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 |
|---|---|---|---|---|
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $513.12 – $513.12 | 1 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $163.59 – $163.59 | 1 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $1,330.51 – $1,330.51 | 1 |
| Theophylline therapeutic drug level CPT 80198 | $149.60 | $187.00 | $17.68 – $43.65 | 2 |
| Therapeutic procd strg endur HCPCS G0237 | $66.40 | $83.00 | $81.43 – $81.43 | 1 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $66.40 | $83.00 | not published | 0 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $50.40 | $63.00 | not published | 0 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | $196.00 | $245.00 | $589.25 – $589.25 | 1 |
| Ther fx nasal inf turbinate CPT 30930 | $172.80 | $216.00 | $9,283.38 – $9,283.38 | 1 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $588.44 – $588.44 | 1 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $674.04 – $674.04 | 1 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $79.74 | $99.67 | $4.02 – $5.52 | 2 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,165.60 | $1,457.00 | $1,887.67 – $1,887.67 | 1 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Thoracoscopy surgical 32650 CPT 32650 | $991.20 | $1,239.00 | not published | 0 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Thoracostomy w/flap drng 32036 CPT 32036 | $1,167.20 | $1,459.00 | not published | 0 |
| Thoracotomy opn free adhesions 32124 CPT 32124 | $1,368.00 | $1,710.00 | not published | 0 |
| Thoracotomy with cardiac massage CPT 32160 | $3,482.40 | $4,353.00 | not published | 0 |
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $283.48 – $283.48 | 1 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | not published | not published | $17,017.98 – $17,017.98 | 1 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | not published | not published | $34,638.00 – $34,638.00 | 1 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | not published | not published | $56,050.90 – $56,050.90 | 1 |
| Thrombin time CPT 85670 | $114.40 | $143.00 | $7.21 – $17.81 | 2 |
| Thrombin time titer CPT 85675 | not published | not published | $8.56 – $21.15 | 2 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Thrombomodulin CPT 85337 | not published | not published | $21.59 – $53.31 | 2 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $12.04 – $29.73 | 2 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $172.00 | $215.00 | $8.09 – $19.97 | 2 |
| Thromboxane urine CPT 84431 | not published | not published | $43.89 – $108.38 | 2 |
| Thumb fusion with graft CPT 26820 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Thumb fusion with graft CPT 26842 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Thumb tendon transfer CPT 26510 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Thyroglobulin antibody CPT 86800 | $158.40 | $198.00 | $19.89 – $49.11 | 2 |
| Thyroid imaging CPT 78013 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Thyroid met imaging CPT 78015 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Thyroid mets imag whole body CPT 78018 | not published | not published | $1,646.19 – $1,646.19 | 1 |
| Thyroid (TSH) Test CPT 84443 | $136.00 | $170.00 | $21.00 – $51.86 | 2 |
| Thyroid Ultrasound CPT 76536 | $433.60 | $542.00 | $348.75 – $348.75 | 1 |
| Thyroid uptake measurement CPT 78012 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $5,468.87 | $6,836.09 | $4,754.79 – $6,523.57 | 2 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $63.01 – $155.62 | 2 |
| Thyroxine binding globulin (tbg) CPT 84442 | $140.80 | $176.00 | $18.48 – $45.63 | 2 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Tib/per revasc stent & ather 37231 CPT 37231 | not published | not published | $56,050.90 – $56,050.90 | 1 |
| Tigecycline injection HCPCS J3243 | $200.18 | $250.23 | $1.14 – $1.57 | 2 |
| Tilt table study CPT 93660 | not published | not published | $1,577.43 – $1,577.43 | 1 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $7.72 – $10.59 | 2 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $1,301,230.30 – $1,785,287.98 | 2 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $424.46 – $582.36 | 2 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $43.83 – $60.13 | 2 |
| Tissue culture placenta CPT 88235 | $664.00 | $830.00 | $187.88 – $463.98 | 2 |
| Tissue culture skin/biopsy CPT 88233 | not published | not published | $175.91 – $434.43 | 2 |
| Tissue culture tumor CPT 88239 | not published | not published | $184.40 – $455.39 | 2 |
| Tissue exam koh skin/hair/nails CPT 87220 | $43.20 | $54.00 | $5.34 – $13.18 | 2 |
| Tissue transglutaminase iga CPT 86364 | $80.00 | $100.00 | $14.41 – $35.59 | 2 |
| Tixagev and cilgav inj HCPCS M0220 | not published | not published | $491.08 – $491.08 | 1 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $29,652.07 – $29,652.07 | 1 |
| Tnot opn elbw to sho ea tdn CPT 24310 | $705.60 | $882.00 | $9,712.92 – $9,712.92 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | not published | $5.54 – $7.59 | 2 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $32.53 – $44.63 | 2 |
| Tobramycin peak therapeutic drug level CPT 80200 | $288.00 | $360.00 | $20.16 – $49.79 | 2 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $3,318.01 | $4,147.51 | $13.02 – $17.86 | 2 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $17.03 – $23.37 | 2 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $62.40 | $78.00 | not published | 0 |
| Tomosynthesis breast screen bilateral CPT 77063 | $62.40 | $78.00 | not published | 0 |
| Tone decay hearing test CPT 92563 | not published | not published | $110.81 – $110.81 | 1 |
| Tongue base vol reduction CPT 41530 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | $278.40 | $348.00 | $9,283.38 – $9,283.38 | 1 |
| Tongue suspension CPT 41512 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Tongue to lip surgery CPT 41510 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Tonsillectomy (age 12+) CPT 42826 | $375.20 | $469.00 | $9,283.38 – $9,283.38 | 1 |
| Tonsillectomy (child under 12) CPT 42825 | $394.40 | $493.00 | $17,423.47 – $17,423.47 | 1 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $384.16 | $480.20 | $3.02 – $4.14 | 2 |
| Topotecan oral HCPCS J8705 | not published | not published | $281.03 – $385.57 | 2 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $88.87 – $121.93 | 2 |
| Total Hip Replacement CPT 27130 | $1,886.40 | $2,358.00 | $42,576.18 – $42,576.18 | 1 |
| Total hysterectomy CPT 58150 | $1,491.20 | $1,864.00 | not published | 0 |
| Total Knee Replacement CPT 27447 | $1,884.00 | $2,355.00 | $42,576.18 – $42,576.18 | 1 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $71,452.46 – $71,452.46 | 1 |
| Tot estradiol response panel CPT 80415 | not published | not published | $69.86 – $172.53 | 2 |
| Toxoplasma antibody igg CPT 86777 | $142.40 | $178.00 | $17.99 – $44.42 | 2 |
| Toxoplasma antibody igm CPT 86778 | $71.20 | $89.00 | $18.01 – $44.48 | 2 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $802.31 – $1,981.39 | 2 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $385.00 – $950.80 | 2 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $411.89 – $1,017.20 | 2 |
| Tpmt gene com vrnts CPT 81335 | $533.60 | $667.00 | $218.51 – $539.64 | 2 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $701.12 – $701.12 | 1 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $39,247.87 – $39,247.87 | 1 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $10,458.39 – $10,458.39 | 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.