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 wrist lesion CPT 25130 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Removal of wrist prosthesis CPT 25250 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Removal of wrist prosthesis CPT 25251 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Removal prosth radial head CPT 24164 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Removal/replacement ppm generator dual lead system CPT 33228 | not published | not published | $33,703.02 – $33,703.02 | 1 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $293.60 | $367.00 | $589.25 – $589.25 | 1 |
| Removal sutr and stapl no anes CPT 15854 | $21.60 | $27.00 | not published | 0 |
| Removal sutr or stapl no anes CPT 15853 | $31.20 | $39.00 | not published | 0 |
| Removal sutr/staple req anes CPT 15851 | $85.60 | $107.00 | $5,631.53 – $5,631.53 | 1 |
| Removal tunnled intprtnl cath CPT 49422 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Removal w/reinsrt nonbiogrdble CPT 11983 | $210.40 | $263.00 | $1,232.01 – $1,232.01 | 1 |
| Remove anal fist complex CPT 46280 | $728.00 | $910.00 | $8,384.23 – $8,384.23 | 1 |
| Remove anal fist inter CPT 46275 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Remove anal fist subq CPT 46270 | $803.20 | $1,004.00 | $8,384.23 – $8,384.23 | 1 |
| Remove ankle joint lining CPT 27625 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Remove ankle joint lining CPT 27626 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Remove armpit lymph nodes CPT 38745 | $1,304.00 | $1,630.00 | $17,007.37 – $17,007.37 | 1 |
| Remove bladder stone CPT 52317 | $1,259.20 | $1,574.00 | $10,458.39 – $10,458.39 | 1 |
| Remove bladder stone CPT 52318 | $696.00 | $870.00 | $10,458.39 – $10,458.39 | 1 |
| Remove blood clot from eye CPT 65930 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Remove brain canal fluid CPT 61050 | not published | not published | $887.20 – $887.20 | 1 |
| Remove cartilage for graft CPT 20910 | not published | not published | $1,895.66 – $1,895.66 | 1 |
| Remove cartilage for graft CPT 20912 | not published | not published | $10,614.75 – $10,614.75 | 1 |
| Remove collar bone lesion CPT 23170 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Remove coronoid process CPT 21070 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Remove cranial cavity fluid CPT 61001 | not published | not published | $2,102.48 – $2,102.48 | 1 |
| Remove digit nerve lesion 64776 CPT 64776 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Remove drug implant HCPCS G0517 | not published | not published | $1,232.01 – $1,232.01 | 1 |
| Remove ear canal lesion(s) CPT 69145 | $616.80 | $771.00 | $8,429.22 – $8,429.22 | 1 |
| Remove ear canal lesion(s) 69140 CPT 69140 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Remove epididymis lesion CPT 54830 | $560.80 | $701.00 | $10,458.39 – $10,458.39 | 1 |
| Remove epididymis lesion CPT 54840 | $484.80 | $606.00 | $6,052.50 – $6,052.50 | 1 |
| Remove exostosis maxilla CPT 21032 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Remove ext hem groups 2+ CPT 46250 | $719.20 | $899.00 | $8,384.23 – $8,384.23 | 1 |
| Remove eye/attach implant CPT 65105 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Remove eye implant material CPT 67120 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Remove eye implant material CPT 67121 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Remove eye/insert implant CPT 65103 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Remove eye lesion CPT 65900 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Remove eye lesion CPT 66130 | not published | not published | $6,898.76 – $6,898.76 | 1 |
| Remove eyelid lesion CPT 67800 | $192.00 | $240.00 | $863.77 – $863.77 | 1 |
| Remove eyelid lesion CPT 67840 | $416.80 | $521.00 | $2,847.45 – $2,847.45 | 1 |
| Remove eyelid lesion(s) CPT 67808 | not published | not published | $6,898.76 – $6,898.76 | 1 |
| Remove eyelid lesions CPT 67801 | not published | not published | $2,847.45 – $2,847.45 | 1 |
| Remove eyelid lesions CPT 67805 | not published | not published | $863.77 – $863.77 | 1 |
| Remove eye/revise socket CPT 65112 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Remove eye/revise socket CPT 65114 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Remove femur lesion CPT 27355 | $900.80 | $1,126.00 | $9,712.92 – $9,712.92 | 1 |
