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 |
|---|---|---|---|---|
| Release inner ear canal CPT 69960 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Release knuckle contracture CPT 26520 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Release middle ear bone CPT 69650 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Release muscles of hand CPT 26593 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Release of eye fluid CPT 67015 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Release of foot tendon CPT 28220 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Release of foot tendon 28225 CPT 28225 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Release of foot tendons CPT 28222 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Release of foot tendons CPT 28226 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Release of lower leg tendon CPT 27680 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Release of lower leg tendons CPT 27681 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Release of midfoot joint CPT 28260 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Release of midfoot joint CPT 28264 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Release of shoulder ligament CPT 23415 | $1,032.80 | $1,291.00 | $21,583.67 – $21,583.67 | 1 |
| Release palm contracture CPT 26040 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Release palm contracture CPT 26121 | $919.20 | $1,149.00 | $9,712.92 – $9,712.92 | 1 |
| Release palm contracture CPT 26123 | $1,280.80 | $1,601.00 | $9,712.92 – $9,712.92 | 1 |
| Release palm contracture CPT 26125 | $400.00 | $500.00 | not published | 0 |
| Release palm contracture 26045 CPT 26045 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Release palm & finger tendon CPT 26442 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Release palm/finger tendon CPT 26440 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Release/revise ureter CPT 50725 | $1,636.00 | $2,045.00 | not published | 0 |
| Release thumb contracture CPT 26508 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Release wrist/forearm tendon CPT 25295 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Relieve bladder contracture CPT 52640 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Relocation of testis(es) CPT 54680 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Relocation skin pocket aicd CPT 33223 | not published | not published | $5,631.53 – $5,631.53 | 1 |
| Relocation skin pocket pm CPT 33222 | not published | not published | $5,631.53 – $5,631.53 | 1 |
| Rem/biv cast full arm/leg CPT 29705 | $115.20 | $144.00 | $782.84 – $782.84 | 1 |
| Rem/biv cast shldr/hip spica CPT 29710 | $189.60 | $237.00 | $782.84 – $782.84 | 1 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $1,795.79 | $2,244.74 | $15.14 – $20.77 | 2 |
| Rem endovas vena cava filter CPT 37193 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Rem interrog dev eval icpms CPT 93297 | $89.60 | $112.00 | not published | 0 |
| Rem interrog dev eval scrms CPT 93298 | $150.40 | $188.00 | not published | 0 |
| Rem interrog evl pm/ids CPT 93296 | $30.40 | $38.00 | $114.22 – $114.22 | 1 |
| Rem interrog evl pm/ldls pm CPT 93294 | $43.20 | $54.00 | not published | 0 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | $66.40 | $83.00 | $114.22 – $114.22 | 1 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | not published | not published | $394.38 – $394.38 | 1 |
| Remote 30 day ecg rev/report CPT 93228 | $37.60 | $47.00 | not published | 0 |
| Remote 30 day ecg tech supp CPT 93229 | not published | not published | $474.53 – $474.53 | 1 |
| Removal abdomen lymph nodes 38564 CPT 38564 | $1,040.80 | $1,301.00 | not published | 0 |
| Removal anal seton other marker 46030 CPT 46030 | not published | not published | $3,533.55 – $3,533.55 | 1 |
| Removal biliary drg cath CPT 47537 | not published | not published | $2,693.66 – $2,693.66 | 1 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $245.60 | $307.00 | $1,887.67 – $1,887.67 | 1 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $333.60 | $417.00 | $4,854.90 – $4,854.90 | 1 |
| Removal cerclage w/anes CPT 59871 | not published | not published | $9,225.99 – $9,225.99 | 1 |
| Removal cerclage without anes CPT 59899 | not published | not published | $581.24 – $581.24 | 1 |
| Removal cerumen impacted (both sides) CPT 69210 | $72.00 | $90.00 | $187.55 – $187.55 | 1 |
