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 |
|---|---|---|---|---|
| Laparo-asst vag hysterectomy CPT 58550 | $1,300.80 | $1,626.00 | $17,007.37 – $17,007.37 | 1 |
| Laparo cholecystectomy/explr CPT 47564 | $1,655.20 | $2,069.00 | $17,007.37 – $17,007.37 | 1 |
| Laparo cholecystectomy/graph CPT 47563 | $1,066.40 | $1,333.00 | $17,007.37 – $17,007.37 | 1 |
| Laparo drng lymphocele 49323 CPT 49323 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Laparo partial colectomy 44204 CPT 44204 | $2,260.00 | $2,825.00 | not published | 0 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $1,266.40 | $1,583.00 | $17,007.37 – $17,007.37 | 1 |
| Laparoscope proc rectum CPT 45499 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Laparoscopic myomectomy CPT 58545 | $1,329.60 | $1,662.00 | $17,007.37 – $17,007.37 | 1 |
| Laparoscopic salpingostomy 58673 CPT 58673 | $1,171.20 | $1,464.00 | $17,007.37 – $17,007.37 | 1 |
| Laparoscopy aspiration CPT 49322 | $555.20 | $694.00 | $17,007.37 – $17,007.37 | 1 |
| Laparoscopy biopsy CPT 49321 | $509.60 | $637.00 | $17,007.37 – $17,007.37 | 1 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Laparoscopy excise lesions CPT 58662 | $1,049.60 | $1,312.00 | $17,007.37 – $17,007.37 | 1 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Laparoscopy lymph node biop CPT 38570 | $773.60 | $967.00 | $17,007.37 – $17,007.37 | 1 |
| Laparoscopy lysis CPT 58660 | $1,007.20 | $1,259.00 | $17,007.37 – $17,007.37 | 1 |
| Laparoscopy orchiectomy CPT 54690 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Laparoscopy orchiopexy CPT 54692 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Laparoscopy remove adnexa CPT 58661 | $961.60 | $1,202.00 | $17,007.37 – $17,007.37 | 1 |
| Laparoscopy splenectomy CPT 38120 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Laparoscopy tubal block 58671 CPT 58671 | $549.60 | $687.00 | $17,007.37 – $17,007.37 | 1 |
| Laparoscopy ureterolithotomy CPT 50945 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Laparoscopy vagus nerve CPT 43651 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Laparoscopy vagus nerve CPT 43652 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Laparo sling operation 51992 CPT 51992 | $1,223.20 | $1,529.00 | $17,007.37 – $17,007.37 | 1 |
| Laparo urethral suspension CPT 51990 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Laparo-vag hyst incl t/o CPT 58552 | $1,445.60 | $1,807.00 | $29,652.07 – $29,652.07 | 1 |
| Laparo-vag hyst w/t/o compl CPT 58554 | $1,922.40 | $2,403.00 | $29,652.07 – $29,652.07 | 1 |
| Laparscpy ablat 1>lvr tum cryo CPT 47371 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Lap enterectomy 44202 CPT 44202 | $2,046.40 | $2,558.00 | not published | 0 |
| Lap enterolysis CPT 44180 | $1,360.80 | $1,701.00 | $17,007.37 – $17,007.37 | 1 |
| Lap fimbrioplasty 58672 CPT 58672 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Lap impl electrode antrum CPT 43647 | not published | not published | $39,001.55 – $39,001.55 | 1 |
| Lap ing hernia repair init CPT 49650 | $642.40 | $803.00 | $17,007.37 – $17,007.37 | 1 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Lap jejunostomy 44186 CPT 44186 | $966.40 | $1,208.00 | $17,007.37 – $17,007.37 | 1 |
| Lap paraesophag hern repair CPT 43281 | $2,272.80 | $2,841.00 | $29,652.07 – $29,652.07 | 1 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Lap place gastr adj device CPT 43770 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Lap replace gastr adj device CPT 43773 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Lap resect s/intestine addl 44203 CPT 44203 | $355.20 | $444.00 | not published | 0 |
| Lap revise gastr adj device CPT 43771 | $1,897.60 | $2,372.00 | not published | 0 |
| Lap revise/remv eltrd antrum CPT 43648 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Lap rmvl gastr adj all parts CPT 43774 | $1,424.80 | $1,781.00 | $10,639.72 – $10,639.72 | 1 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $10,639.72 – $10,639.72 | 1 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $5,216.13 – $5,216.13 | 1 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $1,230.61 – $1,230.61 | 1 |
| Largsc w/ther injection CPT 31573 | not published | not published | $5,216.13 – $5,216.13 | 1 |
| Laronidase injection HCPCS J1931 | not published | not published | $89.73 – $123.11 | 2 |
| Laryngeal function studies CPT 92520 | not published | not published | $378.88 – $378.88 | 1 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,148.00 | $2,685.00 | $5,216.13 – $5,216.13 | 1 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Laryngoscopy telescopic CPT 31579 | $293.60 | $367.00 | $1,230.61 – $1,230.61 | 1 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $5,216.13 – $5,216.13 | 1 |
| Laryngoscopy with biopsy CPT 31576 | $397.60 | $497.00 | $5,216.13 – $5,216.13 | 1 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $1,230.61 – $1,230.61 | 1 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Laser surgery eye strands CPT 67031 | not published | not published | $1,731.92 – $1,731.92 | 1 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $9,225.99 – $9,225.99 | 1 |
| Laser surgery of prostate CPT 52647 | not published | not published | $15,343.31 – $15,343.31 | 1 |
| Laser surgery of prostate CPT 52648 | not published | not published | $15,343.31 – $15,343.31 | 1 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $5,631.53 – $5,631.53 | 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.