| Cmbn ant pst colprhy CPT 57260 | $1,150.40 | $1,438.00 | $15,124.47 – $15,124.47 | 1 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $1,577.43 – $1,577.43 | 1 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $3,048.91 – $3,048.91 | 1 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $3,048.91 – $3,048.91 | 1 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $187.55 – $187.55 | 1 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $187.55 – $187.55 | 1 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $17.59 – $43.43 | 2 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $11.00 – $27.17 | 2 |
| #cmvcul-virus inoculation shell CPT 87254 | $77.60 | $97.00 | $24.45 – $60.38 | 2 |
| Cmv pcr-sendout CPT 87496 | $263.20 | $329.00 | $43.86 – $108.32 | 2 |
| Co2 monitor per day CPT 94681 | not published | not published | $913.84 – $913.84 | 1 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $5.95 – $8.17 | 2 |
| Coagulation time activated teg CPT 85347 | $142.40 | $178.00 | $5.35 – $13.21 | 2 |
| Coagulation time otr method CPT 85348 | not published | not published | $5.61 – $13.86 | 2 |
| Cocaine 4 % nasal solution HCPCS C9046 | $954.57 | $1,193.21 | not published | 0 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $474.53 – $474.53 | 1 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $474.53 – $474.53 | 1 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $10.09 – $24.91 | 2 |
| Cold agglutinin titer CPT 86157 | $133.60 | $167.00 | $10.08 – $24.88 | 2 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | $1,980.80 | $2,476.00 | not published | 0 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | $2,425.60 | $3,032.00 | not published | 0 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | $1,831.20 | $2,289.00 | not published | 0 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | $2,680.80 | $3,351.00 | not published | 0 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | $2,598.40 | $3,248.00 | not published | 0 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $25.63 – $35.16 | 2 |
| Collagenase, clost hist inj HCPCS J0775 | $68.80 | $86.00 | $164.62 – $225.86 | 2 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $131.20 | $164.00 | $378.88 – $378.88 | 1 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $131.20 | $164.00 | $378.88 – $378.88 | 1 |
| Collection of venous blood by venipuncture CPT 36415 | $85.60 | $107.00 | $11.36 – $28.06 | 2 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $913.84 – $913.84 | 1 |
| Colonoscopy (diagnostic) CPT 45378 | $614.40 | $768.00 | $2,711.70 – $2,711.70 | 1 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $3,533.55 – $3,533.55 | 1 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $743.20 | $929.00 | $3,533.55 – $3,533.55 | 1 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $3,533.55 – $3,533.55 | 1 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $2,711.70 – $2,711.70 | 1 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $3,533.55 – $3,533.55 | 1 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $3,533.55 – $3,533.55 | 1 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $664.80 | $831.00 | $3,533.55 – $3,533.55 | 1 |
| Colonoscopy submucous njx CPT 45381 | $673.60 | $842.00 | $3,533.55 – $3,533.55 | 1 |
| Colonoscopy thru stoma spx CPT 44388 | $476.80 | $596.00 | $2,711.70 – $2,711.70 | 1 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $3,533.55 – $3,533.55 | 1 |
| Colonoscopy w/balloon dilat CPT 45386 | $937.60 | $1,172.00 | $3,533.55 – $3,533.55 | 1 |
| Colonoscopy w/band ligation CPT 45398 | $1,276.80 | $1,596.00 | $3,533.55 – $3,533.55 | 1 |
| Colonoscopy w/control bleed CPT 45382 | $1,021.60 | $1,277.00 | $3,533.55 – $3,533.55 | 1 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $2,711.70 – $2,711.70 | 1 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $3,533.55 – $3,533.55 | 1 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $3,533.55 – $3,533.55 | 1 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $3,533.55 – $3,533.55 | 1 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $17,100.59 – $17,100.59 | 1 |
| Colonoscopy w/fb removal CPT 45379 | $657.60 | $822.00 | $3,533.55 – $3,533.55 | 1 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $3,533.55 – $3,533.55 | 1 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $3,533.55 – $3,533.55 | 1 |
| Colonoscopy (with biopsy) CPT 45380 | $660.00 | $825.00 | $3,533.55 – $3,533.55 | 1 |
| Colonoscopy with biopsy CPT 44389 | $627.20 | $784.00 | $3,533.55 – $3,533.55 | 1 |
| Colonoscopy (with polyp removal) CPT 45385 | $686.40 | $858.00 | $3,533.55 – $3,533.55 | 1 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $3,533.55 – $3,533.55 | 1 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $17,100.59 – $17,100.59 | 1 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $3,533.55 – $3,533.55 | 1 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $15,124.47 – $15,124.47 | 1 |
| Colpocleisis (le forte type) 57120 CPT 57120 | $794.40 | $993.00 | $15,124.47 – $15,124.47 | 1 |
| Colpopexy extraperitoneal CPT 57282 | $1,024.80 | $1,281.00 | $22,598.24 – $22,598.24 | 1 |
| Colpopexy intraperitoneal CPT 57283 | $1,032.80 | $1,291.00 | $22,598.24 – $22,598.24 | 1 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $15,124.47 – $15,124.47 | 1 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $493.60 | $617.00 | $9,225.99 – $9,225.99 | 1 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $263.20 | $329.00 | $2,295.45 – $2,295.45 | 1 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $530.40 | $663.00 | $9,225.99 – $9,225.99 | 1 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $188.00 | $235.00 | $581.24 – $581.24 | 1 |
| Colposcopy vulva 56820 CPT 56820 | $185.60 | $232.00 | $581.24 – $581.24 | 1 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | $248.80 | $311.00 | $952.66 – $952.66 | 1 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $240.80 | $301.00 | $952.66 – $952.66 | 1 |
| Colpotomy drng of abscess 57010 CPT 57010 | $678.40 | $848.00 | $9,225.99 – $9,225.99 | 1 |
| Colpotomy w/exploration 57000 CPT 57000 | $300.00 | $375.00 | $9,225.99 – $9,225.99 | 1 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $148.00 | $185.00 | $513.12 – $513.12 | 1 |
| Compatibility test each unit electronic CPT 86923 | not published | not published | $513.12 – $513.12 | 1 |
| Compatibility test each unit immediate spin technique CPT 86920 | $171.20 | $214.00 | $513.12 – $513.12 | 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.