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 |
|---|---|---|---|---|
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $71,452.46 – $71,452.46 | 1 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Arthrd elbow jt autog graft CPT 24802 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Arthrd glenohumeral jt w/grf CPT 23802 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | not published | not published | $71,452.46 – $71,452.46 | 1 |
| Arthrd si jt perq/min nvas CPT 27279 | not published | not published | $71,452.46 – $71,452.46 | 1 |
| Arthrd wrist complete wo grf CPT 25800 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Arthrd wrist lmtd without b1 grf CPT 25820 | $8,252.80 | $10,316.00 | $21,583.67 – $21,583.67 | 1 |
| Arthrd wrist with autograft CPT 25825 | $1,175.20 | $1,469.00 | $21,583.67 – $21,583.67 | 1 |
| Arthrd wrist w/sliding graft CPT 25805 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Arthrd wrst iliac/oth agrft CPT 25810 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $612.00 | $765.00 | $887.20 – $887.20 | 1 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $1,516.00 | $1,895.00 | $2,102.48 – $2,102.48 | 1 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $1,656.00 | $2,070.00 | $887.20 – $887.20 | 1 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $594.40 | $743.00 | $887.20 – $887.20 | 1 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $649.60 | $812.00 | $887.20 – $887.20 | 1 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $649.60 | $812.00 | $887.20 – $887.20 | 1 |
| Arthrodesis big toe joint 28760 CPT 28760 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Arthrodesis elbw joint local CPT 24800 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Arthrodesis glenohumeral jt CPT 23800 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Arthrodesis pantalar CPT 28705 | not published | not published | $71,452.46 – $71,452.46 | 1 |
| Arthrodesis subtalar CPT 28725 | $1,177.60 | $1,472.00 | $42,576.18 – $42,576.18 | 1 |
| Arthrodesis triple CPT 28715 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Arthroplasty finger joint 26535 CPT 26535 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $1,000.00 | $1,250.00 | $9,712.92 – $9,712.92 | 1 |
| Arthro/shoul surg; w/spacer HCPCS C9781 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Arthrotomy carpometacarpal joint 26070 CPT 26070 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Arthrotomy glenhumrl jt w/bx CPT 23100 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Arthrotomy glenohumeral jt CPT 23105 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Arthrotomy strnclav joint CPT 23106 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Arthrp prostc dstl scph crpl CPT 25443 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Arthrp w/prostc dstl rds CPT 25441 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Arthrp w/prostc dstl ulna CPT 25442 | not published | not published | $71,452.46 – $71,452.46 | 1 |
| Arthrp w/prostc dst rds&crps CPT 25446 | not published | not published | $71,452.46 – $71,452.46 | 1 |
| Arthrp w/prostc lunate CPT 25444 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Arthrp w/prostc trapezium CPT 25445 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Arthrs kne srg drlg ost diss CPT 29885 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Arthrt acrmclv/strnclav jt CPT 23101 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Arthrt ac sc jt exp/rmvl fb CPT 23044 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Arthrt elbow w/synovectomy CPT 24102 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Arthrt elbw capsl exc rls CPT 24006 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Arthrt elbw jt expl bx rmvl CPT 24101 | $747.20 | $934.00 | $9,712.92 – $9,712.92 | 1 |
| Arthrt elbw synovial bx only CPT 24100 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Arthrt gh jt expl/drg/rmv fb CPT 23040 | $1,063.20 | $1,329.00 | $9,712.92 – $9,712.92 | 1 |
| Arthrt glenhumrl jt w/expl CPT 23107 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Arthrt hip expl/rmv loose/fb CPT 27033 | $5,868.00 | $7,335.00 | $21,583.67 – $21,583.67 | 1 |
| Arthrt rdcrpl/midcarpl jt CPT 25040 | $827.20 | $1,034.00 | $9,712.92 – $9,712.92 | 1 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $253.60 | $317.00 | not published | 0 |
| Artificial insemination CPT 58321 | not published | not published | $952.66 – $952.66 | 1 |
