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 |
|---|---|---|---|---|
| Amputate hand at wrist CPT 25922 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Amputate thigh through femur 27590 CPT 27590 | $1,160.00 | $1,450.00 | not published | 0 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $5,631.53 – $5,631.53 | 1 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Amputation leg thr tib/fib 27880 CPT 27880 | $1,325.60 | $1,657.00 | not published | 0 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | $958.40 | $1,198.00 | not published | 0 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Amputation thru metatarsal CPT 28805 | $1,039.20 | $1,299.00 | $9,712.92 – $9,712.92 | 1 |
| Amputation toe interphalangeal joint CPT 28825 | $434.40 | $543.00 | $9,712.92 – $9,712.92 | 1 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $443.20 | $554.00 | $9,712.92 – $9,712.92 | 1 |
| Amylase CPT 82150 | $110.40 | $138.00 | $8.10 – $20.00 | 2 |
| Ana ds-dna CPT 86226 | not published | not published | $15.14 – $37.38 | 2 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $140.80 | $176.00 | not published | 0 |
| Anal pressure record CPT 91122 | not published | not published | $913.84 – $913.84 | 1 |
| Anal/urinary muscle study CPT 51784 | $94.40 | $118.00 | $474.53 – $474.53 | 1 |
| Anal/urinary muscle study CPT 51785 | $587.20 | $734.00 | $701.12 – $701.12 | 1 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | not published | not published | $325.68 – $325.68 | 1 |
| Analysis gene f2 20210g>a variant CPT 81240 | $204.00 | $255.00 | $82.11 – $202.79 | 2 |
| Analysis gene f5 leiden variant CPT 81241 | $121.60 | $152.00 | $91.71 – $226.49 | 2 |
| Analysis nerve CPT 88356 | not published | not published | $163.59 – $163.59 | 1 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | not published | not published | $114.22 – $114.22 | 1 |
| Analysis tumor CPT 88358 | not published | not published | $513.12 – $513.12 | 1 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $71.20 | $89.00 | $325.68 – $325.68 | 1 |
| Anaplsma phgcytophlm amp prb CPT 87468 | not published | not published | $43.86 – $108.32 | 2 |
| Anca screen with reflex to titer -quest CPT 86021 | $343.20 | $429.00 | $18.81 – $46.46 | 2 |
| An cholangiogram percutaneous compl CPT 47531 | $931.20 | $1,164.00 | $11,557.38 – $11,557.38 | 1 |
| Androstanediol CPT 82154 | not published | not published | $36.04 – $89.00 | 2 |
| An fluoro guide for cvp CPT 77001 | $152.80 | $191.00 | not published | 0 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | not published | not published | $17,017.98 – $17,017.98 | 1 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | not published | not published | $17,017.98 – $17,017.98 | 1 |
| Angiotensin ii CPT 82163 | not published | not published | $25.65 – $63.35 | 2 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $5,038.94 | $6,298.67 | not published | 0 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | not published | not published | $34,638.00 – $34,638.00 | 1 |
| Angio trnslmnl balloon same artery ini CPT 37246 | not published | not published | $17,017.98 – $17,017.98 | 1 |
| Angio trnslmnl balloon same vein ini CPT 37248 | not published | not published | $17,017.98 – $17,017.98 | 1 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $1.09 – $1.49 | 2 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Ankle arthroscopy/surgery CPT 29897 | $724.00 | $905.00 | $9,712.92 – $9,712.92 | 1 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Ankle X-ray CPT 73610 | $238.40 | $298.00 | $283.48 – $283.48 | 1 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $902.73 – $902.73 | 1 |
