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 |
|---|---|---|---|---|
| Hiv-2 quant&revrse trnscripj CPT 87539 | not published | not published | $73.28 – $180.96 | 2 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $160.37 – $220.02 | 2 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | not published | not published | $3.91 – $5.36 | 2 |
| HIV prep, inj, cabotegravir HCPCS J0739 | not published | not published | $15.82 – $21.71 | 2 |
| Hizentra injection HCPCS J1559 | not published | not published | $31.78 – $43.60 | 2 |
| Hla class i high defin qual CPT 86832 | not published | not published | $404.69 – $999.42 | 2 |
| Hla class ii high defin qual CPT 86833 | not published | not published | $407.25 – $1,005.74 | 2 |
| Hla class i&ii antibody qual CPT 86828 | not published | not published | $80.24 – $198.15 | 2 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $80.24 – $198.15 | 2 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $102.35 – $252.76 | 2 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $403.70 – $996.98 | 2 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $119.40 – $294.87 | 2 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $446.95 – $1,103.79 | 2 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $505.65 – $1,248.75 | 2 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $431.96 – $1,066.77 | 2 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $502.65 – $1,241.34 | 2 |
| Hla ii typing 1 loc hr CPT 81382 | not published | not published | $154.60 – $381.80 | 2 |
| Hla ii typing ag equiv lr CPT 81375 | not published | not published | $275.93 – $681.42 | 2 |
| Hla i low res one antigen equiv ea CPT 81374 | $110.40 | $138.00 | $92.91 – $229.46 | 2 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $221.56 – $547.17 | 2 |
| Hla i typing complete hr CPT 81379 | not published | not published | $419.23 – $1,035.32 | 2 |
| Hla i typing complete lr CPT 81372 | not published | not published | $504.49 – $1,245.88 | 2 |
| Hla i typing high res 1 allele grp ea CPT 81381 | not published | not published | $212.38 – $524.48 | 2 |
| Hla i typing low res one locus ea CPT 81373 | not published | not published | $159.29 – $393.38 | 2 |
| Hla typing a b or c CPT 86813 | not published | not published | $72.50 – $179.05 | 2 |
| Hla typing dr/dq CPT 86816 | not published | not published | $37.71 – $93.13 | 2 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $45.66 – $112.77 | 2 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $136.86 – $338.00 | 2 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $247.51 – $247.51 | 1 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $96.85 – $96.85 | 1 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | not published | not published | $96.85 – $96.85 | 1 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $247.51 – $247.51 | 1 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | not published | not published | $0.64 – $0.88 | 2 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | not published | not published | $0.49 – $0.67 | 2 |
| Home health care supervision CPT 99374 | $101.60 | $127.00 | not published | 0 |
| Home health care supervision CPT 99375 | $152.80 | $191.00 | not published | 0 |
| Home health re-certification physician g0179 HCPCS G0179 | $63.20 | $79.00 | not published | 0 |
| Home/res vst est high mdm 60 CPT 99350 | $255.20 | $319.00 | not published | 0 |
| Home/res vst est mod mdm 40 CPT 99349 | $184.00 | $230.00 | not published | 0 |
| Home/res vst est sf mdm 20 CPT 99347 | $78.40 | $98.00 | not published | 0 |
| Home/res vst new low mdm 30 CPT 99342 | $110.40 | $138.00 | not published | 0 |
| Home/res vst new mod mdm 60 CPT 99344 | $258.40 | $323.00 | not published | 0 |
| Home/res vst new sf mdm 15 CPT 99341 | $77.60 | $97.00 | not published | 0 |
| Home sleep test/type 2 porta HCPCS G0398 | not published | not published | $474.53 – $474.53 | 1 |
| Home sleep test/type 3 porta HCPCS G0399 | not published | not published | $474.53 – $474.53 | 1 |
| Home sleep test/type 4 porta HCPCS G0400 | not published | not published | $913.84 – $913.84 | 1 |
| Home visit est patient 99348 CPT 99348 | $119.20 | $149.00 | not published | 0 |
| Homocysteine CPT 83090 | $104.00 | $130.00 | $22.40 – $55.32 | 2 |
