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 |
|---|---|---|---|---|
| M.tuberculo dna quant CPT 87557 | not published | not published | $53.55 – $132.25 | 2 |
| Mucin synovial fluid CPT 83872 | not published | not published | $7.33 – $18.09 | 2 |
| Mucopolysaccharides CPT 83864 | $83.20 | $104.00 | $35.63 – $87.98 | 2 |
| Mucormycosis antibody CPT 86732 | not published | not published | $18.75 – $46.31 | 2 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $96.85 – $96.85 | 1 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $475.42 – $475.42 | 1 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $474.53 – $474.53 | 1 |
| Multiple sleep latency test CPT 95805 | $1,591.20 | $1,989.00 | $1,577.43 – $1,577.43 | 1 |
| Mumps antibody igg CPT 86735 | $148.80 | $186.00 | $16.31 – $40.29 | 2 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $5,631.53 – $5,631.53 | 1 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $10,614.75 – $10,614.75 | 1 |
| Muscle-skin graft trunk CPT 15734 | $2,208.00 | $2,760.00 | $10,614.75 – $10,614.75 | 1 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $913.84 – $913.84 | 1 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $474.53 – $474.53 | 1 |
| Muscle test larynx CPT 95865 | not published | not published | $378.88 – $378.88 | 1 |
| Muscle test one fiber CPT 95872 | $272.00 | $340.00 | $474.53 – $474.53 | 1 |
| Muscle transfers CPT 23397 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $10,614.75 – $10,614.75 | 1 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $60.30 – $148.92 | 2 |
| Mycobacteria dna dir probe CPT 87550 | $88.00 | $110.00 | $25.06 – $61.89 | 2 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $53.55 – $132.25 | 2 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $10.70 | $13.37 | $0.35 – $0.48 | 2 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $0.83 – $1.14 | 2 |
| Mycoplasma antibody igm CPT 86738 | $89.60 | $112.00 | $16.55 – $40.87 | 2 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $219.25 – $541.46 | 2 |
| Myelogphy 2/> spine regions CPT 72270 | $1,942.40 | $2,428.00 | $2,417.07 – $2,417.07 | 1 |
| Myelography l-s spine CPT 72265 | $1,350.40 | $1,688.00 | $2,417.07 – $2,417.07 | 1 |
| Myelography neck spine CPT 72240 | $1,299.20 | $1,624.00 | $2,417.07 – $2,417.07 | 1 |
| Myelography thoracic spine CPT 72255 | $1,232.00 | $1,540.00 | $2,417.07 – $2,417.07 | 1 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $1,020.00 | $1,275.00 | $2,417.07 – $2,417.07 | 1 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,020.00 | $1,275.00 | $2,417.07 – $2,417.07 | 1 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,020.00 | $1,275.00 | $2,417.07 – $2,417.07 | 1 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,020.00 | $1,275.00 | $2,417.07 – $2,417.07 | 1 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $220.00 | $275.00 | $14.41 – $35.59 | 2 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $4,859.78 – $4,859.78 | 1 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $4,859.78 – $4,859.78 | 1 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $6,038.22 – $6,038.22 | 1 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $6,364.52 – $6,364.52 | 1 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $4,859.78 – $4,859.78 | 1 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $8,974.94 – $8,974.94 | 1 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $4,859.78 – $4,859.78 | 1 |
| Myomectomy abdom method CPT 58140 | $1,380.80 | $1,726.00 | not published | 0 |
| Myomectomy vag method CPT 58145 | not published | not published | $9,225.99 – $9,225.99 | 1 |
| Myringoplasty CPT 69620 | $1,109.60 | $1,387.00 | $9,283.38 – $9,283.38 | 1 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $112.07 | $140.09 | $0.13 – $0.18 | 2 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $76.65 | $95.81 | $7.91 – $10.85 | 2 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $120.80 | $151.00 | $0.15 – $0.21 | 2 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $9.54 – $13.08 | 2 |
