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 |
|---|---|---|---|---|
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $1,818.40 | $2,273.00 | $3,048.91 – $3,048.91 | 1 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $13.14 – $32.44 | 2 |
| Positional change of finger CPT 26555 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $31.25 – $77.18 | 2 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $1,577.43 – $1,577.43 | 1 |
| Postpartum Care Only CPT 59430 | $392.80 | $491.00 | not published | 0 |
| Potassium 24 hour urine CPT 84133 | $102.40 | $128.00 | $5.91 – $14.60 | 2 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $189.51 | $236.89 | $0.38 – $0.52 | 2 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $7.29 – $18.00 | 2 |
| Potassium serum/plasma/whole blood CPT 84132 | $35.20 | $44.00 | $5.95 – $14.69 | 2 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $171.25 – $422.92 | 2 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $8,862.40 | $11,078.00 | $21,583.67 – $21,583.67 | 1 |
| Pq thr inj ext pse CPT 36002 | $461.60 | $577.00 | $1,887.67 – $1,887.67 | 1 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $1,118.40 | $1,398.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $2,784.80 | $3,481.00 | $9,712.92 – $9,712.92 | 1 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $2,780.80 | $3,476.00 | $9,712.92 – $9,712.92 | 1 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $874.86 – $1,200.30 | 2 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,050.40 | $1,313.00 | $9,712.92 – $9,712.92 | 1 |
| Pr application of long arm splint CPT 29105 | $119.20 | $149.00 | $475.62 – $475.62 | 1 |
| Pr application splint static short arm CPT 29125 | $96.00 | $120.00 | $378.88 – $378.88 | 1 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $7.20 | $9.00 | $110.81 – $110.81 | 1 |
| Pr biopsy skin punch single lesion CPT 11104 | $188.00 | $235.00 | $1,217.32 – $1,217.32 | 1 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Pr correction hammertoe CPT 28285 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $22.40 | $28.00 | $96.85 – $96.85 | 1 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $423.20 | $529.00 | not published | 0 |
| Prcrd drg 6+yr without anomly CPT 33017 | $358.40 | $448.00 | not published | 0 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $556.80 | $696.00 | $10,458.39 – $10,458.39 | 1 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $150.40 | $188.00 | $589.25 – $589.25 | 1 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $103.20 | $129.00 | not published | 0 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $151.20 | $189.00 | not published | 0 |
| Prealbumin CPT 84134 | $102.40 | $128.00 | $18.24 – $45.04 | 2 |
| Pr ecg 12 lead report only CPT 93010 | $12.00 | $15.00 | not published | 0 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $27.20 | $34.00 | not published | 0 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $13.01 | $16.26 | $0.61 – $0.84 | 2 |
| Prednisone 1 mg tablet HCPCS J7512 | $23.60 | $29.50 | $0.01 – $0.01 | 2 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $295.20 | $369.00 | $5,682.83 – $5,682.83 | 1 |
| Pregnancy associated plasma protein-a CPT 84163 | $63.20 | $79.00 | $18.81 – $46.46 | 2 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $710.40 | $888.00 | $348.75 – $348.75 | 1 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $375.20 | $469.00 | $348.75 – $348.75 | 1 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $199.20 | $249.00 | not published | 0 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $841.60 | $1,052.00 | not published | 0 |
| Prenatal Care Only (7+ visits) CPT 59426 | $1,540.80 | $1,926.00 | not published | 0 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $913.84 – $913.84 | 1 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $1,577.43 – $1,577.43 | 1 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $1,577.43 – $1,577.43 | 1 |
| Preparation palate mold CPT 42280 | not published | not published | $1,490.61 – $1,490.61 | 1 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $163.59 – $163.59 | 1 |
| Prep skin to 100cm2 other CPT 15004 | $583.20 | $729.00 | $1,895.66 – $1,895.66 | 1 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $516.00 | $645.00 | $5,631.53 – $5,631.53 | 1 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $102.40 | $128.00 | not published | 0 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $474.53 – $474.53 | 1 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $513.12 – $513.12 | 1 |
| Pretreat rbc absorption reference CPT 86978 | $148.80 | $186.00 | $110.81 – $110.81 | 1 |
| Pretreat rbc density gradient separation reference CPT 86972 | $168.00 | $210.00 | $513.12 – $513.12 | 1 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $114.40 | $143.00 | $110.81 – $110.81 | 1 |
| Pretreat rbc w enzyme reference CPT 86971 | not published | not published | $1,057.58 – $1,057.58 | 1 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $287.20 | $359.00 | $475.42 – $475.42 | 1 |
| Preventive counseling group CPT 99411 | $29.60 | $37.00 | not published | 0 |
| Preventive counseling group CPT 99412 | $36.80 | $46.00 | not published | 0 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $57.60 | $72.00 | not published | 0 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $92.80 | $116.00 | not published | 0 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $127.20 | $159.00 | not published | 0 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $164.00 | $205.00 | not published | 0 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $247.20 | $309.00 | $394.38 – $394.38 | 1 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $189.60 | $237.00 | $4,893.07 – $4,893.07 | 1 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $332.80 | $416.00 | $4,893.07 – $4,893.07 | 1 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $480.00 | $600.00 | $1,217.32 – $1,217.32 | 1 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $2,012.00 | $2,515.00 | not published | 0 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $114.22 – $114.22 | 1 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $102.40 | $128.00 | $114.22 – $114.22 | 1 |
| Prgrmg dev eval scrms ip CPT 93285 | $88.00 | $110.00 | $114.22 – $114.22 | 1 |
| Prgrmg eval implantable dfb CPT 93282 | $121.60 | $152.00 | $114.22 – $114.22 | 1 |
| Prgrmg eval implantable dfb CPT 93283 | $148.00 | $185.00 | $114.22 – $114.22 | 1 |
| Prgrmg eval implantable dfb CPT 93284 | $160.00 | $200.00 | $114.22 – $114.22 | 1 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $284.80 | $356.00 | not published | 0 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $194.40 | $243.00 | not published | 0 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $144.80 | $181.00 | not published | 0 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $147.20 | $184.00 | not published | 0 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $102.40 | $128.00 | not published | 0 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $56.00 | $70.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $34,638.00 – $34,638.00 | 1 |
| Prin care mgmt staff 1st 30 CPT 99426 | $94.40 | $118.00 | $247.51 – $247.51 | 1 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $313.60 | $392.00 | $1,217.32 – $1,217.32 | 1 |
| Pr incision & drainage abscess simple/single CPT 10060 | $191.20 | $239.00 | $589.25 – $589.25 | 1 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $222.40 | $278.00 | $952.66 – $952.66 | 1 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $253.60 | $317.00 | $1,217.32 – $1,217.32 | 1 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $404.00 | $505.00 | $394.38 – $394.38 | 1 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $300.00 | $375.00 | $394.38 – $394.38 | 1 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $298.40 | $373.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $886.40 | $1,108.00 | $5,865.36 – $5,865.36 | 1 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $863.77 – $863.77 | 1 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $6,898.76 – $6,898.76 | 1 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $6,898.76 – $6,898.76 | 1 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $6,898.76 – $6,898.76 | 1 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $250.78 | $313.48 | $437.21 – $599.85 | 2 |
| Procalcitonin CPT 84145 | $128.00 | $160.00 | $34.03 – $84.03 | 2 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $131.02 | $163.78 | $5.68 – $7.79 | 2 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $3,533.55 – $3,533.55 | 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.