| Removal clot in graft oth/thn 35875 CPT 35875 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Removal clot in graft xcp 35876 CPT 35876 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $293.60 | $367.00 | $589.25 – $589.25 | 1 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $278.40 | $348.00 | $2,693.66 – $2,693.66 | 1 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $2,132.80 | $2,666.00 | $4,893.07 – $4,893.07 | 1 |
| Removal foreign body foot cmplx CPT 28193 | not published | not published | $4,893.07 – $4,893.07 | 1 |
| Removal foreign body foot subcutaneous right CPT 28190 | $359.20 | $449.00 | $2,117.62 – $2,117.62 | 1 |
| Removal foreign body gum 41805 CPT 41805 | not published | not published | $4,529.52 – $4,529.52 | 1 |
| Removal foreign body jawbone CPT 41806 | not published | not published | $4,529.52 – $4,529.52 | 1 |
| Removal foreign body mouth CPT 40805 | not published | not published | $1,490.61 – $1,490.61 | 1 |
| Removal implant from finger/hand 26320 CPT 26320 | not published | not published | $4,893.07 – $4,893.07 | 1 |
| Removal implant superficial separate procedure CPT 20670 | $536.80 | $671.00 | $4,893.07 – $4,893.07 | 1 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | $11,217.60 – $11,217.60 | 1 |
| Removal neck/armpit lesion CPT 38550 | not published | not published | $11,217.60 – $11,217.60 | 1 |
| Removal neck/armpit lesion 38555 CPT 38555 | not published | not published | $19,392.63 – $19,392.63 | 1 |
| Removal of adenoids CPT 42830 | $312.00 | $390.00 | $9,283.38 – $9,283.38 | 1 |
| Removal of adenoids CPT 42831 | $338.40 | $423.00 | $9,283.38 – $9,283.38 | 1 |
| Removal of adenoids CPT 42836 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Removal of adenoids <12yrs 42835 CPT 42835 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Removal of anal fissure CPT 46200 | $712.00 | $890.00 | $8,384.23 – $8,384.23 | 1 |
| Removal of anal tags CPT 46230 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Removal of ankle bone CPT 28130 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Removal of ankle/heel lesion CPT 28100 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Removal of ankle implant CPT 27704 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Removal of arm artery clot 34111 CPT 34111 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Removal of artery clot 34101 CPT 34101 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Removal of bladder lesion CPT 51520 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Removal of bladder stone CPT 51050 | not published | not published | $15,343.31 – $15,343.31 | 1 |
| Removal of bone for graft CPT 20900 | $584.80 | $731.00 | $21,583.67 – $21,583.67 | 1 |
| Removal of bone for graft CPT 20902 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Removal of bone lesion CPT 23140 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Removal of bone lesion CPT 23145 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Removal of bone lesion CPT 23146 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Removal of breast lesion CPT 19120 | $771.20 | $964.00 | $11,217.60 – $11,217.60 | 1 |
| Removal of brow wrinkles CPT 15826 | not published | not published | $10,614.75 – $10,614.75 | 1 |
| Removal of calcium deposits CPT 23000 | not published | not published | $8,429.22 – $8,429.22 | 1 |
| Removal of epididymis CPT 54860 | $629.60 | $787.00 | $10,458.39 – $10,458.39 | 1 |
| Removal of epididymis CPT 54861 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Removal of ethmoid sinus CPT 31200 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Removal of ethmoid sinus CPT 31201 | not published | not published | $4,529.52 – $4,529.52 | 1 |
| Removal of external ear CPT 69120 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Removal of eye CPT 65101 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Removal of eye CPT 65110 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Removal of eye lesion CPT 65400 | not published | not published | $2,847.45 – $2,847.45 | 1 |
| Removal of eye lesion CPT 65420 | not published | not published | $6,898.76 – $6,898.76 | 1 |
| Removal of eye lesion CPT 65426 | not published | not published | $6,898.76 – $6,898.76 | 1 |
| Removal of face wrinkles CPT 15828 | not published | not published | $10,614.75 – $10,614.75 | 1 |
| Removal of fascia for graft CPT 20920 | not published | not published | $5,631.53 – $5,631.53 | 1 |
| Removal of fascia for graft CPT 20922 | not published | not published | $5,631.53 – $5,631.53 | 1 |
| Removal of finger lesion CPT 26210 | $691.20 | $864.00 | $4,680.86 – $4,680.86 | 1 |
| Removal of finger tendon CPT 26180 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Removal of foot fascia CPT 28062 | $868.80 | $1,086.00 | $9,712.92 – $9,712.92 | 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.