| Narcosynthesis CPT 90865 | not published | not published | $475.42 – $475.42 | 1 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $280.80 | $351.00 | $583.27 – $583.27 | 1 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $678.14 – $678.14 | 1 |
| Nasal function studies CPT 92512 | not published | not published | $913.84 – $913.84 | 1 |
| Nasal/sinus endoscopy surg CPT 31287 | $294.40 | $368.00 | $20,188.57 – $20,188.57 | 1 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $379.20 | $474.00 | $5,216.13 – $5,216.13 | 1 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $5,216.13 – $5,216.13 | 1 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $1,230.61 – $1,230.61 | 1 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $5,216.13 – $5,216.13 | 1 |
| Nasal sinus therapy CPT 30210 | $225.60 | $282.00 | $4,529.52 – $4,529.52 | 1 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $175.20 | $219.00 | $583.27 – $583.27 | 1 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $30,871.04 | $38,588.80 | $54.28 – $74.48 | 2 |
| Natriuretic peptide CPT 83880 | $174.40 | $218.00 | $49.08 – $121.20 | 2 |
| Natural killer cells total count CPT 86357 | $156.80 | $196.00 | $47.16 – $116.47 | 2 |
| N block inj common digit CPT 64632 | not published | not published | $887.20 – $887.20 | 1 |
| N block inj hypogas plxs CPT 64517 | not published | not published | $2,780.68 – $2,780.68 | 1 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $701.12 – $701.12 | 1 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | not published | not published | $378.88 – $378.88 | 1 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $80.80 | $101.00 | $81.43 – $81.43 | 1 |
| Ndl insj without njx 3+ musc CPT 20561 | $55.20 | $69.00 | $81.43 – $81.43 | 1 |
| Ndl oculoelectromyography 1+ CPT 92265 | not published | not published | $187.55 – $187.55 | 1 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,160.80 | $1,451.00 | $588.44 – $588.44 | 1 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $938.40 | $1,173.00 | $1,202.18 – $1,202.18 | 1 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $748.80 | $936.00 | $348.75 – $348.75 | 1 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,776.00 | $3,470.00 | $1,202.18 – $1,202.18 | 1 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,759.20 | $2,199.00 | $1,202.18 – $1,202.18 | 1 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,691.20 | $2,114.00 | $761.98 – $761.98 | 1 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,340.80 | $2,926.00 | $1,202.18 – $1,202.18 | 1 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,868.80 | $2,336.00 | $1,202.18 – $1,202.18 | 1 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,728.00 | $2,160.00 | $761.98 – $761.98 | 1 |
| Neck spine disk surgery CPT 63020 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Neck spine disk surgery 63075 CPT 63075 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | $109.60 | $137.00 | not published | 0 |
| Neg press ventilation cnp CPT 94662 | not published | not published | $1,816.60 – $1,816.60 | 1 |
| Neisseria meningitidis CPT 86741 | $55.20 | $69.00 | $16.49 – $40.72 | 2 |
| Nelarabine injection HCPCS J9261 | not published | not published | $142.60 – $195.65 | 2 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $441.18 | $551.47 | not published | 0 |
| Neox 100 or clarix 100 HCPCS Q4156 | not published | not published | $149.28 – $204.81 | 2 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | $136.80 | $171.00 | $913.84 – $913.84 | 1 |
| Nerve conduction 7-8 studies CPT 95910 | $257.60 | $322.00 | $913.84 – $913.84 | 1 |
| Nerve conduction studies 11-12 CPT 95912 | $360.80 | $451.00 | $1,577.43 – $1,577.43 | 1 |
| Nerve conduction studies 1-2 CPT 95907 | $132.00 | $165.00 | $474.53 – $474.53 | 1 |
| Nerve conduction studies 13+ CPT 95913 | $421.60 | $527.00 | $1,577.43 – $1,577.43 | 1 |
| Nerve conduction studies 3-4 CPT 95908 | $164.00 | $205.00 | $913.84 – $913.84 | 1 |
| Nerve conduction studies 5-6 CPT 95909 | $197.60 | $247.00 | $913.84 – $913.84 | 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.