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 |
|---|---|---|---|---|
| Remove middle ear nerve CPT 69676 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Remove muti-comp penis pros CPT 54406 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Remove nasal foreign body CPT 30310 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Remove nasal foreign body CPT 30320 | not published | not published | $4,529.52 – $4,529.52 | 1 |
| Remove nerve lesion CPT 64784 | $1,100.80 | $1,376.00 | $5,865.36 – $5,865.36 | 1 |
| Remove part lumbar vertebra CPT 22102 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove part of neck vertebra CPT 22100 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove pilonidal cyst compl CPT 11772 | $1,160.80 | $1,451.00 | $8,429.22 – $8,429.22 | 1 |
| Remove pilonidal cyst exten CPT 11771 | $944.00 | $1,180.00 | $8,429.22 – $8,429.22 | 1 |
| Remove prostate regrowth CPT 52630 | not published | not published | $15,343.31 – $15,343.31 | 1 |
| Remove renal tube w/fluoro CPT 50389 | $914.40 | $1,143.00 | $2,040.48 – $2,040.48 | 1 |
| Remove/repair hearing aid CPT 69711 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Remove/replace penis prosth CPT 54410 | not published | not published | $62,916.64 – $62,916.64 | 1 |
| Remove/replace ur sphincter CPT 53447 | not published | not published | $62,916.64 – $62,916.64 | 1 |
| Remove/revise male sling CPT 53442 | not published | not published | $15,343.31 – $15,343.31 | 1 |
| Remove sacrum pressure sore close 15936 CPT 15936 | $1,336.00 | $1,670.00 | $5,631.53 – $5,631.53 | 1 |
| Remove sacrum pressure sore ostc 15937 CPT 15937 | not published | not published | $5,631.53 – $5,631.53 | 1 |
| Remove sciatic nerve lesion CPT 64786 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Remove self-contd penis pros CPT 54415 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Remove shoulder blade lesion CPT 23172 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Remove shoulder fb deep CPT 23333 | not published | not published | $8,429.22 – $8,429.22 | 1 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $450.40 | $563.00 | $4,893.07 – $4,893.07 | 1 |
| Remove skin nerve lesion CPT 64774 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Remove skin nerve lesion 64788 CPT 64788 | $620.00 | $775.00 | $5,865.36 – $5,865.36 | 1 |
| Remove sperm pouch lesion CPT 55680 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Remove spinal canal catheter 62355 CPT 62355 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Remove spinal cord lesion CPT 63600 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Remove spine eltrd perq aray CPT 63661 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Remove spine eltrd plate CPT 63662 | not published | not published | $10,597.24 – $10,597.24 | 1 |
| Remove spine infusion device CPT 62365 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Remove spine lamieieiotina >2 crvcl 63015 CPT 63015 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove spine lamina 1/2 crvl CPT 63001 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove spine lamina 1/2 lmbr CPT 63005 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove spine lamina 1/2 scrl CPT 63011 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove spine lamina 1/2 thrc CPT 63003 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove spine lamina >2 lmbr CPT 63017 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove spine lamina >2 thrc CPT 63016 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove stent via transureth CPT 50386 | not published | not published | $6,052.50 – $6,052.50 | 1 |
| Remove sympathetic nerves CPT 64804 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Remove sympathetic nerves CPT 64821 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Remove sympathetic nerves CPT 64822 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Remove tear gland lesion CPT 68540 | not published | not published | $6,898.76 – $6,898.76 | 1 |
| Remove tear gland lesion CPT 68550 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Remove thyroid duct lesion CPT 60280 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Remove thyroid duct lesion CPT 60281 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Remove thyroid lesion 60200 CPT 60200 | $1,006.40 | $1,258.00 | $17,007.37 – $17,007.37 | 1 |
| Remove tonsils and adenoids CPT 42820 | $427.20 | $534.00 | $17,423.47 – $17,423.47 | 1 |
| Remove tonsils and adenoids CPT 42821 | $446.40 | $558.00 | $9,283.38 – $9,283.38 | 1 |
| Remove/transplant tendon CPT 23440 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove ureter calculus CPT 51065 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Remove ureter stent percut CPT 50384 | not published | not published | $6,052.50 – $6,052.50 | 1 |
