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 |
|---|---|---|---|---|
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $3,533.55 – $3,533.55 | 1 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $2,711.70 – $2,711.70 | 1 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $3,533.55 – $3,533.55 | 1 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $3,533.55 – $3,533.55 | 1 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $3,533.55 – $3,533.55 | 1 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $17,100.59 – $17,100.59 | 1 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $286.98 – $393.74 | 2 |
| Progesterone CPT 84144 | $96.00 | $120.00 | $26.08 – $64.39 | 2 |
| Prolactin CPT 84146 | $102.40 | $128.00 | $24.23 – $59.83 | 2 |
| Prolng clin staff svc 1st hr CPT 99415 | $31.20 | $39.00 | not published | 0 |
| Prolng clin staff svc ea add CPT 99416 | $14.40 | $18.00 | not published | 0 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $46.40 | $58.00 | not published | 0 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $1,085.34 – $1,085.34 | 1 |
| Prolong service without contact CPT 99358 | $159.20 | $199.00 | not published | 0 |
| Prolong serv without contact add CPT 99359 | $56.80 | $71.00 | not published | 0 |
| Promethazine hcl injection HCPCS J2550 | $70.24 | $87.80 | $6.45 – $8.85 | 2 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $863.77 – $863.77 | 1 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $1,731.92 – $1,731.92 | 1 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Prophylactic tx radius CPT 25490 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $100.13 | $125.16 | $0.20 – $0.28 | 2 |
| _propoxygc/msur CPT 80367 | $116.00 | $145.00 | not published | 0 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $93.10 | $116.38 | not published | 0 |
| Prostate biopsy, any mthd HCPCS G0416 | $259.20 | $324.00 | $1,057.58 – $1,057.58 | 1 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $15,343.31 – $15,343.31 | 1 |
| Prostate laser enucleation CPT 52649 | not published | not published | $15,343.31 – $15,343.31 | 1 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $72.14 | $90.18 | $3.68 – $5.05 | 2 |
| Protein analysis w/probe CPT 88372 | not published | not published | $32.78 – $80.94 | 2 |
| Protein c activity CPT 85303 | $144.00 | $180.00 | $17.30 – $42.72 | 2 |
| Protein c concentrate HCPCS J2724 | not published | not published | $3.38 – $4.64 | 2 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $103.20 | $129.00 | $13.43 – $33.15 | 2 |
| Protein s total CPT 85305 | $210.40 | $263.00 | $14.51 – $35.84 | 2 |
| Protein total 24 hour urine CPT 84156 | $92.80 | $116.00 | $4.59 – $11.33 | 2 |
| Protein total body fluid CPT 84157 | $35.20 | $44.00 | $5.00 – $12.35 | 2 |
| Protein total serum plasma whole blood CPT 84155 | $109.60 | $137.00 | $4.59 – $11.33 | 2 |
| Protein western blot tissue CPT 88371 | not published | not published | $27.79 – $68.62 | 2 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $144.00 | $180.00 | $4.93 – $12.16 | 2 |
| Proton treatment complex CPT 77525 | not published | not published | $4,317.70 – $4,317.70 | 1 |
| Proton trmt intermediate CPT 77523 | not published | not published | $4,317.70 – $4,317.70 | 1 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $4,317.70 – $4,317.70 | 1 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $1,867.98 – $1,867.98 | 1 |
| Protoporphyrin rbc screen CPT 84203 | $102.40 | $128.00 | $12.18 – $30.07 | 2 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $394.38 – $394.38 | 1 |
| Prp i/hern init block >5 yr CPT 49507 | $872.00 | $1,090.00 | $11,557.38 – $11,557.38 | 1 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $123.20 | $154.00 | $247.51 – $247.51 | 1 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $48.00 | $60.00 | not published | 0 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $56,050.90 – $56,050.90 | 1 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $56,050.90 – $56,050.90 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $34,638.00 – $34,638.00 | 1 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $1,172.80 | $1,466.00 | $21,583.67 – $21,583.67 | 1 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $34,638.00 – $34,638.00 | 1 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $56,050.90 – $56,050.90 | 1 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $17,017.98 – $17,017.98 | 1 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $34,638.00 – $34,638.00 | 1 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $34,638.00 – $34,638.00 | 1 |
| Pr removal drug delivery implant CPT 11982 | $167.20 | $209.00 | $1,232.01 – $1,232.01 | 1 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $126.40 | $158.00 | $378.88 – $378.88 | 1 |
| Pr removal intrauterine device CPT 58301 | $164.80 | $206.00 | $952.66 – $952.66 | 1 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $451.20 | $564.00 | $1,217.32 – $1,217.32 | 1 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $176.00 | $220.00 | $589.25 – $589.25 | 1 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $176.00 | $220.00 | $589.25 – $589.25 | 1 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $176.00 | $220.00 | $589.25 – $589.25 | 1 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $192.00 | $240.00 | $589.25 – $589.25 | 1 |
| Pr robotic surgical system HCPCS S2900 | $0.80 | $1.00 | not published | 0 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $1,285.60 | $1,607.00 | $5,631.53 – $5,631.53 | 1 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $60.80 | $76.00 | not published | 0 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $1,330.51 – $1,330.51 | 1 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $533.60 | $667.00 | $4,854.90 – $4,854.90 | 1 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $24.80 | $31.00 | not published | 0 |
| PSA (Prostate) Test CPT 84153 | $158.40 | $198.00 | $22.99 – $56.77 | 2 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $81.43 – $81.43 | 1 |
| Psychoanalysis CPT 90845 | not published | not published | $475.42 – $475.42 | 1 |
| Psychotherapy group therapy CPT 90853 | $39.20 | $49.00 | $247.51 – $247.51 | 1 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $112.00 | $140.00 | $475.42 – $475.42 | 1 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $148.00 | $185.00 | $475.42 – $475.42 | 1 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $216.80 | $271.00 | $475.42 – $475.42 | 1 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $913.84 – $913.84 | 1 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $1,232.01 – $1,232.01 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $92.80 | $116.00 | $378.88 – $378.88 | 1 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $57.60 | $72.00 | not published | 0 |
| Psytx complex interactive CPT 90785 | $21.60 | $27.00 | not published | 0 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $102.40 | $128.00 | not published | 0 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $129.60 | $162.00 | not published | 0 |
| Psytx pt w/e&m 53+ min CPT 90838 | $170.40 | $213.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $32.80 | $41.00 | not published | 0 |
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.