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 salivary duct CPT 42500 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Repair salivary duct CPT 42505 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Repair sciatic nerve CPT 64858 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Repair shoulder capsule CPT 23450 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair shoulder capsule CPT 23455 | $1,463.20 | $1,829.00 | $21,583.67 – $21,583.67 | 1 |
| Repair shoulder capsule CPT 23460 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair shoulder capsule CPT 23462 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair shoulder capsule CPT 23465 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repair shoulder capsule CPT 23466 | $1,649.60 | $2,062.00 | $21,583.67 – $21,583.67 | 1 |
| Repair stern/nuss without scope CPT 21742 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Repair sternum/nuss w/scope CPT 21743 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Repair stomach opening CPT 43870 | $1,052.80 | $1,316.00 | $10,639.72 – $10,639.72 | 1 |
| Repair tear ducts CPT 68700 | not published | not published | $6,898.76 – $6,898.76 | 1 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $528.00 | $660.00 | $9,712.92 – $9,712.92 | 1 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Repair testis injury CPT 54670 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Repair throat wound CPT 42900 | not published | not published | $4,529.52 – $4,529.52 | 1 |
| Repair toe dislocation CPT 28645 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | not published | not published | $678.14 – $678.14 | 1 |
| Repair/transpose mp nerve 64856 CPT 64856 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Repair umbilical lesion CPT 49600 | not published | not published | $11,557.38 – $11,557.38 | 1 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | $1,099.20 | $1,374.00 | $21,583.67 – $21,583.67 | 1 |
| Repair upper jaw fistula CPT 30580 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Repair urethrovaginal lesion 57310 CPT 57310 | $728.80 | $911.00 | $22,598.24 – $22,598.24 | 1 |
| Repair uro sphincter CPT 53449 | not published | not published | $27,923.42 – $27,923.42 | 1 |
| Repair vagina CPT 57335 | not published | not published | $15,124.47 – $15,124.47 | 1 |
| Repair vagina/perineum CPT 57210 | not published | not published | $9,225.99 – $9,225.99 | 1 |
| Repair valve femoral vein CPT 34501 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Repair webbed toe(s) CPT 28345 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Repair windpipe opening CPT 31614 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Repeat thyroid surgery CPT 60260 | $1,603.20 | $2,004.00 | $17,423.47 – $17,423.47 | 1 |
| Replace duod/jej tube perc CPT 49451 | $988.80 | $1,236.00 | $2,693.66 – $2,693.66 | 1 |
| Replace elbow joint CPT 24363 | not published | not published | $71,452.46 – $71,452.46 | 1 |
| Replace eye fluid CPT 67025 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Replace g/c tube perc CPT 49450 | $920.00 | $1,150.00 | $2,693.66 – $2,693.66 | 1 |
| Replace g-j tube perc CPT 49452 | $569.60 | $712.00 | $2,693.66 – $2,693.66 | 1 |
| Replace/irrigate catheter CPT 62194 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Replace/irrigate catheter CPT 62225 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Replacement of contact lens CPT 92326 | not published | not published | $187.55 – $187.55 | 1 |
| Replace picvad cath CPT 36585 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Replace/revise brain shunt CPT 62230 | not published | not published | $20,161.06 – $20,161.06 | 1 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Replace tunneled cv cath CPT 36578 | $666.40 | $833.00 | $9,720.46 – $9,720.46 | 1 |
| Replantation digit complete CPT 20822 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Reposition intraocular lens CPT 66825 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Reposition pm/icd lead CPT 33215 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Repos lv lead pm/icd CPT 33226 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Repos sq defib eltrd CPT 33273 | not published | not published | $10,934.15 – $10,934.15 | 1 |
| Repr elbow lat ligmnt w/tiss CPT 24343 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Repr elbw med ligmnt w/tissu CPT 24345 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Repriza, 1cm HCPCS Q4143 | not published | not published | $76.32 – $104.71 | 2 |
