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 |
|---|---|---|---|---|
| Exc vagina lesion 57135 CPT 57135 | $370.40 | $463.00 | $9,225.99 – $9,225.99 | 1 |
| Exercise tst brncspsm w/ecg CPT 94617 | $182.40 | $228.00 | $378.88 – $378.88 | 1 |
| Exercise tst brncspsm wo ecg CPT 94619 | not published | not published | $187.55 – $187.55 | 1 |
| Exome sequence analysis CPT 81415 | not published | not published | $5,975.00 – $14,755.86 | 2 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | $322.40 | $403.00 | $9,283.38 – $9,283.38 | 1 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | $1,137.60 | $1,422.00 | not published | 0 |
| Exploration for testis CPT 54550 | not published | not published | $11,557.38 – $11,557.38 | 1 |
| Exploration for testis CPT 54560 | not published | not published | $6,052.50 – $6,052.50 | 1 |
| Exploration maxillary sinus CPT 31030 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Exploration maxillary sinus CPT 31256 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Exploration of ankle joint CPT 27612 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Exploration of foot joint CPT 28020 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Exploration of foot joint CPT 28022 | $715.20 | $894.00 | $9,712.92 – $9,712.92 | 1 |
| Exploration of frontal sinus CPT 31070 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Exploration of frontal sinus CPT 31075 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Exploration of knee joint CPT 27310 | $1,081.60 | $1,352.00 | $9,712.92 – $9,712.92 | 1 |
| Exploration of middle ear CPT 69440 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Exploration of sinuses CPT 31090 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Exploration of toe joint CPT 28024 | $668.80 | $836.00 | $4,680.86 – $4,680.86 | 1 |
| Explore/biopsy eye socket CPT 67400 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Explore/biopsy eye socket CPT 67450 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Explore deep node(s) neck CPT 38542 | $787.20 | $984.00 | $17,007.37 – $17,007.37 | 1 |
| Explore/drain eye socket CPT 67405 | not published | not published | $6,898.76 – $6,898.76 | 1 |
| Explore/drain eye socket CPT 67440 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Explore epididymis CPT 54865 | $543.20 | $679.00 | $10,458.39 – $10,458.39 | 1 |
| Explore inner ear CPT 69805 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Explore inner ear CPT 69806 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Explore/irrigate tear ducts CPT 68840 | not published | not published | $863.77 – $863.77 | 1 |
| Explore limb vessels 35860 CPT 35860 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Explore parathyroid glands CPT 60500 | $1,455.20 | $1,819.00 | $17,423.47 – $17,423.47 | 1 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $840.80 | $1,051.00 | $4,893.07 – $4,893.07 | 1 |
| Explore/repair chest 32110 CPT 32110 | $5,884.00 | $7,355.00 | not published | 0 |
| Explore scrotum CPT 55110 | $586.40 | $733.00 | $10,458.39 – $10,458.39 | 1 |
| Explore/treat ankle joint CPT 27620 | $664.00 | $830.00 | $9,712.92 – $9,712.92 | 1 |
| Explore/treat eye socket CPT 67412 | not published | not published | $6,898.76 – $6,898.76 | 1 |
| Explore/treat eye socket CPT 67420 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Explore/treat eye socket CPT 67430 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Explore/treat eye socket 67413 CPT 67413 | not published | not published | $6,898.76 – $6,898.76 | 1 |
| Explore/treat finger joint CPT 26075 | $500.80 | $626.00 | $9,712.92 – $9,712.92 | 1 |
| Explore/treat finger joint CPT 26080 | $591.20 | $739.00 | $4,680.86 – $4,680.86 | 1 |
| Explore/treat knee joint CPT 27331 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Explore/treat wrist joint CPT 25101 | $627.20 | $784.00 | $9,712.92 – $9,712.92 | 1 |
| Explore wound abdomen 20102 CPT 20102 | $934.40 | $1,168.00 | $5,631.53 – $5,631.53 | 1 |
| Explore woundchest 20101 CPT 20101 | not published | not published | $5,631.53 – $5,631.53 | 1 |
| Explore wound neck 20100 CPT 20100 | not published | not published | $1,490.61 – $1,490.61 | 1 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | $611.20 | $764.00 | not published | 0 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | $594.40 | $743.00 | not published | 0 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $555.20 | $694.00 | $4,893.07 – $4,893.07 | 1 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $500.00 | $625.00 | $4,893.07 – $4,893.07 | 1 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | not published | not published | $378.88 – $378.88 | 1 |
| Ext ecg>7d<15d scan a/r CPT 93247 | $204.80 | $256.00 | $378.88 – $378.88 | 1 |
| Extended culture of oocytes CPT 89272 | not published | not published | $2,533.78 – $2,533.78 | 1 |
| Extended visual field xm CPT 92083 | not published | not published | $378.88 – $378.88 | 1 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Extensive hand surgery CPT 26250 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Extensive surgery of throat CPT 42842 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Extensive surgery of throat CPT 42844 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Extensive testis surgery CPT 54535 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| External cannula declotting CPT 36860 | not published | not published | $4,854.90 – $4,854.90 | 1 |
| External chromosome analysis 20-25 cells CPT 88264 | $214.40 | $268.00 | $180.76 – $446.41 | 2 |
| External newborn metabolic screening panel HCPCS S3620 | $160.00 | $200.00 | not published | 0 |
| External ocular photography CPT 92285 | not published | not published | $187.55 – $187.55 | 1 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | not published | not published | $81.43 – $81.43 | 1 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $4,841.25 – $11,955.95 | 2 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $214.40 | $268.00 | $179.69 – $443.76 | 2 |
| Extnd color vision xm CPT 92283 | $81.60 | $102.00 | $187.55 – $187.55 | 1 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $287.20 | $359.00 | $22.41 – $55.35 | 2 |
| Extraction erupted tooth/exr HCPCS D7140 | not published | not published | $5,620.33 – $5,620.33 | 1 |
| Extraction of lens CPT 66930 | not published | not published | $13,037.66 – $13,037.66 | 1 |
| Extraction of lens CPT 66940 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $378.88 – $378.88 | 1 |
| Eye allergy tests CPT 95060 | not published | not published | $378.88 – $378.88 | 1 |
| F9 full gene sequence CPT 81238 | not published | not published | $750.00 – $1,852.20 | 2 |
| Face bone graft CPT 21210 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Facial bones <3 CPT 70140 | $307.20 | $384.00 | $283.48 – $283.48 | 1 |
| Facial nerve function test CPT 92516 | not published | not published | $913.84 – $913.84 | 1 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $5,620.33 – $5,620.33 | 1 |
| Factor ix CPT 85250 | $281.60 | $352.00 | $23.80 – $58.78 | 2 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $8.16 – $11.19 | 2 |
| Factor ix complex HCPCS J7194 | not published | not published | $3.83 – $5.26 | 2 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $12.02 – $16.49 | 2 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $3.00 – $4.12 | 2 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $10.30 – $14.14 | 2 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $4.22 – $5.79 | 2 |
| Factor viii CPT 85240 | $148.00 | $185.00 | $22.38 – $55.26 | 2 |
| Factor viii HCPCS J7190 | not published | not published | $2.54 – $3.49 | 2 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $5.45 – $7.48 | 2 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $2.65 – $3.63 | 2 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $4.85 – $6.65 | 2 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $3.45 – $4.74 | 2 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $3.41 – $4.68 | 2 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $7.27 – $9.97 | 2 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $24.25 – $33.27 | 2 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $41.16 – $56.47 | 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.