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 |
|---|---|---|---|---|
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $378.88 – $378.88 | 1 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $2,847.45 – $2,847.45 | 1 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Correct rectal prolapse CPT 45541 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $1,895.66 – $1,895.66 | 1 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Corrj halux rigdus without implt CPT 28289 | $1,009.60 | $1,262.00 | $9,712.92 – $9,712.92 | 1 |
| Cortisol acth stimulation test - sendout CPT 80400 | $96.00 | $120.00 | $40.78 – $100.70 | 2 |
| Cortisol total am CPT 82533 | $110.40 | $138.00 | $20.38 – $50.32 | 2 |
| Costotransversectomy CPT 21610 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $382.10 | $477.62 | $63.05 – $86.50 | 2 |
| Counseling smoke cess interm >10mins CPT 99407 | $41.60 | $52.00 | $96.85 – $96.85 | 1 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | $42.40 | $53.00 | $247.51 – $247.51 | 1 |
| Cover eye w/membrane CPT 65778 | not published | not published | $2,847.45 – $2,847.45 | 1 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $52.80 | $66.00 | not published | 0 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | not published | not published | $1,469.99 – $1,469.99 | 1 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | not published | not published | $1,469.99 – $1,469.99 | 1 |
| Covid-19 lab test non-cdc HCPCS U0002 | not published | not published | $64.14 – $158.39 | 2 |
| #covid19rsv-rsv CPT 87634 | $147.20 | $184.00 | $87.75 – $216.71 | 2 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $276.80 | $346.00 | $16.29 – $40.22 | 2 |
| C-peptide CPT 84681 | $117.60 | $147.00 | $26.01 – $64.24 | 2 |
| Cptrized corneal topography CPT 92025 | not published | not published | $187.55 – $187.55 | 1 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $187.55 – $187.55 | 1 |
| Crbrospnl fld flw imag cistern CPT 78630 | not published | not published | $1,646.19 – $1,646.19 | 1 |
| C-reactive protein CPT 86140 | $81.60 | $102.00 | $6.48 – $15.99 | 2 |
| C-reactive protein high sensitivity CPT 86141 | $47.20 | $59.00 | $16.19 – $39.98 | 2 |
| C-reactive protein, quantitative CPT 86406 | not published | not published | $13.30 – $32.85 | 2 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Create eardrum opening CPT 69436 | $234.40 | $293.00 | $4,529.52 – $4,529.52 | 1 |
| Create passage to kidney CPT 52334 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Create tear duct drain CPT 68745 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Create tear duct drain CPT 68750 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Create tear sac drain CPT 68720 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Creatine isoforms CPT 82554 | not published | not published | $14.84 – $36.64 | 2 |
| Creatine kinase CPT 82550 | $35.20 | $44.00 | $8.14 – $20.10 | 2 |
| Creatine kinase isoenzymes CPT 82552 | not published | not published | $16.74 – $41.33 | 2 |
| Creatine kinase mb CPT 82553 | $188.80 | $236.00 | $14.44 – $35.65 | 2 |
| Creatine - sendout CPT 82540 | not published | not published | $5.80 – $14.32 | 2 |
| Creatinine CPT 82565 | $48.00 | $60.00 | $6.40 – $15.81 | 2 |
| Creatinine 24 hour urine CPT 82570 | $89.60 | $112.00 | $6.48 – $15.99 | 2 |
| Creatinine clearance urine CPT 82575 | $118.40 | $148.00 | $11.83 – $29.20 | 2 |
| #creutz-prot.,western blot CPT 84182 | $580.80 | $726.00 | $36.51 – $90.17 | 2 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Cricotracheal resection CPT 31592 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Crisis psychotherapy 90839 CPT 90839 | $207.20 | $259.00 | $475.42 – $475.42 | 1 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $103.20 | $129.00 | not published | 0 |
| Critical care 30-74 minutes CPT 99291 | $1,226.40 | $1,533.00 | $2,505.10 – $2,505.10 | 1 |
| Critical care each additional 30 minutes CPT 99292 | $649.60 | $812.00 | not published | 0 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | not published | not published | $291.55 – $400.01 | 2 |
| Cromolyn sodium noncomp unit HCPCS J7631 | not published | not published | $0.64 – $0.88 | 2 |
