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 |
|---|---|---|---|---|
| Insert semi-rigid prosthesis CPT 54400 | not published | not published | $39,247.87 – $39,247.87 | 1 |
| Insert spine infusion device 62360 CPT 62360 | not published | not published | $55,270.57 – $55,270.57 | 1 |
| Insert sq defib electrode CPT 33271 | not published | not published | $26,635.30 – $26,635.30 | 1 |
| Insert swan-ganz cath CPT 93503 | not published | not published | $4,854.90 – $4,854.90 | 1 |
| Insert tandem cuff CPT 53444 | not published | not published | $62,916.64 – $62,916.64 | 1 |
| Insert tissue expander(s) CPT 11960 | not published | not published | $10,614.75 – $10,614.75 | 1 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Insert tunneled cv cath CPT 36560 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Insert tunneled cv cath CPT 36563 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Insert uro/ves nck sphincter CPT 53445 | not published | not published | $62,916.64 – $62,916.64 | 1 |
| Insert uteri tandem/ovoids CPT 57155 | not published | not published | $15,124.47 – $15,124.47 | 1 |
| Ins icd gen exist mlt leads CPT 33231 | not published | not published | $104,665.75 – $104,665.75 | 1 |
| Ins icd gen exist sgl lead CPT 33240 | not published | not published | $74,456.69 – $74,456.69 | 1 |
| Insitu hybridization auto CPT 88367 | $170.40 | $213.00 | $1,057.58 – $1,057.58 | 1 |
| Insitu hybridization (fish) CPT 88366 | not published | not published | $1,057.58 – $1,057.58 | 1 |
| Insitu hybridization manual CPT 88368 | $168.00 | $210.00 | $1,057.58 – $1,057.58 | 1 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $239.20 | $299.00 | not published | 0 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $288.80 | $361.00 | $513.12 – $513.12 | 1 |
| Insj rx elut implt lac canal CPT 68841 | not published | not published | $6,898.76 – $6,898.76 | 1 |
| Insj stablj dev w/dcmprn CPT 22867 | not published | not published | $71,452.46 – $71,452.46 | 1 |
| Insj stablj dev without dcmprn CPT 22869 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Ins lv lead exist pm/icd CPT 33224 | not published | not published | $33,703.02 – $33,703.02 | 1 |
| Ins mark abd/pel for right perq CPT 49411 | not published | not published | $4,374.64 – $4,374.64 | 1 |
| Ins mark thor for right perq CPT 32553 | not published | not published | $4,374.64 – $4,374.64 | 1 |
| Ins picad w subq port 5yr> CPT 36571 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | not published | not published | $1,887.67 – $1,887.67 | 1 |
| Ins pm gen exist dual lead CPT 33230 | not published | not published | $74,456.69 – $74,456.69 | 1 |
| Ins pm gen w/exist mlt leads CPT 33221 | not published | not published | $60,927.18 – $60,927.18 | 1 |
| Ins pq tunnld ip cath w/img CPT 49418 | not published | not published | $11,557.38 – $11,557.38 | 1 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | $95,797.36 – $95,797.36 | 1 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | not published | not published | $56,050.90 – $56,050.90 | 1 |
| Ins/rpl pm gen exist dual lead CPT 33213 | not published | not published | $33,703.02 – $33,703.02 | 1 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | not published | not published | $26,635.30 – $26,635.30 | 1 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | not published | not published | $33,703.02 – $33,703.02 | 1 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | $616.80 | $771.00 | $70,205.09 – $70,205.09 | 1 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | not published | not published | $89,097.36 – $89,097.36 | 1 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $70,205.09 – $70,205.09 | 1 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Inst fibrinolysis agent ini day CPT 32561 | not published | not published | $1,887.67 – $1,887.67 | 1 |
| Inst fibrinolysis agent sbsq d CPT 32562 | not published | not published | $1,887.67 – $1,887.67 | 1 |
| Insti hexaminolevulinate hcl HCPCS A9589 | not published | not published | $3,204.75 – $4,396.92 | 2 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $132.80 | $166.00 | $2,040.48 – $2,040.48 | 1 |
| Instill pharm renal pelvis HCPCS C9789 | not published | not published | $7,343.43 – $7,343.43 | 1 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $701.12 – $701.12 | 1 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $1,280.80 | $1,601.00 | $9,720.46 – $9,720.46 | 1 |
| Ins tun intraperit dia cath CPT 49421 | not published | not published | $11,557.38 – $11,557.38 | 1 |