| Remove uro sphincter CPT 53446 | not published | not published | $15,343.31 – $15,343.31 | 1 |
| Remove vaginal foreign body 57415 CPT 57415 | $262.40 | $328.00 | $9,225.99 – $9,225.99 | 1 |
| Remove vagina tissue part CPT 57107 | not published | not published | $9,225.99 – $9,225.99 | 1 |
| Remove vagus n eltrd CPT 64570 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Remove vc lesion scope/graft CPT 31546 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Remove vc lesion w/scope 31545 CPT 31545 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Remove ventilating tube CPT 69424 | $192.80 | $241.00 | $9,283.38 – $9,283.38 | 1 |
| Remove windpipe lesion CPT 31785 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Remove w insert drug implant HCPCS G0518 | not published | not published | $1,232.01 – $1,232.01 | 1 |
| Remove wrist/forearm lesion CPT 25115 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Remove wrist/forearm lesion CPT 25116 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Remove wrist joint cartilage CPT 25107 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Remove wrist joint implant CPT 25449 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Remove wrist joint lining CPT 25105 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Remove wrist joint lining CPT 26130 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Remove wrist tendon lesion CPT 25110 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Remove wrist tendon lesion CPT 25111 | $480.80 | $601.00 | $4,680.86 – $4,680.86 | 1 |
| Remov/replc penis pros comp CPT 54411 | not published | not published | $62,916.64 – $62,916.64 | 1 |
| Remvl peritoneal fb frm cavity CPT 49402 | $1,284.80 | $1,606.00 | $11,557.38 – $11,557.38 | 1 |
| Remv/replc penis pros compl CPT 54417 | not published | not published | $39,247.87 – $39,247.87 | 1 |
| Remv/repl penis contain pros CPT 54416 | not published | not published | $62,916.64 – $62,916.64 | 1 |
| Renal abscess open drng 50020 CPT 50020 | not published | not published | $6,052.50 – $6,052.50 | 1 |
| Renal cyst study s&i CPT 74470 | not published | not published | $1,641.72 – $1,641.72 | 1 |
| Renal endoscopy 50572 CPT 50572 | not published | not published | $2,040.48 – $2,040.48 | 1 |
| Renal function panel CPT 80069 | $88.80 | $111.00 | $10.85 – $26.80 | 2 |
| Renal scope w/tumor resect CPT 50562 | not published | not published | $27,923.42 – $27,923.42 | 1 |
| Renal venogram bil s&i CPT 75833 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Renin stimulation panel CPT 80416 | not published | not published | $261.65 – $646.17 | 2 |
| Renin stimulation panel CPT 80417 | not published | not published | $54.99 – $135.80 | 2 |
| Reopen fallopian tube CPT 58350 | $232.80 | $291.00 | $15,124.47 – $15,124.47 | 1 |
| Reopening of recent laparotomy 49002 CPT 49002 | $1,540.80 | $1,926.00 | not published | 0 |
| Repair achilles tendon CPT 27650 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair anal fistula CPT 46288 | $831.20 | $1,039.00 | $8,384.23 – $8,384.23 | 1 |
| Repair anorectal fist w/plug CPT 46707 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Repair arm/leg nerve CPT 64857 | $1,576.00 | $1,970.00 | $20,161.06 – $20,161.06 | 1 |
| Repair av fistula ext 35190 CPT 35190 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Repair biceps tendon CPT 23430 | $1,099.20 | $1,374.00 | $21,583.67 – $21,583.67 | 1 |
| Repair bladder defect CPT 57288 | $1,095.20 | $1,369.00 | $15,124.47 – $15,124.47 | 1 |
| Repair bladder neck CPT 51845 | not published | not published | $15,124.47 – $15,124.47 | 1 |
| Repair bladder & vagina CPT 57289 | not published | not published | $22,598.24 – $22,598.24 | 1 |
| Repair bladder-vagina lesion CPT 57320 | not published | not published | $15,124.47 – $15,124.47 | 1 |
| Repair bladder-vagina lesion CPT 57330 | not published | not published | $22,598.24 – $22,598.24 | 1 |
| Repair blood ves direct neck 35201 CPT 35201 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Repair blood vess/direct/intra/abd 35221 CPT 35221 | $2,155.20 | $2,694.00 | not published | 0 |
| Repair blood vessel direct hand finger CPT 35207 | $1,140.80 | $1,426.00 | $9,720.46 – $9,720.46 | 1 |
| Repair blood vessel dir lower extr CPT 35226 | $1,210.40 | $1,513.00 | $2,117.62 – $2,117.62 | 1 |
| Repair blood vessel dir upper extr CPT 35206 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Repair blood vessel lesion CPT 35180 | not published | not published | $4,854.90 – $4,854.90 | 1 |
| Repair blood vessel lesion CPT 35184 | not published | not published | $9,720.46 – $9,720.46 | 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.