| Repr of anal fistula w/glue CPT 46706 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Reprogram cochlear implt <7 CPT 92602 | not published | not published | $474.53 – $474.53 | 1 |
| Reprogram cochlear implt 7/> CPT 92604 | not published | not published | $474.53 – $474.53 | 1 |
| Reptilase test CPT 85635 | $59.20 | $74.00 | $12.31 – $30.41 | 2 |
| Reremove wrist tendon lesion CPT 25112 | $578.40 | $723.00 | $4,680.86 – $4,680.86 | 1 |
| Rerepair fem hernia blocked CPT 49557 | $1,086.40 | $1,358.00 | $11,557.38 – $11,557.38 | 1 |
| Rerepair ing hernia blocked CPT 49521 | $1,063.20 | $1,329.00 | $11,557.38 – $11,557.38 | 1 |
| Rerepair ing hernia reduce CPT 49520 | $941.60 | $1,177.00 | $11,557.38 – $11,557.38 | 1 |
| Resect back tum < 5 cm CPT 21935 | not published | not published | $8,429.22 – $8,429.22 | 1 |
| Resect back tum 5 cm/> CPT 21936 | not published | not published | $8,429.22 – $8,429.22 | 1 |
| Resect condyle distal phalanx ea toe 28153 CPT 28153 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Resect distal finger tumor CPT 26262 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Resect enlarged toe CPT 28341 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Resect enlarged toe tissue CPT 28340 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Resect face/scalp tum < 2 cm CPT 21015 | not published | not published | $8,429.22 – $8,429.22 | 1 |
| Resect face/scalp tum 2 cm/> CPT 21016 | not published | not published | $8,429.22 – $8,429.22 | 1 |
| Resect foot/toe tumor 3 cm/> CPT 28047 | not published | not published | $8,429.22 – $8,429.22 | 1 |
| Resect forarm/wrist tum 3cm> CPT 25078 | not published | not published | $8,429.22 – $8,429.22 | 1 |
| Resect forearm/wrist tum<3cm CPT 25077 | not published | not published | $8,429.22 – $8,429.22 | 1 |
| Resect hip/pelv tum < 5 cm CPT 27049 | not published | not published | $8,429.22 – $8,429.22 | 1 |
| Resect hip/pelv tum 5 cm/> CPT 27059 | not published | not published | $8,429.22 – $8,429.22 | 1 |
| Resect inferior turbinate CPT 30140 | $440.80 | $551.00 | $9,283.38 – $9,283.38 | 1 |
| Resection of elbow joint CPT 24155 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Resection palate/lesion 42120 CPT 42120 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Resect leg/ankle tum < 5 cm CPT 27615 | not published | not published | $8,429.22 – $8,429.22 | 1 |
| Resect leg/ankle tum 5 cm/> CPT 27616 | not published | not published | $8,429.22 – $8,429.22 | 1 |
| Resect metatarsal tumor CPT 28173 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Resect neck tumor 5 cm/> CPT 21558 | not published | not published | $8,429.22 – $8,429.22 | 1 |
| Resect ovarian malignancy CPT 58952 | $2,460.80 | $3,076.00 | not published | 0 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Resect phalanx of toe tumor CPT 28175 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Resect prox finger tumor CPT 26260 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Resect radius/ulnar tumor CPT 25170 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Resect talus/calcaneus tum CPT 27647 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Resect tarsal tumor CPT 28171 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Resect thigh/knee tum < 5 cm CPT 27329 | not published | not published | $8,429.22 – $8,429.22 | 1 |
| Resect thigh/knee tum 5 cm/> CPT 27364 | not published | not published | $8,429.22 – $8,429.22 | 1 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | not published | not published | $23.79 – $32.65 | 2 |
| #resp virpnl dfa-adenovirus CPT 87260 | not published | not published | $18.04 – $44.55 | 2 |
| #resp virpnl dfa-parainfluenza CPT 87279 | not published | not published | $20.54 – $50.72 | 2 |
| Resp virus 6-11 targets CPT 87632 | not published | not published | $272.58 – $673.15 | 2 |
| Restorigin 1 sq cm HCPCS Q4191 | not published | not published | $1,643.47 – $2,254.84 | 2 |
| Resuscitation cardiopulmonary CPT 92950 | $587.20 | $734.00 | $913.84 – $913.84 | 1 |
| Resuscitation delivery/birthing room CPT 99465 | $296.00 | $370.00 | $1,919.11 – $1,919.11 | 1 |
| Reticulated platelet assay CPT 85055 | not published | not published | $44.68 – $110.33 | 2 |
| Reticulocyte automated CPT 85045 | $87.20 | $109.00 | $4.99 – $12.32 | 2 |
| Reticulocyte direct measurement automated CPT 85046 | $68.00 | $85.00 | $6.96 – $17.19 | 2 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | not published | not published | $67.46 – $92.55 | 2 |
| Retrieval of oocyte CPT 58970 | not published | not published | $2,295.45 – $2,295.45 | 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.