| Inst via cath agent pleurds CPT 32560 | not published | not published | $1,887.67 – $1,887.67 | 1 |
| Insulin for insulin pump use HCPCS J1817 | $80.71 | $100.89 | $7.28 – $9.99 | 2 |
| Insulin suppression panel CPT 80432 | not published | not published | $207.01 – $511.24 | 2 |
| Insulin tolerance panel CPT 80434 | not published | not published | $356.29 – $879.89 | 2 |
| Insulin tolerance panel CPT 80435 | not published | not published | $128.75 – $317.96 | 2 |
| Insulin total CPT 83525 | $131.20 | $164.00 | $14.29 – $35.28 | 2 |
| Ins vag brachytx device CPT 57156 | not published | not published | $952.66 – $952.66 | 1 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | not published | not published | $3,470.05 – $4,760.90 | 2 |
| Intens behave ther cardio dx HCPCS G0446 | $48.80 | $61.00 | $96.85 – $96.85 | 1 |
| Intens cardiac rehab no exer HCPCS G0423 | not published | not published | $391.78 – $391.78 | 1 |
| Intens cardiac rehab w/exerc HCPCS G0422 | not published | not published | $391.78 – $391.78 | 1 |
| Interdental fixation CPT 21110 | not published | not published | $4,529.52 – $4,529.52 | 1 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $4,529.52 – $4,529.52 | 1 |
| Interdiscal perq aspir dx CPT 62267 | not published | not published | $2,117.62 – $2,117.62 | 1 |
| Interfyl, 1 mg HCPCS Q4171 | not published | not published | $23.87 – $32.75 | 2 |
| Intermediate visual field xm CPT 92082 | not published | not published | $187.55 – $187.55 | 1 |
| Interrogate subq defib CPT 93261 | $106.40 | $133.00 | $114.22 – $114.22 | 1 |
| Interrogation vad in person CPT 93750 | not published | not published | $325.68 – $325.68 | 1 |
| Interrog dev eval icpms ip CPT 93290 | $77.60 | $97.00 | $114.22 – $114.22 | 1 |
| Interrog dev eval scrms ip CPT 93291 | $72.00 | $90.00 | $81.43 – $81.43 | 1 |
| Interrog device eval heart CPT 93289 | $105.60 | $132.00 | $114.22 – $114.22 | 1 |
| Interrog evl pm/ldls pm ip CPT 93288 | $86.40 | $108.00 | $114.22 – $114.22 | 1 |
| Interstitial brachy inter CPT 77799 | not published | not published | $399.35 – $399.35 | 1 |
| Int hrhc lig 1 hroid without img CPT 46945 | $504.00 | $630.00 | $8,384.23 – $8,384.23 | 1 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Intra-atrial pacing CPT 93610 | not published | not published | $21,969.11 – $21,969.11 | 1 |
| Intra-atrial recording CPT 93602 | not published | not published | $21,969.11 – $21,969.11 | 1 |
| Intracranial complete study CPT 93886 | not published | not published | $761.98 – $761.98 | 1 |
| Intracranial limited study CPT 93888 | not published | not published | $348.75 – $348.75 | 1 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $4,529.52 – $4,529.52 | 1 |
| Intranasal reconstruction CPT 30620 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $1,490.61 – $1,490.61 | 1 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $624.86 – $624.86 | 1 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $1,330.51 – $1,330.51 | 1 |
| Intraventricular pacing CPT 93612 | not published | not published | $21,969.11 – $21,969.11 | 1 |
| Intrinsic factor antibody CPT 86340 | $54.40 | $68.00 | $18.85 – $46.55 | 2 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $394.38 – $394.38 | 1 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $4,854.90 – $4,854.90 | 1 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $17,017.98 – $17,017.98 | 1 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $34,638.00 – $34,638.00 | 1 |
| Intro long gi tube CPT 44500 | $548.00 | $685.00 | $2,693.66 – $2,693.66 | 1 |
| Intro long gi tube w/mult fluo CPT 74340 | $552.00 | $690.00 | not published | 0 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $5,216.13 – $5,216.13 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | $468.80 | $586.00 | $678.14 – $678.14 | 1 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $378.88 – $378.88 | 1 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $140.72 – $140.72 | 1 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $114.22 – $114.22 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $1.00 – $1.37 | 2 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | not published | not published | $0.34 – $0.47 | 2 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $25,094.51 – $25,094.51 | 1 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $25,094.51 – $25,094.51 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $11,892.50 | $14,865.62 | $412.68 – $566.20 | 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.