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 |
|---|---|---|---|---|
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $63.61 – $87.28 | 2 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $714.20 – $979.88 | 2 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $66.60 – $91.38 | 2 |
| Mlh1 gene CPT 81288 | not published | not published | $240.40 – $593.69 | 2 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $253.00 – $624.81 | 2 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $844.25 – $2,084.96 | 2 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $413.75 – $1,021.80 | 2 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Mnl appl strs jt radiography CPT 77071 | $124.00 | $155.00 | $283.48 – $283.48 | 1 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | $125.60 | $157.00 | not published | 0 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $4,529.52 – $4,529.52 | 1 |
| Mobilization of colon 44139 CPT 44139 | $177.60 | $222.00 | not published | 0 |
| Modification of contact lens CPT 92325 | not published | not published | $378.88 – $378.88 | 1 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $47.16 – $116.47 | 2 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $25.53 – $35.02 | 2 |
| Monovisc inj per dose HCPCS J7327 | $1,331.20 | $1,664.00 | $1,189.30 – $1,631.71 | 2 |
| Mopath procedure level 1 CPT 81400 | $421.60 | $527.00 | $79.95 – $197.44 | 2 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $187.91 – $464.07 | 2 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $343.54 – $848.40 | 2 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $376.69 – $930.27 | 2 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $353.60 – $873.25 | 2 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $1,057.84 – $2,612.44 | 2 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $2,500.00 – $6,174.00 | 2 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $64.99 | $81.24 | $10.23 – $14.03 | 2 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $45.56 | $56.95 | $18.30 – $25.11 | 2 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $115.44 | $144.30 | $24.28 – $33.31 | 2 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $513.12 – $513.12 | 1 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $1,057.58 – $1,057.58 | 1 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $92.00 | $115.00 | $513.12 – $513.12 | 1 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $1,468.68 – $2,015.03 | 2 |
| Motion analysis video/3d CPT 96000 | not published | not published | $1,577.43 – $1,577.43 | 1 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $3,048.91 – $3,048.91 | 1 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $1,232.01 – $1,232.01 | 1 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $355.20 | $444.00 | $513.12 – $513.12 | 1 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $513.12 – $513.12 | 1 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $187.91 – $464.07 | 2 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $25.06 – $61.89 | 2 |
| M.pneumon dna quant CPT 87582 | not published | not published | $378.28 – $934.19 | 2 |
| MRA abdomen post contrast CPT 74185 | $2,280.00 | $2,850.00 | not published | 0 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $761.98 – $761.98 | 1 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $1,912.80 | $2,391.00 | not published | 0 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $761.98 – $761.98 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,912.80 | $2,391.00 | not published | 0 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $761.98 – $761.98 | 1 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $761.98 – $761.98 | 1 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $761.98 – $761.98 | 1 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $761.98 – $761.98 | 1 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| Mr elastography CPT 76391 | not published | not published | $761.98 – $761.98 | 1 |
| MRI brain w/dye CPT 70558 | not published | not published | $588.44 – $588.44 | 1 |
| MRI brain without dye CPT 70557 | not published | not published | $1,641.72 – $1,641.72 | 1 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $588.44 – $588.44 | 1 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $761.98 – $761.98 | 1 |
| MRI breast without cont bi CPT 77047 | not published | not published | $761.98 – $761.98 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $761.98 – $761.98 | 1 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $2,260.80 | $2,826.00 | $2,417.07 – $2,417.07 | 1 |
| MRI chest without contrast CPT 71550 | $1,860.80 | $2,326.00 | $761.98 – $761.98 | 1 |
| MRI chest without & w/contrast CPT 71552 | $2,800.80 | $3,501.00 | $1,202.18 – $1,202.18 | 1 |
| MRI chest w IV cont CPT 71551 | not published | not published | $2,417.07 – $2,417.07 | 1 |
| MRI fetal ea addl gestation CPT 74713 | $673.60 | $842.00 | not published | 0 |
| MRI fetal sngl/1st gestation CPT 74712 | $673.60 | $842.00 | $761.98 – $761.98 | 1 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $4,080.41 – $4,080.41 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,560.80 | $1,951.00 | $761.98 – $761.98 | 1 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,497.60 | $3,122.00 | $1,202.18 – $1,202.18 | 1 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,449.60 | $1,812.00 | $761.98 – $761.98 | 1 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,639.20 | $3,299.00 | $1,202.18 – $1,202.18 | 1 |
| MRI orbit fac&nck w IV cont CPT 70542 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| MRI tmj CPT 70336 | $1,584.00 | $1,980.00 | $761.98 – $761.98 | 1 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,558.40 | $1,948.00 | $761.98 – $761.98 | 1 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,454.40 | $3,068.00 | $1,202.18 – $1,202.18 | 1 |
| MRI upper extremity w/dye CPT 73219 | $1,850.40 | $2,313.00 | $1,202.18 – $1,202.18 | 1 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $588.44 – $588.44 | 1 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| Mr spectroscopy CPT 76390 | not published | not published | $283.48 – $283.48 | 1 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $266.63 – $658.46 | 2 |
| Msh2 gene full seq CPT 81295 | not published | not published | $477.13 – $1,178.31 | 2 |
| Msh2 gene known variants CPT 81296 | not published | not published | $422.16 – $1,042.57 | 2 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $297.50 – $734.71 | 2 |
| Msh6 gene full seq CPT 81298 | not published | not published | $802.31 – $1,981.39 | 2 |
| Msh6 gene known variants CPT 81299 | not published | not published | $385.00 – $950.80 | 2 |
| Mthfr gene analy common variants CPT 81291 | $305.60 | $382.00 | $81.68 – $201.70 | 2 |
| M.tuberculo dna dir probe CPT 87555 | $55.20 | $69.00 | $33.60 – $82.98 | 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.