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 |
|---|---|---|---|---|
| Repair lower leg tendons CPT 27676 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair lumbar hernia CPT 49540 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Repair middle ear structures CPT 69666 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Repair middle ear structures CPT 69667 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Repair multi-comp penis pros CPT 54408 | not published | not published | $15,343.31 – $15,343.31 | 1 |
| Repair muscles of hand CPT 26591 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Repair nasal septum defect CPT 30630 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Repair nasal stenosis CPT 30465 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Repair nonunion carpal bone CPT 25431 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair nonunion hand CPT 26546 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair nose to lip fistula CPT 42260 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Repair of achilles tendon CPT 27654 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair of anal sphincter CPT 46760 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Repair of anal sphincter CPT 46761 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Repair of anal stricture CPT 46700 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Repair of ankle ligament CPT 27695 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair of ankle ligament CPT 27698 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair of ankle ligaments CPT 27696 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair of arm nerves CPT 64861 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Repair of bladder opening CPT 51880 | $696.00 | $870.00 | $10,458.39 – $10,458.39 | 1 |
| Repair of body cast CPT 29720 | not published | not published | $475.62 – $475.62 | 1 |
| Repair of circumcision CPT 54163 | $330.40 | $413.00 | $6,052.50 – $6,052.50 | 1 |
| Repair of digit nerve hand/foot 1 nerve CPT 64831 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Repair of enterocele vaginal approach 57268 CPT 57268 | not published | not published | $15,124.47 – $15,124.47 | 1 |
| Repair of eye socket wound CPT 65290 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Repair of eye wound CPT 65270 | not published | not published | $6,898.76 – $6,898.76 | 1 |
| Repair of eye wound CPT 65272 | not published | not published | $6,898.76 – $6,898.76 | 1 |
| Repair of eye wound CPT 65275 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Repair of eye wound CPT 65280 | not published | not published | $13,037.66 – $13,037.66 | 1 |
| Repair of eye wound CPT 65285 | not published | not published | $13,037.66 – $13,037.66 | 1 |
| Repair of eye wound CPT 65286 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Repair of facial nerve CPT 64864 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Repair of facial nerve CPT 64865 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Repair of fibula epiphysis CPT 27732 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Repair of foot bones CPT 28320 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Repair of foot tendon CPT 28200 | $729.60 | $912.00 | $9,712.92 – $9,712.92 | 1 |
| Repair of hand or foot nerve CPT 64834 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Repair of hand or foot nerve CPT 64835 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Repair of humerus CPT 24430 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Repair of hydrocele 55060 CPT 55060 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Repair of kneecap tendon CPT 27380 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair of knee cartilage CPT 27403 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair of knee ligament CPT 27405 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair of knee ligament CPT 27407 | $1,177.60 | $1,472.00 | $21,583.67 – $21,583.67 | 1 |
| Repair of knee ligaments CPT 27409 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair of leg epiphyses CPT 27740 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Repair of leg epiphyses CPT 27742 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Repair of leg nerve CPT 64840 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Repair of leg tendon each CPT 27658 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Repair of leg tendon each CPT 27659 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair of leg tendon each CPT 27665 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair of low back nerves CPT 64862 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Repair of metatarsals CPT 28322 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair of nasal septum CPT 30520 | $1,008.00 | $1,260.00 | $9,283.38 – $9,283.38 | 1 |
| Repair of penis CPT 54440 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Repair of rectocele 45560 CPT 45560 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Repair of rectum CPT 45500 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Repair of rectum CPT 45505 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Repair of ruptured tendon CPT 24342 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair of shoulder CPT 23420 | $1,436.00 | $1,795.00 | $21,583.67 – $21,583.67 | 1 |
| Repair of sperm duct CPT 55400 | $748.80 | $936.00 | $10,458.39 – $10,458.39 | 1 |
| Repair of thigh muscle CPT 27385 | $904.00 | $1,130.00 | $21,583.67 – $21,583.67 | 1 |
| Repair of tibia CPT 27720 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair of tibia epiphysis CPT 27730 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Repair of toe dislocation CPT 28675 | $6,704.80 | $8,381.00 | $9,712.92 – $9,712.92 | 1 |
| Repair of ulnar motor nerve 64836 CPT 64836 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Repair of urethra defect CPT 53275 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Repair of urethra defect CPT 53520 | not published | not published | $15,343.31 – $15,343.31 | 1 |
| Repair of urethra injury CPT 53505 | not published | not published | $15,343.31 – $15,343.31 | 1 |
| Repair of urethra injury CPT 53510 | not published | not published | $15,343.31 – $15,343.31 | 1 |
| Repair of urethra injury CPT 53515 | not published | not published | $15,343.31 – $15,343.31 | 1 |
| Repair of urethra injury 53502 CPT 53502 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Repair of urethral lesion CPT 57230 | not published | not published | $9,225.99 – $9,225.99 | 1 |
| Repair of web finger CPT 26560 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Repair of web finger CPT 26561 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Repair of web finger CPT 26562 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Repair of windpipe CPT 31750 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Repair of windpipe CPT 31755 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Repair of windpipe defect CPT 31825 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Repair oronasal fistula 30600 CPT 30600 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Repair palate CPT 42182 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Repair palate CPT 42235 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Repair palate pharynx/uvula CPT 42145 | $1,013.60 | $1,267.00 | $17,423.47 – $17,423.47 | 1 |
| Repair paravag defect lap CPT 57423 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Repair paravag defect vag 57285 CPT 57285 | $1,024.00 | $1,280.00 | $22,598.24 – $22,598.24 | 1 |
| Repair penis CPT 54380 | not published | not published | $6,052.50 – $6,052.50 | 1 |
| Repair penis CPT 54385 | not published | not published | $6,052.50 – $6,052.50 | 1 |
| Repair pm/icd lead dual CPT 33220 | not published | not published | $10,934.15 – $10,934.15 | 1 |
| Repair pm/icd lead sgl CPT 33218 | not published | not published | $10,934.15 – $10,934.15 | 1 |
| Repair radius or ulna CPT 25400 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair radius & ulna CPT 25415 | $1,429.60 | $1,787.00 | $21,583.67 – $21,583.67 | 1 |
| Repair rectum & vagina CPT 57250 | $911.20 | $1,139.00 | $15,124.47 – $15,124.47 | 1 |
| Repair rectum-vagina fistula CPT 57300 | $910.40 | $1,138.00 | $9,225.99 – $9,225.99 | 1 |
| Repair recur fem hernia reduce 49555 CPT 49555 | not published | not published | $11,557.38 – $11,557.38 | 1 |
| Repair retinal detach cplx CPT 67113 | not published | not published | $13,037.66 – $13,037.66 | 1 |
| Repair/revise wrist joint CPT 25320 | $1,449.60 | $1,812.00 | $21,583.67 – $21,583.67 | 1 |
| Repair rotator cuff acute CPT 23410 | $1,209.60 | $1,512.00 | $21,583.67 – $21,583.67 | 1 |
| Repair rotator cuff chronic CPT 23412 | $1,256.80 | $1,571.00 | $21,583.67 – $21,583.67 | 1 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $1,688.80 | $2,111.00 | $678.14 – $678.14 | 1 |
| Repair rpr lip full thickness vermilion only CPT 40650 | not published | not published | $1,490.61 – $1,490.61 | 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.