| Homogenization tissue CPT 87176 | $68.00 | $85.00 | $7.35 – $18.15 | 2 |
| Homovanillic acid (hva) CPT 83150 | $80.80 | $101.00 | $28.01 – $69.18 | 2 |
| Hopd covid-19 spec collect HCPCS C9803 | not published | not published | $81.43 – $81.43 | 1 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | not published | not published | $96.85 – $96.85 | 1 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | not published | not published | $247.51 – $247.51 | 1 |
| Hospice care supervision CPT 99377 | $101.60 | $127.00 | not published | 0 |
| Hospice care supervision CPT 99378 | $152.80 | $191.00 | not published | 0 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $152.78 – $377.29 | 2 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $152.78 – $377.29 | 2 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $152.78 – $377.29 | 2 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $152.78 – $377.29 | 2 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $152.78 – $377.29 | 2 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $152.78 – $377.29 | 2 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $152.78 – $377.29 | 2 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $152.78 – $377.29 | 2 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $43.86 – $108.32 | 2 |
| Hpv low-risk types CPT 87623 | not published | not published | $43.86 – $108.32 | 2 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $50.69 – $125.18 | 2 |
| H pylori ag ia CPT 87339 | $51.20 | $64.00 | $20.00 – $49.39 | 2 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $84.20 – $207.94 | 2 |
| H pylori (c-13) breath CPT 83013 | $280.80 | $351.00 | $84.20 – $207.94 | 2 |
| H pylori drug admin CPT 83014 | $32.80 | $41.00 | $9.83 – $24.26 | 2 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $5,124.80 | $6,406.00 | $1,629.94 – $4,025.29 | 2 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $731.13 – $1,805.59 | 2 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $731.13 – $1,805.59 | 2 |
| Hsv dna dir probe CPT 87528 | not published | not published | $25.06 – $61.89 | 2 |
| Htt gene charac alleles CPT 81274 | not published | not published | $343.54 – $848.40 | 2 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $171.25 – $422.92 | 2 |
| Human epididymis protein 4 (he4) CPT 86305 | $88.00 | $110.00 | $26.01 – $64.24 | 2 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $2,155.26 | $2,694.08 | not published | 0 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $71.00 – $97.41 | 2 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $1.12 – $1.54 | 2 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $207.69 | $259.61 | $0.82 – $1.12 | 2 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $77.99 | $97.49 | $11.67 – $16.02 | 2 |
| Hydration IV infusion each additional hour CPT 96361 | $115.20 | $144.00 | $138.26 – $138.26 | 1 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $416.00 | $520.00 | $674.04 – $674.04 | 1 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $222.21 | $277.76 | $47.70 – $65.45 | 2 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $107.05 | $133.81 | $0.19 – $0.26 | 2 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $70.80 | $88.50 | not published | 0 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.02 – $0.02 | 2 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $129.77 | $162.21 | $38.09 – $52.26 | 2 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | $4.88 | $6.10 | not published | 0 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $117.60 | $147.00 | $22.38 – $55.26 | 2 |
| Hymenotomy CPT 56442 | $68.80 | $86.00 | $9,225.99 – $9,225.99 | 1 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $39.24 – $53.84 | 2 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Hyperbaric oxygen therapy CPT 99183 | $156.00 | $195.00 | not published | 0 |
| #hypersens-actinomyces ab CPT 86602 | $92.80 | $116.00 | $12.73 – $31.43 | 2 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $2,354.99 – $2,354.99 | 1 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $857.96 – $857.96 | 1 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $1,867.98 – $1,867.98 | 1 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $1,867.98 – $1,867.98 | 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.