| Annual alcohol screen 15 min HCPCS G0442 | $28.00 | $35.00 | $96.85 – $96.85 | 1 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $175.20 | $219.00 | not published | 0 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $185.60 | $232.00 | not published | 0 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $193.60 | $242.00 | not published | 0 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $223.20 | $279.00 | not published | 0 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $581.24 – $581.24 | 1 |
| Anora (draw only) CPT 99001 | $32.80 | $41.00 | not published | 0 |
| Anorectal myomectomy CPT 45108 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Anoscopy CPT 46611 | $324.00 | $405.00 | $2,711.70 – $2,711.70 | 1 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Anoscopy and biopsy CPT 46606 | $404.80 | $506.00 | $3,533.55 – $3,533.55 | 1 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $3,533.55 – $3,533.55 | 1 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $3,533.55 – $3,533.55 | 1 |
| Anoscopy remove fb 46608 CPT 46608 | not published | not published | $2,711.70 – $2,711.70 | 1 |
| Anoscopy remove lesion 46610 CPT 46610 | $400.00 | $500.00 | $8,384.23 – $8,384.23 | 1 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $913.84 – $913.84 | 1 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $905.60 | $1,132.00 | $15,124.47 – $15,124.47 | 1 |
| Antibody CPT 86744 | not published | not published | $19.99 – $49.36 | 2 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $51.20 | $64.00 | $16.10 – $39.76 | 2 |
| Antibody elution rbc reference CPT 86860 | not published | not published | $513.12 – $513.12 | 1 |
| Antibody htlv/hiv confirm test CPT 86689 | $179.20 | $224.00 | $24.19 – $59.73 | 2 |
| Antibody htlv-i CPT 86687 | $35.20 | $44.00 | $11.36 – $28.06 | 2 |
| Antibody htlv-ii CPT 86688 | not published | not published | $17.50 – $43.22 | 2 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $264.00 | $330.00 | $22.96 – $56.71 | 2 |
| Antibody id rbc panel CPT 86870 | $283.20 | $354.00 | $1,057.58 – $1,057.58 | 1 |
| Antibody influenza virus CPT 86710 | $53.60 | $67.00 | $16.94 – $41.83 | 2 |
| Antibody lymphocytic choriomeningitis CPT 86727 | not published | not published | $16.09 – $39.73 | 2 |
| Antibody screen rbc CPT 86850 | $144.00 | $180.00 | $12.21 – $30.16 | 2 |
| Antibody tetanus CPT 86774 | $60.80 | $76.00 | $18.50 – $45.69 | 2 |
| Antigen therapy services CPT 95145 | $52.80 | $66.00 | $138.26 – $138.26 | 1 |
| Antigen therapy services CPT 95146 | not published | not published | $138.26 – $138.26 | 1 |
| Antigen therapy services CPT 95147 | not published | not published | $220.15 – $220.15 | 1 |
| Antigen therapy services CPT 95148 | not published | not published | $220.15 – $220.15 | 1 |
| Antigen therapy services CPT 95149 | not published | not published | $220.15 – $220.15 | 1 |
| Antigen therapy services CPT 95165 | $21.60 | $27.00 | $138.26 – $138.26 | 1 |
| Antigen therapy services CPT 95170 | not published | not published | $138.26 – $138.26 | 1 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | not published | not published | $3.35 – $4.59 | 2 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $2.76 – $3.79 | 2 |
| Anti-inhibitor HCPCS J7198 | not published | not published | $5.51 – $7.57 | 2 |
| Anti mog serum - sendout CPT 86362 | not published | not published | $15.06 – $37.20 | 2 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | not published | not published | $15.06 – $37.20 | 2 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $31.20 | $39.00 | $15.06 – $37.20 | 2 |
| Antinuclear antibodies CPT 86038 | $55.20 | $69.00 | $15.11 – $37.32 | 2 |
| Antinuclear antibodies titer CPT 86039 | $91.20 | $114.00 | $13.95 – $34.45 | 2 |
| Antiphosphatidylserine antibody CPT 86148 | $91.20 | $114.00 | $20.09 – $49.61 | 2 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $7.21 – $17.81 | 2 |
| Antistreptolysin o titer CPT 86060 | $68.00 | $85.00 | $9.13 – $22.54 | 2 |
| Antithrombin iii activity CPT 85300 | $144.00 | $180.00 | $14.81 – $36.58 | 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.