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 |
|---|---|---|---|---|
| Sperm evaluation test CPT 89329 | not published | not published | $24.49 – $60.47 | 2 |
| Sperm identification CPT 89257 | not published | not published | $163.59 – $163.59 | 1 |
| Sperm isolation complex CPT 89261 | not published | not published | $163.59 – $163.59 | 1 |
| Sperm isolation simple CPT 89260 | not published | not published | $163.59 – $163.59 | 1 |
| Sperm washing 58323 CPT 58323 | not published | not published | $581.24 – $581.24 | 1 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,038.40 | $1,298.00 | $2,102.48 – $2,102.48 | 1 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $913.84 – $913.84 | 1 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $302.40 | $378.00 | $913.84 – $913.84 | 1 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $474.53 – $474.53 | 1 |
| Spleen imaging CPT 78185 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $344.00 | $430.00 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $1,244.00 | $1,555.00 | $10,614.75 – $10,614.75 | 1 |
| Split blood or products CPT 86985 | not published | not published | $513.12 – $513.12 | 1 |
| Sputum specimen collection CPT 89220 | not published | not published | $513.12 – $513.12 | 1 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $219.25 – $541.46 | 2 |
| Srs linear based CPT 77372 | not published | not published | $25,094.51 – $25,094.51 | 1 |
| Srs multisource CPT 77371 | not published | not published | $25,094.51 – $25,094.51 | 1 |
| Staggered spondaic word test CPT 92572 | not published | not published | $474.53 – $474.53 | 1 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $202.40 | $253.00 | not published | 0 |
| Staph a dna amp probe CPT 87640 | $168.00 | $210.00 | $43.86 – $108.32 | 2 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $191.20 | $239.00 | not published | 0 |
| Stem cells total count CPT 86367 | not published | not published | $97.23 – $240.11 | 2 |
| Stenger test pure tone CPT 92565 | not published | not published | $110.81 – $110.81 | 1 |
| Stenger test speech CPT 92577 | not published | not published | $1,577.43 – $1,577.43 | 1 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $56,050.90 – $56,050.90 | 1 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $34,638.00 – $34,638.00 | 1 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $56,050.90 – $56,050.90 | 1 |
| St evaluate speech sound production CPT 92522 | $202.40 | $253.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $343.20 | $429.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $295.20 | $369.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $128.00 | $160.00 | not published | 0 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $513.12 – $513.12 | 1 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $1,057.58 – $1,057.58 | 1 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $513.12 – $513.12 | 1 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $513.12 – $513.12 | 1 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $42.40 | $53.00 | $475.62 – $475.62 | 1 |
| Strapping of chest CPT 29200 | not published | not published | $475.62 – $475.62 | 1 |
| Strapping of elbow or wrist 29260 CPT 29260 | $43.20 | $54.00 | $187.55 – $187.55 | 1 |
| Strapping of hand or finger CPT 29280 | $44.80 | $56.00 | $187.55 – $187.55 | 1 |
| Strapping of hip CPT 29520 | not published | not published | $378.88 – $378.88 | 1 |
| Strapping of knee CPT 29530 | $44.00 | $55.00 | $378.88 – $378.88 | 1 |
| Strapping of toes 29550 CPT 29550 | $29.60 | $37.00 | $187.55 – $187.55 | 1 |
| Strep a ag ia CPT 87430 | $51.20 | $64.00 | $21.01 – $51.89 | 2 |
| Strep a dna dir probe CPT 87650 | not published | not published | $25.06 – $61.89 | 2 |
| Strep a dna quant CPT 87652 | not published | not published | $52.20 – $128.91 | 2 |
| Strep b assay w/optic CPT 87802 | $51.20 | $64.00 | $15.91 – $39.30 | 2 |
| Strep b dna amp probe CPT 87653 | $237.60 | $297.00 | $43.86 – $108.32 | 2 |
| Streptokinase antibody CPT 86590 | not published | not published | $15.83 – $39.08 | 2 |
| Streptomycin injection HCPCS J3000 | not published | not published | $70.54 – $96.79 | 2 |
| Stress test pulmonary CPT 94618 | $182.40 | $228.00 | $378.88 – $378.88 | 1 |
| Stress tte complete CPT 93351 | $341.60 | $427.00 | $1,641.72 – $1,641.72 | 1 |
| Str markers spec anal addl CPT 81266 | not published | not published | $381.01 – $940.95 | 2 |
| Str markers specimen anal CPT 81265 | not published | not published | $291.34 – $719.49 | 2 |
| St treatment speech individual CPT 92507 | $118.40 | $148.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $115.20 | $144.00 | not published | 0 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $2,102.48 – $2,102.48 | 1 |
| Subq njx filling matrl 1cc/< CPT 11950 | $117.60 | $147.00 | $589.25 – $589.25 | 1 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | $218.40 | $273.00 | $1,895.66 – $1,895.66 | 1 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | $179.20 | $224.00 | not published | 0 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | $172.00 | $215.00 | not published | 0 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $132.98 | $166.22 | not published | 0 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $10,614.75 – $10,614.75 | 1 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $10,614.75 – $10,614.75 | 1 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $10,614.75 – $10,614.75 | 1 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $5,631.53 – $5,631.53 | 1 |
| Sugars multiple quant CPT 84379 | not published | not published | $14.41 – $35.59 | 2 |
| Sugars single quant CPT 84378 | not published | not published | $14.41 – $35.59 | 2 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $114.01 | $142.51 | $0.11 – $0.16 | 2 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $94.62 | $118.28 | not published | 0 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $138.26 – $138.26 | 1 |
| Supprelin la implant HCPCS J9226 | not published | not published | $102,510.88 – $140,644.93 | 2 |
| Surg dx exam anorectal CPT 45990 | $154.40 | $193.00 | $8,384.23 – $8,384.23 | 1 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | $1,207.20 | $1,509.00 | not published | 0 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $15,343.31 – $15,343.31 | 1 |
| Surgical opening of stomach CPT 43510 | not published | not published | $2,693.66 – $2,693.66 | 1 |
| Surgical opening of throat CPT 42955 | not published | not published | $4,529.52 – $4,529.52 | 1 |
| Surgical pathology level 1 gross examination only CPT 88300 | $73.60 | $92.00 | $81.43 – $81.43 | 1 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $79.20 | $99.00 | $81.43 – $81.43 | 1 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $81.60 | $102.00 | $163.59 – $163.59 | 1 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $223.20 | $279.00 | $163.59 – $163.59 | 1 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $144.80 | $181.00 | $1,057.58 – $1,057.58 | 1 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $336.80 | $421.00 | $2,533.78 – $2,533.78 | 1 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Susceptibility agar dilution per agent CPT 87181 | $89.60 | $112.00 | $5.94 – $14.66 | 2 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $32.80 | $41.00 | $5.94 – $14.66 | 2 |
| Susceptibility mic per plate CPT 87186 | $208.00 | $260.00 | $10.81 – $26.70 | 2 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $8.30 – $20.50 | 2 |
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.