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 |
|---|---|---|---|---|
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $4,529.52 – $4,529.52 | 1 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $97.40 – $133.64 | 2 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Incise/drain eyelid lining CPT 68020 | $1,100.00 | $1,375.00 | $2,847.45 – $2,847.45 | 1 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Incise inner ear CPT 69801 | $339.20 | $424.00 | $4,529.52 – $4,529.52 | 1 |
| Incise inner ear nerve CPT 69915 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $1,731.92 – $1,731.92 | 1 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $13,037.66 – $13,037.66 | 1 |
| Incise inner eye strands CPT 67030 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Incise nerve back of head CPT 64744 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Incise skull for treatment CPT 61770 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $6,052.50 – $6,052.50 | 1 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $863.77 – $863.77 | 1 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Incise & treat bladder CPT 51030 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Incision anal septum infant CPT 46070 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,200.80 | $1,501.00 | $4,893.07 – $4,893.07 | 1 |
| Incision of achilles tendon CPT 27605 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Incision of achilles tendon CPT 27606 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Incision of anal sphincter CPT 46080 | $433.60 | $542.00 | $8,384.23 – $8,384.23 | 1 |
| Incision of ankle bone CPT 28302 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Incision of breast lesion CPT 19020 | $703.20 | $879.00 | $4,893.07 – $4,893.07 | 1 |
| Incision of brow nerve CPT 64732 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Incision of burn scab initi CPT 16035 | not published | not published | $1,217.32 – $1,217.32 | 1 |
| Incision of cheek nerve CPT 64734 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Incision of chin nerve CPT 64736 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Incision of eardrum CPT 69420 | $284.00 | $355.00 | $678.14 – $678.14 | 1 |
| Incision of eardrum CPT 69421 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Incision of esophagus CPT 43020 | not published | not published | $4,529.52 – $4,529.52 | 1 |
| Incision of eye CPT 65850 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Incision of eye CPT 66172 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Incision of eyelid CPT 67710 | not published | not published | $2,847.45 – $2,847.45 | 1 |
| Incision of facial nerve CPT 64742 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Incision of fibula CPT 27707 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Incision of finger tendon CPT 26455 | $691.20 | $864.00 | $4,680.86 – $4,680.86 | 1 |
| Incision of foot fascia CPT 28008 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Incision of foot tendon 28234 CPT 28234 | $609.60 | $762.00 | $4,680.86 – $4,680.86 | 1 |
| Incision of gallbladder 47480 CPT 47480 | $1,297.60 | $1,622.00 | not published | 0 |
| Incision of heel bone CPT 28300 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Incision of hip tendon CPT 27000 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Incision of hip tendon CPT 27001 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Incision of hip tendon CPT 27003 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Incision of hip tendons CPT 27006 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Incision of iris CPT 66500 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Incision of iris CPT 66505 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Incision of jaw joint CPT 21010 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Incision of jaw nerve CPT 64738 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Incision of knee joint CPT 27435 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Incision of lymph channels CPT 38308 | not published | not published | $11,217.60 – $11,217.60 | 1 |
| Incision of metatarsal CPT 28306 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Incision of metatarsal CPT 28307 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Incision of metatarsal CPT 28308 | $836.80 | $1,046.00 | $9,712.92 – $9,712.92 | 1 |
| Incision of metatarsals CPT 28309 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Incision of midfoot bones CPT 28304 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Incision of palm tendon CPT 26450 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Incision of prostate CPT 52450 | $714.40 | $893.00 | $10,458.39 – $10,458.39 | 1 |
| Incision of rectal abscess CPT 46060 | $737.60 | $922.00 | $8,384.23 – $8,384.23 | 1 |
| Incision of sperm duct CPT 55200 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Incision of spinal nerve 64772 CPT 64772 | $827.20 | $1,034.00 | $5,865.36 – $5,865.36 | 1 |
| Incision of tendon & muscle CPT 23405 | $933.60 | $1,167.00 | $21,583.67 – $21,583.67 | 1 |
| Incision of tendon sheath CPT 25000 | $511.20 | $639.00 | $4,680.86 – $4,680.86 | 1 |
| Incision of thigh tendon CPT 27306 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Incision of thigh tendon CPT 27390 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Incision of thigh tendons CPT 27307 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Incision of thigh tendons CPT 27391 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Incision of thigh tendons CPT 27392 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Incision of tibia CPT 27705 | $1,119.20 | $1,399.00 | $21,583.67 – $21,583.67 | 1 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Incision of toe tendons 28011 CPT 28011 | $479.20 | $599.00 | $4,680.86 – $4,680.86 | 1 |
| Incision of tongue fold CPT 41010 | $1,145.60 | $1,432.00 | $4,529.52 – $4,529.52 | 1 |
| Incision of tongue nerve CPT 64740 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Incision of urethra CPT 53000 | $216.00 | $270.00 | $6,052.50 – $6,052.50 | 1 |
| Incision of urethra CPT 53010 | not published | not published | $15,343.31 – $15,343.31 | 1 |
| Incision of urethra CPT 53020 | not published | not published | $6,052.50 – $6,052.50 | 1 |
| Incision of urethra CPT 53025 | not published | not published | $6,052.50 – $6,052.50 | 1 |
| Incision of windpipe CPT 31601 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Incision of windpipe CPT 31610 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Incision of wrist capsule CPT 25085 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Incision secondary cataract CPT 66820 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Incision tendon sheath CPT 26055 | $890.40 | $1,113.00 | $4,680.86 – $4,680.86 | 1 |
| Incisn of toe tndn CPT 28010 | $340.00 | $425.00 | $4,680.86 – $4,680.86 | 1 |
| Incisn windpipe CPT 31600 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $11.94 – $16.38 | 2 |
| Induced ab 1+vag supp d&c CPT 59856 | $734.40 | $918.00 | not published | 0 |
| Induced abortion d&c CPT 59840 | $372.80 | $466.00 | $9,225.99 – $9,225.99 | 1 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $9,225.99 – $9,225.99 | 1 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $87.75 – $216.71 | 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.