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 |
|---|---|---|---|---|
| Nerve conduction studies 9-10 CPT 95911 | $309.60 | $387.00 | $1,577.43 – $1,577.43 | 1 |
| Nerve graft head/neck <4 cm CPT 64885 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Nerve graft head/neck >4 cm CPT 64886 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Nerve palsy fascial graft CPT 15840 | not published | not published | $10,614.75 – $10,614.75 | 1 |
| Nerve palsy microsurg graft CPT 15842 | not published | not published | $5,631.53 – $5,631.53 | 1 |
| Nerve palsy muscle graft CPT 15841 | not published | not published | $10,614.75 – $10,614.75 | 1 |
| Nerve pedicle transfer CPT 64905 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Nerve pedicle transfer CPT 64907 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Nerve repair w/allograft CPT 64910 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Nerve teasing preparations CPT 88362 | not published | not published | $2,533.78 – $2,533.78 | 1 |
| Neurectomy foot CPT 28055 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Neurectomy hamstring CPT 27325 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Neurectomy popliteal CPT 27326 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Neuroeltrd stim post tibial CPT 64566 | not published | not published | $887.20 – $887.20 | 1 |
| Neurolysis celiac plexus CPT 64680 | not published | not published | $2,780.68 – $2,780.68 | 1 |
| Neurolysis trigeminal nerve CPT 64600 | not published | not published | $2,780.68 – $2,780.68 | 1 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $151.20 | $189.00 | $474.53 – $474.53 | 1 |
| Neuroplasty digital 1/both same digit CPT 64702 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Neurorraphy w/vein autograft CPT 64911 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Neurovascular pedicle flap CPT 15750 | not published | not published | $10,614.75 – $10,614.75 | 1 |
| Neutrlzg antb sarscov2 scr CPT 86408 | $89.60 | $112.00 | $52.66 – $130.06 | 2 |
| Neutrlzg antb sarscov2 titer CPT 86409 | $89.60 | $112.00 | $99.51 – $245.76 | 2 |
| Neutron beam tx complex CPT 77423 | not published | not published | $1,867.98 – $1,867.98 | 1 |
| New Patient Office Visit (level 2) CPT 99202 | $107.20 | $134.00 | not published | 0 |
| New Patient Office Visit (level 3) CPT 99203 | $167.20 | $209.00 | not published | 0 |
| New Patient Office Visit (level 4) CPT 99204 | $251.20 | $314.00 | not published | 0 |
| New Patient Office Visit (level 5) CPT 99205 | $331.20 | $414.00 | not published | 0 |
| Nfct agt gntyp alys sarscov2 CPT 87913 | not published | not published | $321.81 – $794.75 | 2 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | not published | not published | $328.74 – $811.85 | 2 |
| N. gonorrhoeae assay w/optic CPT 87850 | not published | not published | $30.70 – $75.82 | 2 |
| N.gonorrhoeae dna quant CPT 87592 | not published | not published | $53.55 – $132.25 | 2 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $340.06 | $425.08 | $0.19 – $0.27 | 2 |
| Nintedanib 150 mg capsule HCPCS J8999 | $93.21 | $116.51 | not published | 0 |
| Nipple/areola reconst 19350 CPT 19350 | not published | not published | $11,217.60 – $11,217.60 | 1 |
| Nipple exploration CPT 19110 | not published | not published | $11,217.60 – $11,217.60 | 1 |
| Nitroblue tetrazolium dye CPT 86384 | not published | not published | $17.01 – $42.01 | 2 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $110.04 | $137.55 | $3.19 – $4.38 | 2 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $10,432.44 | $13,040.55 | $74.25 – $101.88 | 2 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | not published | not published | $444.71 – $610.14 | 2 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $89.60 | $112.00 | $2,780.68 – $2,780.68 | 1 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | not published | not published | $2,102.48 – $2,102.48 | 1 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | not published | not published | $2,780.68 – $2,780.68 | 1 |
| Njx aa&/strd vagus nrv CPT 64408 | not published | not published | $887.20 – $887.20 | 1 |
| Njx chemonucleolysis lmbr CPT 62292 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Njx interlaminar crv/thrc CPT 62324 | $1,060.80 | $1,326.00 | $2,780.68 – $2,780.68 | 1 |
| Njx interlaminar crv/thrc CPT 62325 | $1,079.20 | $1,349.00 | $2,780.68 – $2,780.68 | 1 |
| Njx interlaminar lmbr/sac CPT 62326 | $1,060.80 | $1,326.00 | $2,780.68 – $2,780.68 | 1 |
| Njx interlaminar lmbr/sac CPT 62327 | $1,079.20 | $1,349.00 | $2,780.68 – $2,780.68 | 1 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | not published | not published | $2,040.48 – $2,040.48 | 1 |
| Njx px peyronie ds exps plaq CPT 54205 | $797.60 | $997.00 | $15,343.31 – $15,343.31 | 1 |
| Nm imaging bone/joint 3 phase study CPT 78315 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Nm imaging bone/joint whole body CPT 78306 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $307.20 | $384.00 | $1,268.29 – $1,268.29 | 1 |
| Nm imaging gastric emptying study CPT 78264 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | not published | not published | $1,646.19 – $1,646.19 | 1 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | not published | not published | $1,646.19 – $1,646.19 | 1 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | not published | not published | $1,646.19 – $1,646.19 | 1 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | not published | not published | $814.87 – $814.87 | 1 |
| Non-blind interatrial shunt HCPCS C9760 | not published | not published | $89,734.74 – $89,734.74 | 1 |
| Non-card vasc flow imaging CPT 78445 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Non-cov proc, clinical trial HCPCS G0294 | not published | not published | $110.81 – $110.81 | 1 |
| Non-cov surg proc,clin trial HCPCS G0293 | not published | not published | $110.81 – $110.81 | 1 |
| Non-imaging heart function CPT 78414 | not published | not published | $1,646.19 – $1,646.19 | 1 |
| Noninv pace analysis CPT 93724 | not published | not published | $902.73 – $902.73 | 1 |
| Non-ophthalmic fva HCPCS C9733 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| Noonan spectrum disorders CPT 81442 | $4,929.60 | $6,162.00 | $2,679.50 – $6,617.29 | 2 |
| Novachor 1 sq cm HCPCS Q4194 | not published | not published | $1,615.00 – $2,215.78 | 2 |
| Npm1 gene CPT 81310 | not published | not published | $308.15 – $761.01 | 2 |
| Nps surg dilat eust tube bi CPT 69706 | $3,934.40 | $4,918.00 | $17,423.47 – $17,423.47 | 1 |
| Nps surg dilat eust tube uni CPT 69705 | $3,800.00 | $4,750.00 | $17,423.47 – $17,423.47 | 1 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $191.20 | $239.00 | $1,577.43 – $1,577.43 | 1 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | $191.20 | $239.00 | not published | 0 |
| Nras gene variants exon 2&3 CPT 81311 | $816.00 | $1,020.00 | $369.74 – $913.10 | 2 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | not published | not published | $5,767.23 – $5,767.23 | 1 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $5,216.13 – $5,216.13 | 1 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $259.14 – $639.97 | 2 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $259.14 – $639.97 | 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.