| Cross-over vein graft CPT 34520 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Crotalidae poly immune fab HCPCS J0840 | not published | not published | $4,187.55 – $5,745.32 | 2 |
| Cryoablate prostate CPT 55873 | $1,141.60 | $1,427.00 | $27,923.42 – $27,923.42 | 1 |
| Cryocautery of cervix 57511 CPT 57511 | $300.80 | $376.00 | $952.66 – $952.66 | 1 |
| Cryo fib comp path redu each HCPCS P9026 | not published | not published | $258.71 – $258.71 | 1 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $36.80 | $46.00 | $17.68 – $43.65 | 2 |
| Cryoprecipitate each unit HCPCS P9012 | $64.00 | $80.00 | $242.74 – $242.74 | 1 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $2,533.78 – $2,533.78 | 1 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $513.12 – $513.12 | 1 |
| Cryopreservation sperm CPT 89259 | not published | not published | $513.12 – $513.12 | 1 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $1,330.51 – $1,330.51 | 1 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $163.59 – $163.59 | 1 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $11,217.60 – $11,217.60 | 1 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $209.60 | $262.00 | $589.25 – $589.25 | 1 |
| Cryotherapy of acne 17340 CPT 17340 | $79.20 | $99.00 | $110.81 – $110.81 | 1 |
| Cryptococcus abs qn - sendout CPT 86641 | $60.00 | $75.00 | $18.01 – $44.48 | 2 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $14.98 – $36.98 | 2 |
| Crystal identification light microscopy CPT 89060 | $120.00 | $150.00 | $9.16 – $22.63 | 2 |
| C-Section Delivery (full care) CPT 59510 | $3,296.80 | $4,121.00 | not published | 0 |
| C-section delivery incl p/p care 59515 CPT 59515 | $1,768.00 | $2,210.00 | not published | 0 |
| Csf leakage imaging CPT 78650 | not published | not published | $4,330.91 – $4,330.91 | 1 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $902.73 – $902.73 | 1 |
| Csf ventriculography CPT 78635 | not published | not published | $1,646.19 – $1,646.19 | 1 |
| CT 3d report other modality w/workstation CPT 76377 | $363.20 | $454.00 | not published | 0 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,778.40 | $2,223.00 | $588.44 – $588.44 | 1 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $943.20 | $1,179.00 | $588.44 – $588.44 | 1 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $943.20 | $1,179.00 | $588.44 – $588.44 | 1 |
| Cta neck without &/or w/contrast CPT 70498 | $1,364.00 | $1,705.00 | $588.44 – $588.44 | 1 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $3,628.80 | $4,536.00 | $1,202.18 – $1,202.18 | 1 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,778.40 | $2,223.00 | $588.44 – $588.44 | 1 |
| CT Angiogram of the Head CPT 70496 | $1,233.60 | $1,542.00 | $588.44 – $588.44 | 1 |
| CT angio hrt w/3d image CPT 75574 | $452.80 | $566.00 | $588.44 – $588.44 | 1 |
| CT angio pelvis CPT 72191 | $1,778.40 | $2,223.00 | $588.44 – $588.44 | 1 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,028.00 | $2,535.00 | $588.44 – $588.44 | 1 |
| CT bone density axial CPT 77078 | not published | not published | $283.48 – $283.48 | 1 |
| CT colonography dx CPT 74261 | $542.40 | $678.00 | $348.75 – $348.75 | 1 |
| CT colonography dx w/dye CPT 74262 | $943.20 | $1,179.00 | $588.44 – $588.44 | 1 |
| CT colonography screening CPT 74263 | $935.20 | $1,169.00 | not published | 0 |
| CT guidance for needle placement CPT 77012 | $1,330.40 | $1,663.00 | not published | 0 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,092.00 | $1,365.00 | not published | 0 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $675.49 – $675.49 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $238.40 | $298.00 | $283.48 – $283.48 | 1 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $588.44 – $588.44 | 1 |
| CT hrt w/3d image CPT 75572 | not published | not published | $588.44 – $588.44 | 1 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $283.48 – $283.48 | 1 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,578.40 | $1,973.00 | $588.44 – $588.44 | 1 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,307.20 | $1,634.00 | $348.75 – $348.75 | 1 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,716.80 | $2,146.00 | $588.44 – $588.44 | 1 |
| CT neck soft tissue w/contrast CPT 70491 | $1,098.40 | $1,373.00 | $588.44 – $588.44 | 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.