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 |
|---|---|---|---|---|
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $902.73 – $902.73 | 1 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $902.73 – $902.73 | 1 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $902.73 – $902.73 | 1 |
| Electrical stimulation/unattended 97014 CPT 97014 | $50.40 | $63.00 | not published | 0 |
| Electrocochleography CPT 92584 | not published | not published | $474.53 – $474.53 | 1 |
| Electroconvulsive therapy 90870 CPT 90870 | not published | not published | $1,577.43 – $1,577.43 | 1 |
| Electrode stimulation brain CPT 95961 | not published | not published | $3,048.91 – $3,048.91 | 1 |
| Electroejaculation CPT 55870 | not published | not published | $2,295.45 – $2,295.45 | 1 |
| Electrogastrography CPT 91132 | not published | not published | $913.84 – $913.84 | 1 |
| Electrogastrography w/test CPT 91133 | not published | not published | $378.88 – $378.88 | 1 |
| Electrolyte panel CPT 80051 | $51.20 | $64.00 | $8.76 – $21.64 | 2 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | $73.60 | $92.00 | $325.68 – $325.68 | 1 |
| Electron microscopy diagnostic CPT 88348 | $1,847.20 | $2,309.00 | $2,533.78 – $2,533.78 | 1 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $378.88 – $378.88 | 1 |
| Electrophysiologic study CPT 93624 | not published | not published | $21,969.11 – $21,969.11 | 1 |
| Electrophysiology evaluation CPT 93619 | not published | not published | $21,969.11 – $21,969.11 | 1 |
| Electrophysiology evaluation CPT 93620 | not published | not published | $21,969.11 – $21,969.11 | 1 |
| Electrophysiology evaluation CPT 93642 | not published | not published | $3,645.00 – $3,645.00 | 1 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $690.29 – $947.08 | 2 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $17.72 – $24.32 | 2 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $416.95 – $572.05 | 2 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $5,682.83 – $5,682.83 | 1 |
| Embo or occlude vascular arterial s&i CPT 37242 | not published | not published | $34,638.00 – $34,638.00 | 1 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | not published | not published | $34,638.00 – $34,638.00 | 1 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | not published | not published | $34,638.00 – $34,638.00 | 1 |
| Embo or occlude vascular venous s&i CPT 37241 | not published | not published | $34,638.00 – $34,638.00 | 1 |
| Embryo hatching CPT 89253 | not published | not published | $513.12 – $513.12 | 1 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $2,295.45 – $2,295.45 | 1 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Emb w/colposcopy 58110 CPT 58110 | $73.60 | $92.00 | not published | 0 |
| Emb without cervical dilation 58100 CPT 58100 | $269.60 | $337.00 | $581.24 – $581.24 | 1 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $229.60 | $287.00 | $378.88 – $378.88 | 1 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $312.00 | $390.00 | $474.53 – $474.53 | 1 |
| Emg cranial nerve bilateral CPT 95868 | not published | not published | $913.84 – $913.84 | 1 |
| Emg needle test 1-extremity CPT 95860 | $164.80 | $206.00 | $378.88 – $378.88 | 1 |
| Emg needle test 4-extremities CPT 95864 | $329.60 | $412.00 | $474.53 – $474.53 | 1 |
| Emg thor paraspinal without t1/t2 CPT 95869 | not published | not published | $474.53 – $474.53 | 1 |
| Encephalitis, california igg/igm CPT 86651 | not published | not published | $16.49 – $40.72 | 2 |
| Encephalitis, st louis igg/igm CPT 86653 | not published | not published | $16.49 – $40.72 | 2 |
| Encephalitis, western equine igg/igm CPT 86654 | $55.20 | $69.00 | $16.49 – $40.72 | 2 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Endocerv curettage w/scope 57456 CPT 57456 | $225.60 | $282.00 | $952.66 – $952.66 | 1 |
| Endocervical curettage 57505 CPT 57505 | $234.40 | $293.00 | $2,295.45 – $2,295.45 | 1 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $10,639.72 – $10,639.72 | 1 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $10,639.72 – $10,639.72 | 1 |
| Endome abla/them without hystero guide 58353 CPT 58353 | $1,440.80 | $1,801.00 | $15,124.47 – $15,124.47 | 1 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $15,124.47 – $15,124.47 | 1 |
| Endo outlet restrict w/tube HCPCS C9785 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $5,682.83 – $5,682.83 | 1 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $2,711.70 – $2,711.70 | 1 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $2,711.70 – $2,711.70 | 1 |
| Endoscopy of ureter CPT 50951 | $568.00 | $710.00 | $10,458.39 – $10,458.39 | 1 |
| Endoscopy of ureter CPT 50953 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $369.60 | $462.00 | $5,216.13 – $5,216.13 | 1 |
| Endo sleeve gastro w/tube HCPCS C9784 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $34,638.00 – $34,638.00 | 1 |
| Endovenous mchnchem 1st vein CPT 36473 | $1,882.40 | $2,353.00 | $9,720.46 – $9,720.46 | 1 |
| Endovenous mchnchem add-on CPT 36474 | $389.60 | $487.00 | not published | 0 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $5,534.00 | $6,917.50 | $82.49 – $113.18 | 2 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $189.94 | $237.43 | $1.28 – $1.76 | 2 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $14.98 – $36.98 | 2 |
| Enterectomy small intestine single 44120 CPT 44120 | $1,804.00 | $2,255.00 | not published | 0 |
| Enteroenterostomy fusion 44130 CPT 44130 | $1,942.40 | $2,428.00 | not published | 0 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | $1,245.60 | $1,557.00 | not published | 0 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $55.04 – $135.92 | 2 |
| Enzyme histochemistry CPT 88319 | $133.60 | $167.00 | $2,533.78 – $2,533.78 | 1 |
| Ep & ablate supravent arrhyt CPT 93653 | not published | not published | $76,619.96 – $76,619.96 | 1 |
| Ep & ablate ventric tachy CPT 93654 | not published | not published | $76,619.96 – $76,619.96 | 1 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $125.23 – $171.82 | 2 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $5,631.53 – $5,631.53 | 1 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $5,631.53 – $5,631.53 | 1 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $2,780.68 – $2,780.68 | 1 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $2,780.68 – $2,780.68 | 1 |
| Epiglottidectomy CPT 31420 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $3,060.70 – $7,558.70 | 2 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $3,645.00 – $3,645.00 | 1 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | not published | not published | $4.90 – $6.72 | 2 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | not published | not published | $2.97 – $4.07 | 2 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $68.43 | $85.54 | $1.31 – $1.79 | 2 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | not published | not published | $5.13 – $7.04 | 2 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $3.57 – $4.90 | 2 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $4,353.60 | $5,442.00 | $9,225.99 – $9,225.99 | 1 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $1.73 – $2.37 | 2 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $986.70 | $1,233.38 | $17.02 – $23.36 | 2 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | not published | not published | $17.27 – $23.70 | 2 |
| Epoetin beta non esrd HCPCS J0888 | $1,599.67 | $1,999.59 | $3.18 – $4.37 | 2 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $36.45 – $50.01 | 2 |
| Epstein barr early antigen antibody CPT 86663 | $32.80 | $41.00 | $16.40 – $40.50 | 2 |
| Epstein barr nuclear antigen antibody CPT 86664 | $53.60 | $67.00 | $19.11 – $47.20 | 2 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $104.80 | $131.00 | $22.68 – $56.00 | 2 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $44.66 – $61.27 | 2 |
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.