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 |
|---|---|---|---|---|
| Compatibility test incubate CPT 86921 | $215.20 | $269.00 | $513.12 – $513.12 | 1 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $504.00 | $630.00 | $2,040.48 – $2,040.48 | 1 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $581.60 | $727.00 | $2,040.48 – $2,040.48 | 1 |
| Complement antigen each component c3 CPT 86160 | $110.40 | $138.00 | $15.00 – $37.04 | 2 |
| Complement fixation each CPT 86171 | not published | not published | $12.51 – $30.90 | 2 |
| Complete removal of vulva CPT 56625 | not published | not published | $9,225.99 – $9,225.99 | 1 |
| Complex cystometrogram 51726 CPT 51726 | $412.80 | $516.00 | $701.12 – $701.12 | 1 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $524.80 | $656.00 | $1,895.66 – $1,895.66 | 1 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $590.40 | $738.00 | $1,895.66 – $1,895.66 | 1 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $20.80 | $26.00 | $474.53 – $474.53 | 1 |
| Compl oph exam general anes CPT 92018 | not published | not published | $6,898.76 – $6,898.76 | 1 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $627.20 | $784.00 | $1,895.66 – $1,895.66 | 1 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $735.20 | $919.00 | $1,895.66 – $1,895.66 | 1 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $272.80 | $341.00 | not published | 0 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $575.20 | $719.00 | $1,217.32 – $1,217.32 | 1 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $698.40 | $873.00 | $1,895.66 – $1,895.66 | 1 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $417.60 | $522.00 | not published | 0 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $188.00 | $235.00 | not published | 0 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $504.00 | $630.00 | $1,895.66 – $1,895.66 | 1 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $523.20 | $654.00 | not published | 0 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $5,631.53 – $5,631.53 | 1 |
| Comprehensive hearing test CPT 92557 | not published | not published | $474.53 – $474.53 | 1 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $394.38 – $394.38 | 1 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $394.38 – $394.38 | 1 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $238.40 | $298.00 | not published | 0 |
| Concentration infection agents any type CPT 87015 | $98.40 | $123.00 | $8.35 – $20.62 | 2 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $474.53 – $474.53 | 1 |
| Condylomata destruction 56420 CPT 56420 | $286.40 | $358.00 | $581.24 – $581.24 | 1 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $452.80 | $566.00 | $9,225.99 – $9,225.99 | 1 |
| Conization of cervix CPT 57520 | $526.40 | $658.00 | $9,225.99 – $9,225.99 | 1 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $989.10 | $1,236.37 | $879.17 – $1,206.22 | 2 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Construction of vagina CPT 57291 | not published | not published | $15,124.47 – $15,124.47 | 1 |
| Construct thumb replacement CPT 26550 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Construct vagina with graft CPT 57292 | not published | not published | $15,124.47 – $15,124.47 | 1 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $110.81 – $110.81 | 1 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | not published | not published | $2,533.78 – $2,533.78 | 1 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $43.20 | $54.00 | not published | 0 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $73.60 | $92.00 | $513.12 – $513.12 | 1 |
| Consultation/report referred material w/preparation of slides CPT 88323 | not published | not published | $163.59 – $163.59 | 1 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $560.00 | $700.00 | $110.81 – $110.81 | 1 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $513.12 – $513.12 | 1 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $1,232.01 – $1,232.01 | 1 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $378.88 – $378.88 | 1 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | $51.20 | $64.00 | not published | 0 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Contour of face bone lesion CPT 21029 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $588.44 – $588.44 | 1 |
| Contrast x-ray of ankle CPT 73615 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $2,417.07 – $2,417.07 | 1 |
| Contrast x-ray of elbow CPT 73085 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| Contrast x-ray of hip CPT 73525 | $912.80 | $1,141.00 | $1,202.18 – $1,202.18 | 1 |
| Contrast x-ray of knee joint CPT 73580 | $1,151.20 | $1,439.00 | $1,202.18 – $1,202.18 | 1 |
| Contrast x-ray of wrist CPT 73115 | $619.20 | $774.00 | $1,202.18 – $1,202.18 | 1 |
| Control nosebleed pack+caut 30905 CPT 30905 | $528.80 | $661.00 | $378.88 – $378.88 | 1 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $678.14 – $678.14 | 1 |
| Control of nosebleed ant comp 30903 CPT 30903 | $369.60 | $462.00 | $378.88 – $378.88 | 1 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $236.80 | $296.00 | $378.88 – $378.88 | 1 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $237.60 | $297.00 | $1,490.61 – $1,490.61 | 1 |
| Control throat bleeding CPT 42962 | $778.40 | $973.00 | $9,283.38 – $9,283.38 | 1 |
| Conversion ext bil drg cath CPT 47535 | not published | not published | $11,557.38 – $11,557.38 | 1 |
| Convert nephrostomy catheter CPT 50434 | not published | not published | $6,052.50 – $6,052.50 | 1 |
| Conv gtube to jtube CPT 44373 | not published | not published | $5,682.83 – $5,682.83 | 1 |
| Coombs direct CPT 86880 | $151.20 | $189.00 | $6.74 – $16.64 | 2 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | not published | not published | $7.15 – $17.66 | 2 |
| Coombs indirect titer reference CPT 86886 | not published | not published | $6.48 – $15.99 | 2 |
| Copper intrauterine device HCPCS J7300 | $1,007.20 | $1,259.00 | not published | 0 |
| Cor artery disease mrna CPT 81493 | $2,132.80 | $2,666.00 | $1,312.50 – $3,241.35 | 2 |
| Core ndl bx lng/med perq CPT 32408 | not published | not published | $4,893.07 – $4,893.07 | 1 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | $1,229.60 | $1,537.00 | $21,583.67 – $21,583.67 | 1 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $110.81 – $110.81 | 1 |
| Corneal smear CPT 65430 | not published | not published | $1,232.01 – $1,232.01 | 1 |
| Corneal transplant CPT 65710 | not published | not published | $13,037.66 – $13,037.66 | 1 |
| Corneal transplant CPT 65730 | not published | not published | $13,037.66 – $13,037.66 | 1 |
| Corneal transplant CPT 65750 | not published | not published | $13,037.66 – $13,037.66 | 1 |
| Corneal transplant CPT 65755 | not published | not published | $13,037.66 – $13,037.66 | 1 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $13,037.66 – $13,037.66 | 1 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | not published | not published | $9,653.52 – $9,653.52 | 1 |
| Coronary angio/lv gram/lt heart CPT 93458 | not published | not published | $9,653.52 – $9,653.52 | 1 |
| Coronary angio/lv gram/rt< heart CPT 93460 | not published | not published | $9,653.52 – $9,653.52 | 1 |
| Coronary art/grft angio s&i CPT 93455 | not published | not published | $9,653.52 – $9,653.52 | 1 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | not published | not published | $9,653.52 – $9,653.52 | 1 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $716.00 | $895.00 | $1,085.34 – $1,085.34 | 1 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Correct finger deformity CPT 26567 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $11,217.60 – $11,217.60 | 1 |
| Correction claw finger other CPT 26499 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $6,898.76 – $6,898.76 | 1 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | $4,047.20 | $5,059.00 | $9,712.92 – $9,712.92 | 1 |
| Correction of astigmatism CPT 65772 | not published | not published | $2,847.45 – $2,847.45 | 1 |
| Correction of astigmatism CPT 65775 | not published | not published | $6,898.76 – $6,898.76 | 1 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $863.77 – $863.77 | 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.