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 |
|---|---|---|---|---|
| Removal of foot joint lining CPT 28070 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Removal of foot joint lining CPT 28072 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Removal of foot lesion CPT 28080 | $801.60 | $1,002.00 | $4,680.86 – $4,680.86 | 1 |
| Removal of foot lesion CPT 28090 | $681.60 | $852.00 | $4,680.86 – $4,680.86 | 1 |
| Removal of foot lesion CPT 28104 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Removal of forearm lesion CPT 25120 | $771.20 | $964.00 | $9,712.92 – $9,712.92 | 1 |
| Removal of forehead wrinkles CPT 15824 | not published | not published | $5,631.53 – $5,631.53 | 1 |
| Removal of foreign body CPT 27372 | $885.60 | $1,107.00 | $8,429.22 – $8,429.22 | 1 |
| Removal of frontal sinus CPT 31080 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Removal of frontal sinus CPT 31081 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Removal of frontal sinus CPT 31084 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Removal of frontal sinus CPT 31086 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Removal of frontal sinus CPT 31087 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Removal of frontal sinus 31085 CPT 31085 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Removal of gallbladder 47600 CPT 47600 | $1,584.00 | $1,980.00 | not published | 0 |
| Removal of gum tissue CPT 41830 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Removal of head of humerus CPT 23195 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Removal of heel bone CPT 28118 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Removal of heel spur CPT 28119 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Removal of hip foreign body 27087 CPT 27087 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Removal of humerus lesion CPT 23150 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Removal of humerus lesion CPT 23155 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Removal of humerus lesion CPT 23156 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Removal of hydrocele CPT 55040 | $493.60 | $617.00 | $11,557.38 – $11,557.38 | 1 |
| Removal of hydrocele CPT 55500 | $576.00 | $720.00 | $10,458.39 – $10,458.39 | 1 |
| Removal of hydroceles CPT 55041 | not published | not published | $11,557.38 – $11,557.38 | 1 |
| Removal of implant deep CPT 20680 | $892.00 | $1,115.00 | $8,429.22 – $8,429.22 | 1 |
| Removal of infusion pump CPT 36262 | not published | not published | $10,934.15 – $10,934.15 | 1 |
| Removal of inner eye fluid CPT 67036 | not published | not published | $13,037.66 – $13,037.66 | 1 |
| Removal of inner eye lesion CPT 66770 | not published | not published | $1,731.92 – $1,731.92 | 1 |
| Removal of intranasal lesion CPT 30117 | $1,469.60 | $1,837.00 | $9,283.38 – $9,283.38 | 1 |
| Removal of intranasal lesion CPT 30118 | $1,183.20 | $1,479.00 | $9,283.38 – $9,283.38 | 1 |
| Removal of iris CPT 66605 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Removal of iris CPT 66625 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Removal of iris CPT 66630 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Removal of iris CPT 66635 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Removal of ischial bursa CPT 27060 | $689.60 | $862.00 | $21,583.67 – $21,583.67 | 1 |
| Removal of jaw bone lesion CPT 21044 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Removal of jaw joint CPT 21050 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Removal of kneecap CPT 27350 | $968.80 | $1,211.00 | $21,583.67 – $21,583.67 | 1 |
| Removal of kneecap bursa CPT 27340 | $556.80 | $696.00 | $9,712.92 – $9,712.92 | 1 |
| Removal of knee cartilage CPT 27332 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Removal of knee cartilage CPT 27333 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Removal of knee cyst CPT 27345 | $720.00 | $900.00 | $9,712.92 – $9,712.92 | 1 |
| Removal of larynx lesion CPT 31300 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Removal of larynx lesion 31512 CPT 31512 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Removal of lens lesion CPT 66830 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Removal of lens material CPT 66840 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Removal of lens material CPT 66850 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Removal of lens material CPT 66852 | not published | not published | $13,037.66 – $13,037.66 | 1 |
| Removal of lymph nodes neck CPT 38700 | not published | not published | $19,392.63 – $19,392.63 | 1 |
| Removal of metatarsal CPT 28140 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Removal of metatarsal heads CPT 28114 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Removal of neck wrinkles CPT 15825 | not published | not published | $10,614.75 – $10,614.75 | 1 |
| Removal of nerve lesion CPT 64790 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Removal of nerve lesion CPT 64792 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Removal of nose CPT 30160 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Removal of nose lesion CPT 30124 | not published | not published | $4,529.52 – $4,529.52 | 1 |
| Removal of nose lesion CPT 30125 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Removal of nose polyp(s) 30115 CPT 30115 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Removal of ocular implant CPT 65175 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Removal of omentum 49255 CPT 49255 | $1,167.20 | $1,459.00 | not published | 0 |
| Removal of ovary(s) 58940 CPT 58940 | $824.00 | $1,030.00 | not published | 0 |
| Removal of ovary/tube(s) CPT 58720 | $1,120.00 | $1,400.00 | not published | 0 |
| Removal of palm tendon each CPT 26170 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Removal of salivary stone CPT 42340 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Removal of salivary stone 42335 CPT 42335 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Removal of scrotum CPT 55150 | $741.60 | $927.00 | $10,458.39 – $10,458.39 | 1 |
| Removal of scrotum lesion CPT 55120 | not published | not published | $6,052.50 – $6,052.50 | 1 |
| Removal of sesamoid bone CPT 28315 | $712.00 | $890.00 | $9,712.92 – $9,712.92 | 1 |
| Removal of shunt CPT 49429 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Removal of skin tags each add'l 10 CPT 11201 | $27.20 | $34.00 | not published | 0 |
| Removal of skin wrinkles CPT 15829 | not published | not published | $10,614.75 – $10,614.75 | 1 |
| Removal of sperm cord lesion CPT 55520 | $680.00 | $850.00 | $10,458.39 – $10,458.39 | 1 |
| Removal of spinal shunt CPT 63746 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Removal of suture from anus 46754 CPT 46754 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Removal of tail bone CPT 27080 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Removal of tear gland CPT 68500 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Removal of tear sac CPT 68520 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Removal of tendon for graft CPT 20924 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Removal of tendon lesion CPT 27630 | $803.20 | $1,004.00 | $9,712.92 – $9,712.92 | 1 |
| Removal of testis CPT 54520 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Removal of testis CPT 54530 | not published | not published | $11,557.38 – $11,557.38 | 1 |
| Removal of thyroid CPT 60240 | $1,352.80 | $1,691.00 | $17,007.37 – $17,007.37 | 1 |
| Removal of thyroid CPT 60252 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Removal of thyroid CPT 60271 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Removal of toe lesions CPT 28092 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Removal of toe lesions CPT 28108 | $636.80 | $796.00 | $4,680.86 – $4,680.86 | 1 |
| Removal of ureter stone CPT 51060 | not published | not published | $6,052.50 – $6,052.50 | 1 |
| Removal of urethra CPT 53210 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Removal of urethra CPT 53215 | not published | not published | $15,343.31 – $15,343.31 | 1 |
| Removal of urethra gland CPT 53250 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Removal of urethra gland CPT 53270 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Removal of urethra lesion CPT 53230 | not published | not published | $15,343.31 – $15,343.31 | 1 |
| Removal of urethra lesion CPT 53235 | not published | not published | $15,343.31 – $15,343.31 | 1 |
| Removal of vein clot CPT 34421 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Removal of vein clot CPT 34471 | not published | not published | $1,887.67 – $1,887.67 | 1 |
| Removal of vein clot 34490 CPT 34490 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Removal of wrist bone CPT 25210 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Removal of wrist bones CPT 25215 | not published | not published | $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.