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 |
|---|---|---|---|---|
| Photochemotherapy puva CPT 96912 | $148.00 | $185.00 | $187.55 – $187.55 | 1 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $1,217.32 – $1,217.32 | 1 |
| Photo patch test CPT 95052 | $8.80 | $11.00 | $187.55 – $187.55 | 1 |
| Photopheresis CPT 36522 | not published | not published | $13,574.19 – $13,574.19 | 1 |
| Photosensitivity tests CPT 95056 | not published | not published | $378.88 – $378.88 | 1 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $163.59 – $163.59 | 1 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $513.12 – $513.12 | 1 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $81.43 – $81.43 | 1 |
| Physician standby services CPT 99360 | $86.40 | $108.00 | not published | 0 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $85.06 | $106.32 | $6.40 – $8.78 | 2 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $343.54 – $848.40 | 2 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $1,895.66 – $1,895.66 | 1 |
| Pin finger dislocation CPT 26776 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Pin finger fracture each CPT 26756 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Pin hand dislocation CPT 26676 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Pinworm exam CPT 87172 | $88.00 | $110.00 | $5.34 – $13.18 | 2 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $5.34 – $13.18 | 2 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $181.82 | $227.27 | $2.49 – $3.42 | 2 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $724.35 – $1,788.85 | 2 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $19,392.63 – $19,392.63 | 1 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $3,533.55 – $3,533.55 | 1 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $4,374.64 – $4,374.64 | 1 |
| Place duod/jej tube perc CPT 49441 | $1,444.80 | $1,806.00 | $5,682.83 – $5,682.83 | 1 |
| Place endorectal app HCPCS C9725 | not published | not published | $2,711.70 – $2,711.70 | 1 |
| Place gastrostomy tube perc CPT 49440 | $1,277.60 | $1,597.00 | $5,682.83 – $5,682.83 | 1 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $343.20 | $429.00 | $4,893.07 – $4,893.07 | 1 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $171.20 | $214.00 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $526.40 | $658.00 | $2,117.62 – $2,117.62 | 1 |
| Placement nephrostomy catheter (both sides) CPT 50432 | not published | not published | $6,052.50 – $6,052.50 | 1 |
| Placement of seton CPT 46020 | $170.40 | $213.00 | $8,384.23 – $8,384.23 | 1 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | not published | not published | $34,638.00 – $34,638.00 | 1 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Place needles h&n for right CPT 41019 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Place needles pelvic for right CPT 55920 | not published | not published | $15,124.47 – $15,124.47 | 1 |
| Place non-slctv cath thoracic arta CPT 36221 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Placental lactogen CPT 83632 | not published | not published | $25.28 – $62.42 | 2 |
| Place po breast cath for rad CPT 19296 | $5,816.00 | $7,270.00 | $28,733.32 – $28,733.32 | 1 |
| Place right device/marker pros CPT 55876 | $222.40 | $278.00 | $4,374.64 – $4,374.64 | 1 |
| Place slctv cath carotd art uni CPT 36224 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Place slctv cath subclavian art CPT 36225 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Place slctv cath vertebral art uni CPT 36226 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Plaelet rich plasma unit HCPCS P9020 | not published | not published | $1,452.94 – $1,452.94 | 1 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | not published | not published | $224.81 – $224.81 | 1 |
| Plasma cryo redu path each HCPCS P9025 | not published | not published | $212.86 – $212.86 | 1 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $516.73 – $516.73 | 1 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $25.92 – $25.92 | 1 |
| Plasma volume multiple CPT 78111 | not published | not published | $4,330.91 – $4,330.91 | 1 |
| Plasma volume single CPT 78110 | not published | not published | $4,330.91 – $4,330.91 | 1 |
| Plastic surgery neck CPT 15819 | not published | not published | $5,631.53 – $5,631.53 | 1 |
| Platelet aggregation each agent teg CPT 85576 | $110.40 | $138.00 | $31.14 – $76.90 | 2 |
| Platelet automated CPT 85049 | $64.00 | $80.00 | $5.60 – $13.83 | 2 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $1,330.51 – $1,330.51 | 1 |
| Platelet pheresis each unit HCPCS P9034 | $825.60 | $1,032.00 | $1,089.75 – $1,089.75 | 1 |
| Platelet pheresis irr ea HCPCS P9036 | not published | not published | $2,012.25 – $2,012.25 | 1 |
| Platelets each unit HCPCS P9019 | not published | not published | $252.01 – $252.01 | 1 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | not published | not published | $2,703.60 – $2,703.60 | 1 |
| Platelets irradiated ea unit HCPCS P9032 | not published | not published | $469.22 – $469.22 | 1 |
| Platelets leukocytes reduced each unit HCPCS P9031 | not published | not published | $427.11 – $427.11 | 1 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | not published | not published | $875.67 – $875.67 | 1 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $888.80 | $1,111.00 | $1,088.61 – $1,088.61 | 1 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $970.40 | $1,213.00 | $1,737.40 – $1,737.40 | 1 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $780.80 | $976.00 | $1,584.72 – $1,584.72 | 1 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $957.60 | $1,197.00 | $2,082.43 – $2,082.43 | 1 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $508.00 | $635.00 | $1,885.66 – $1,885.66 | 1 |
| Platelet survival CPT 78191 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $364.20 – $899.43 | 2 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | not published | not published | $11,557.38 – $11,557.38 | 1 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,017.60 | $1,272.00 | $2,117.62 – $2,117.62 | 1 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $1,017.60 | $1,272.00 | not published | 0 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $171.20 | $214.00 | not published | 0 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $171.20 | $214.00 | not published | 0 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $171.20 | $214.00 | not published | 0 |
| Plerixafor injection HCPCS J2562 | not published | not published | $268.81 – $368.80 | 2 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $302.40 | $378.00 | $913.84 – $913.84 | 1 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $11,557.38 – $11,557.38 | 1 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $11,557.38 – $11,557.38 | 1 |
| Plmt nephroureteral catheter CPT 50433 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Plmt ureteral stent prq CPT 50694 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Pm device progr eval dual CPT 93280 | $120.80 | $151.00 | $114.22 – $114.22 | 1 |
| Pm device progr eval multi CPT 93281 | $128.00 | $160.00 | $114.22 – $114.22 | 1 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $259.14 – $639.97 | 2 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $947.95 – $2,341.06 | 2 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $961.98 – $2,375.69 | 2 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $58.25 – $143.85 | 2 |
| Pm phone r-strip device eval CPT 93293 | $61.60 | $77.00 | $114.22 – $114.22 | 1 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $254.38 – $628.20 | 2 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $845.63 – $2,088.36 | 2 |
| Pms2 known familial variants CPT 81318 | not published | not published | $413.75 – $1,021.80 | 2 |
| Pne flu hepb cov home admin HCPCS M0201 | not published | not published | $120.25 – $120.25 | 1 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $1,887.67 – $1,887.67 | 1 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $260.00 | $325.00 | $32.59 – $80.48 | 2 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $306.52 – $420.54 | 2 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $890.40 | $1,113.00 | $3,048.91 – $3,048.91 | 1 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $3,048.91 – $3,048.91 | 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.