| Remove femur lesion/bursa CPT 27062 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Remove femur lesion/graft CPT 27356 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Remove femur lesion/graft CPT 27357 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove finger bone CPT 26185 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Remove forearm bone lesion CPT 25145 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Remove foreign body from eye CPT 65235 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Remove foreign body from eye CPT 65260 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Remove foreign body from eye CPT 65265 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Remove gastric port open 43887 CPT 43887 | not published | not published | $5,631.53 – $5,631.53 | 1 |
| Remove/graft bone lesion CPT 26205 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove/graft finger lesion CPT 26215 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Remove/graft foot lesion CPT 28102 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove/graft foot lesion CPT 28103 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove/graft foot lesion CPT 28107 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove/graft forearm lesion CPT 25125 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Remove/graft forearm lesion CPT 25126 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Remove/graft hip bone lesion CPT 27067 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove/graft leg bone lesion CPT 27637 | $1,084.00 | $1,355.00 | $21,583.67 – $21,583.67 | 1 |
| Remove/graft leg bone lesion CPT 27638 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove & graft wrist lesion CPT 25135 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove & graft wrist lesion CPT 25136 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove groin lymph nodes CPT 38760 | $1,256.00 | $1,570.00 | $19,392.63 – $19,392.63 | 1 |
| Remove hand bone lesion CPT 26200 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Remove hip bone les deep CPT 27066 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Remove hip bone les super CPT 27065 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove hip foreign body 27086 CPT 27086 | not published | not published | $8,429.22 – $8,429.22 | 1 |
| Remove hip/pelvis lesion 27047 CPT 27047 | $738.40 | $923.00 | $8,429.22 – $8,429.22 | 1 |
| Remove humerus lesion CPT 23174 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove humerus lesion CPT 23184 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove implant of eye CPT 65920 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Remove in/ex hem groups 2+ CPT 46260 | $716.80 | $896.00 | $8,384.23 – $8,384.23 | 1 |
| Remove in/ex hem grp & fiss 46257 CPT 46257 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Remove in/ex hem grps & fiss CPT 46261 | $804.00 | $1,005.00 | $8,384.23 – $8,384.23 | 1 |
| Remove in/ex hem grps w/fist CPT 46262 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Remove in/ex hem grp w/fistu CPT 46258 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Remove inner ear CPT 69905 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Remove inner ear lesion CPT 69970 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Remove inner ear & mastoid CPT 69910 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Remove intact mammary implant CPT 19328 | not published | not published | $11,217.60 – $11,217.60 | 1 |
| Remove int/ext hem 1 group CPT 46255 | $783.20 | $979.00 | $8,384.23 – $8,384.23 | 1 |
| Remove iris and lesion CPT 66600 | not published | not published | $13,037.66 – $13,037.66 | 1 |
| Remove jaw joint cartilage CPT 21060 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Remove knee cyst CPT 27347 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Remove knee joint lining CPT 27334 | $1,014.40 | $1,268.00 | $9,712.92 – $9,712.92 | 1 |
| Remove knee joint lining CPT 27335 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove lamina/facets lumbar CPT 63012 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove limb nerve lesion CPT 64782 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Remove lower leg bone lesion CPT 27635 | $854.40 | $1,068.00 | $9,712.92 – $9,712.92 | 1 |
| Remove mandible cyst complex CPT 21046 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Remove mastoid air cells CPT 69670 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Remove mastoid structures CPT 69505 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Remove maxilla cyst complex CPT 21048 | not published | not published | $17,423.47 – $17,423.47 | 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.