| Artific inseminationintrauterine 58322 CPT 58322 | $135.20 | $169.00 | $581.24 – $581.24 | 1 |
| Art pressure waveform analys CPT 93050 | not published | not published | $81.43 – $81.43 | 1 |
| Aspa gene CPT 81200 | not published | not published | $59.06 – $145.86 | 2 |
| Asp core fat pad CPT 17999 | not published | not published | $589.25 – $589.25 | 1 |
| Asp & inj bone cyst CPT 20615 | not published | not published | $2,117.62 – $2,117.62 | 1 |
| Asp & inj w/heparin pleurx cath CPT 32999 | not published | not published | $1,887.67 – $1,887.67 | 1 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $359.20 | $449.00 | $6,052.50 – $6,052.50 | 1 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $94.40 | $118.00 | $887.20 – $887.20 | 1 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,014.40 | $1,268.00 | $1,887.67 – $1,887.67 | 1 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $198.40 | $248.00 | $2,117.62 – $2,117.62 | 1 |
| Aspiration orbital contents CPT 67415 | not published | not published | $6,898.76 – $6,898.76 | 1 |
| Aspiration peritonsillar abscess CPT 42999 | not published | not published | $678.14 – $678.14 | 1 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $153.60 | $192.00 | $2,117.62 – $2,117.62 | 1 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | not published | not published | $2,780.68 – $2,780.68 | 1 |
| Assay acid phosphatase CPT 84060 | not published | not published | $9.55 – $23.58 | 2 |
| Assay alkaline phosphatase CPT 84078 | $161.60 | $202.00 | $10.33 – $25.50 | 2 |
| Assay blood catecholamines CPT 82383 | not published | not published | $36.35 – $89.77 | 2 |
| Assay chondroitin sulfate CPT 82485 | not published | not published | $25.81 – $63.75 | 2 |
| Assay dir meas fr estradiol CPT 82681 | $479.20 | $599.00 | $34.93 – $86.25 | 2 |
| Assay duodenal fluid trypsin CPT 84485 | not published | not published | $9.00 – $22.23 | 2 |
| Assay free hydroxyproline CPT 83500 | not published | not published | $28.31 – $69.92 | 2 |
| Assay malate dehydrogenase CPT 83775 | not published | not published | $9.21 – $22.75 | 2 |
| Assay myeloperoxidase CPT 83876 | not published | not published | $63.58 – $157.00 | 2 |
| Assay of adp & amp CPT 82030 | $120.80 | $151.00 | $32.25 – $79.64 | 2 |
| Assay of androsterone CPT 82160 | not published | not published | $31.94 – $78.87 | 2 |
| Assay of blood lipoprotein CPT 83719 | not published | not published | $15.94 – $39.36 | 2 |
| Assay of bradykinin CPT 82286 | not published | not published | $6.45 – $15.93 | 2 |
| Assay of breath ethanol CPT 82075 | $98.40 | $123.00 | $37.50 – $92.61 | 2 |
| Assay of cathepsin-d CPT 82387 | not published | not published | $22.58 – $55.75 | 2 |
| Assay of chloramphenicol CPT 82415 | $53.60 | $67.00 | $15.84 – $39.11 | 2 |
| Assay of corticosterone CPT 82528 | not published | not published | $28.15 – $69.52 | 2 |
| Assay of digoxin free CPT 80163 | not published | not published | $16.60 – $41.00 | 2 |
| Assay of endocrine hormone CPT 84235 | not published | not published | $89.04 – $219.89 | 2 |
| Assay of estrogen CPT 84233 | $676.00 | $845.00 | $109.85 – $271.29 | 2 |
| Assay of etiocholanolone CPT 82696 | not published | not published | $32.80 – $81.00 | 2 |
| Assay of feces for trypsin CPT 84490 | not published | not published | $12.41 – $30.65 | 2 |
| Assay of feces porphyrins CPT 84126 | $200.00 | $250.00 | $48.89 – $120.73 | 2 |
| Assay of feces/urobilinogen CPT 84577 | not published | not published | $21.00 – $51.86 | 2 |
| Assay of fluoride CPT 82735 | not published | not published | $23.18 – $57.23 | 2 |
| Assay of galactose CPT 82760 | not published | not published | $14.00 – $34.57 | 2 |
| Assay of gdh enzyme CPT 82965 | not published | not published | $16.44 – $40.59 | 2 |
| Assay of glucosidase CPT 82963 | not published | not published | $26.85 – $66.31 | 2 |
| Assay of glutathione CPT 82978 | not published | not published | $19.31 – $47.69 | 2 |
| Assay of haptoglobins CPT 83012 | not published | not published | $33.61 – $83.01 | 2 |
| Assay of idh enzyme CPT 83570 | not published | not published | $11.06 – $27.32 | 2 |
| Assay of interleukin-6 (il-6) CPT 83529 | $128.00 | $160.00 | $21.59 – $53.31 | 2 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $24.78 – $61.18 | 2 |
| Assay of lap enzyme CPT 83670 | not published | not published | $12.26 – $30.28 | 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.