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 |
|---|---|---|---|---|
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $8.04 – $11.03 | 2 |
| Inj proc myelogram lumbar CPT 62284 | $949.60 | $1,187.00 | not published | 0 |
| Inj progesterone per 50 mg HCPCS J2675 | $68.01 | $85.01 | $1.41 – $1.93 | 2 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $3.18 – $4.37 | 2 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $5.09 – $6.98 | 2 |
| Inj, releuko 1 mcg HCPCS Q5125 | $428.54 | $535.68 | $0.92 – $1.26 | 2 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $1.70 – $2.34 | 2 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $30.02 – $41.19 | 2 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $64.16 – $88.03 | 2 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $1,217.32 – $1,217.32 | 1 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $1,217.32 – $1,217.32 | 1 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $40.15 – $55.08 | 2 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $147.89 – $202.90 | 2 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $1,217.32 – $1,217.32 | 1 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | not published | not published | $41.83 – $57.39 | 2 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $176.47 – $242.12 | 2 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $40.75 – $55.90 | 2 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $784.39 – $1,076.18 | 2 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $92.39 – $126.76 | 2 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | $11,915.64 | $14,894.55 | $74.85 – $102.70 | 2 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $4.30 – $5.91 | 2 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $84.71 – $116.23 | 2 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $47,971.67 | $59,964.59 | $807.95 – $1,108.51 | 2 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.12 – $0.17 | 2 |
| Inj, testosterone, azmiro HCPCS J1072 | not published | not published | $2.98 – $4.09 | 2 |
| Inj testosterone cypionate HCPCS J1071 | $0.80 | $1.00 | $0.07 – $0.10 | 2 |
| Inj thiotepa nos 1 mg HCPCS J9342 | not published | not published | $27.53 – $37.77 | 2 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $284.04 – $389.70 | 2 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $129.19 – $177.24 | 2 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $349.52 – $479.53 | 2 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $13.04 – $17.89 | 2 |
| Inj travoprost intra impl HCPCS J7355 | not published | not published | $439.32 – $602.74 | 2 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | $1,688.78 | $2,110.98 | $40.97 – $56.21 | 2 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $22.87 – $31.38 | 2 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $8,488.91 – $11,646.79 | 2 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $12.25 – $16.81 | 2 |
| Inj, tyenne, 1 mg HCPCS Q5135 | not published | not published | $10.55 – $14.47 | 2 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $56.42 – $77.41 | 2 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | not published | not published | $0.30 – $0.41 | 2 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | not published | not published | $1.07 – $1.47 | 2 |
| Inj, vasopressin (baxter) HCPCS J2601 | $209.00 | $261.25 | $6.61 – $9.06 | 2 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | not published | not published | $98.14 – $134.65 | 2 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $1,046.36 – $1,435.61 | 2 |
| Inj w/fluor eval cv device CPT 36598 | $1,046.40 | $1,308.00 | $674.04 – $674.04 | 1 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $33.55 – $46.03 | 2 |
| Inj xipere 1 mg HCPCS J3299 | not published | not published | $108.00 – $148.18 | 2 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | not published | not published | $1,198.31 – $1,644.08 | 2 |
| Inj zanidatamab-hrii, 2 mg HCPCS J9276 | not published | not published | $56.43 – $77.42 | 2 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | not published | not published | $6,070.62 – $8,328.89 | 2 |
| Ins cath ren art 1st bi CPT 36252 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Ins cath ren art 1st uni CPT 36251 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Ins cath ren art 2nd+ bi CPT 36254 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Ins cath ren art 2nd+ uni CPT 36253 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Ins cerv dilator (sep proc) CPT 59200 | $159.20 | $199.00 | $952.66 – $952.66 | 1 |
| Insemination of oocytes CPT 89268 | not published | not published | $513.12 – $513.12 | 1 |
| Insert and remove bone pin CPT 20650 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Insert ant drainage device CPT 66183 | not published | not published | $13,037.66 – $13,037.66 | 1 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Insert cath pleura with image CPT 32557 | $3,509.60 | $4,387.00 | $4,854.90 – $4,854.90 | 1 |
| Insert cath pleura without image CPT 32556 | $4,170.40 | $5,213.00 | $5,682.83 – $5,682.83 | 1 |
| Insert cv cath inf & sup app HCPCS C9780 | not published | not published | $26,921.56 – $26,921.56 | 1 |
| Insert drug del implant, >=4 HCPCS G0516 | not published | not published | $1,232.01 – $1,232.01 | 1 |
| Insert drug delivery implant CPT 11981 | $149.60 | $187.00 | $378.88 – $378.88 | 1 |
| Insert eye socket implant CPT 67550 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Insert heyman uteri capsule CPT 58346 | not published | not published | $15,124.47 – $15,124.47 | 1 |
| Insert intrauterine device iud CPT 58300 | $166.40 | $208.00 | not published | 0 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Insertion catheter bladder non indwelling CPT 51701 | $85.60 | $107.00 | $378.88 – $378.88 | 1 |
| Insertion catheter bladder temporary simple CPT 51702 | $92.00 | $115.00 | $378.88 – $378.88 | 1 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | not published | not published | $11,557.38 – $11,557.38 | 1 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $1,719.20 | $2,149.00 | $9,720.46 – $9,720.46 | 1 |
| Insertion of cannula CPT 36810 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Insertion of heart electrode 33211 CPT 33211 | not published | not published | $26,635.30 – $26,635.30 | 1 |
| Insertion of infusion pump CPT 36260 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | not published | not published | $33,703.02 – $33,703.02 | 1 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | not published | not published | $33,703.02 – $33,703.02 | 1 |
| Insertion palate prosthesis CPT 42281 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $834.40 | $1,043.00 | $4,854.90 – $4,854.90 | 1 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,816.80 | $2,271.00 | $4,854.90 – $4,854.90 | 1 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | not published | not published | $104,665.75 – $104,665.75 | 1 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $235.20 | $294.00 | $26,635.30 – $26,635.30 | 1 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | not published | not published | $26,635.30 – $26,635.30 | 1 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $5,833.60 | $7,292.00 | $26,635.30 – $26,635.30 | 1 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $1,520.80 | $1,901.00 | $9,720.46 – $9,720.46 | 1 |
| Insertion ureth cath CPT 51045 | not published | not published | $6,052.50 – $6,052.50 | 1 |
| Insert lens prosthesis CPT 66985 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Insert multi-comp penis pros CPT 54405 | not published | not published | $62,916.64 – $62,916.64 | 1 |
| Insert nasal septal button CPT 30220 | not published | not published | $4,529.52 – $4,529.52 | 1 |
| Insert ocular implant CPT 65130 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Insert ocular implant CPT 65135 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Insert palate implants HCPCS C9727 | not published | not published | $4,529.52 – $4,529.52 | 1 |
| Insert pessary/other device CPT 57160 | $110.40 | $138.00 | $581.24 – $581.24 | 1 |
| Insert picvad cath CPT 36570 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Insert pm/icd lead dual CPT 33217 | not published | not published | $26,635.30 – $26,635.30 | 1 |
| Insert prost urethral stent CPT 53855 | not published | not published | $6,052.50 – $6,052.50 | 1 |
| Insert/repl sq defib w/eltrd CPT 33270 | not published | not published | $104,665.75 – $104,665.75 | 1 |
| Insert self-contd prosthesis CPT 54401 | not published | not published | $62,916.64 – $62,916.64 | 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.