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 |
|---|---|---|---|---|
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $27,923.42 – $27,923.42 | 1 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $15,343.31 – $15,343.31 | 1 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $861.90 – $1,182.53 | 2 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $1,731.92 – $1,731.92 | 1 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $15,124.47 – $15,124.47 | 1 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $256.00 | $320.00 | $1,490.61 – $1,490.61 | 1 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $104.00 | $130.00 | not published | 0 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $163.97 | $204.96 | not published | 0 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $952.66 – $952.66 | 1 |
| Transcath biopsy CPT 37200 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Transcath closure of asd CPT 93580 | not published | not published | $56,050.90 – $56,050.90 | 1 |
| Transcath closure of vsd CPT 93581 | not published | not published | $56,050.90 – $56,050.90 | 1 |
| Transcath occlusion non-cns CPT 61626 | not published | not published | $34,638.00 – $34,638.00 | 1 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Transcutaneous carboxyhb CPT 88740 | not published | not published | $11.71 – $28.93 | 2 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $6.28 – $15.50 | 2 |
| Transcutaneous methb CPT 88741 | not published | not published | $11.71 – $28.93 | 2 |
| Transfer of abdominal muscle CPT 27100 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Transfer of embryo CPT 58976 | not published | not published | $952.66 – $952.66 | 1 |
| Transfer of iliopsoas muscle CPT 27110 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Transfer of iliopsoas muscle CPT 27111 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Transfer of spinal muscle CPT 27105 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Transferrin CPT 84466 | $102.40 | $128.00 | $15.95 – $39.39 | 2 |
| Transfer skin pedicle flap CPT 15650 | not published | not published | $5,631.53 – $5,631.53 | 1 |
| Transfer tendon to pelvis CPT 27098 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Transfusion blood/blood component(s) CPT 36430 | $295.20 | $369.00 | $1,330.51 – $1,330.51 | 1 |
| Transorl lwr esophgl myotomy CPT 43497 | not published | not published | $10,639.72 – $10,639.72 | 1 |
| Transperi needle place pros CPT 55875 | not published | not published | $15,343.31 – $15,343.31 | 1 |
| Transplant forearm tendon CPT 25310 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Transplant forearm tendon CPT 25312 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Transplant/graft hand tendon CPT 26483 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Transplant/graft palm tendon CPT 26489 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Transplant hand tendon CPT 26480 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Transplant of thigh tendon CPT 27396 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Transplant palm tendon CPT 26485 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Transplants of thigh tendons CPT 27397 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Transplj hematopoietic boost CPT 38243 | not published | not published | $4,437.20 – $4,437.20 | 1 |
| Transplt allo hct/donor CPT 38240 | not published | not published | $137,808.51 – $137,808.51 | 1 |
| Transplt allo lymphocytes CPT 38242 | not published | not published | $4,437.20 – $4,437.20 | 1 |
| Transplt autol hct/donor CPT 38241 | not published | not published | $4,437.20 – $4,437.20 | 1 |
| Transposition of vein valve CPT 34510 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Transurethral rf treatment CPT 53860 | not published | not published | $6,052.50 – $6,052.50 | 1 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $2,046.82 | $2,558.53 | $171.41 – $235.17 | 2 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | not published | not published | $97.37 – $133.59 | 2 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $64.39 – $88.34 | 2 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $961.60 | $1,202.00 | $3,757.49 – $3,757.49 | 1 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $61.99 – $153.08 | 2 |
| Treat ankle dislocation CPT 27842 | $1,414.40 | $1,768.00 | $4,680.86 – $4,680.86 | 1 |
| Treat ankle dislocation CPT 27846 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Treat ankle dislocation CPT 27848 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Treat ankle fracture CPT 28445 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Treat big toe fracture CPT 28505 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Treat cheek bone fracturemalar 21360 CPT 21360 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Treat clavicle dislocation 23545 CPT 23545 | not published | not published | $675.49 – $675.49 | 1 |
| Treat ectopic pregnancy CPT 59150 | $1,172.00 | $1,465.00 | $17,007.37 – $17,007.37 | 1 |
| Treat ectopic pregnancy CPT 59151 | $1,146.40 | $1,433.00 | $17,007.37 – $17,007.37 | 1 |
| Treat elbow dislocation CPT 24605 | $1,864.80 | $2,331.00 | $4,680.86 – $4,680.86 | 1 |
| Treat elbow dislocation CPT 24615 | $9,407.20 | $11,759.00 | $21,583.67 – $21,583.67 | 1 |
| Treat elbow fracture CPT 24586 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Treat elbow fracture CPT 24620 | $836.80 | $1,046.00 | $4,680.86 – $4,680.86 | 1 |
| Treat elbow fracture CPT 24635 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Treat eyelid by injection CPT 68200 | not published | not published | $1,232.01 – $1,232.01 | 1 |
| Treat eyelid lesion 67850 CPT 67850 | $318.40 | $398.00 | $2,847.45 – $2,847.45 | 1 |
| Treat finger fracture each CPT 26727 | $732.00 | $915.00 | $9,712.92 – $9,712.92 | 1 |
| Treat finger fracture each CPT 26742 | $2,251.20 | $2,814.00 | $4,680.86 – $4,680.86 | 1 |
| Treat foot bone lesion CPT 28005 | $836.80 | $1,046.00 | $9,712.92 – $9,712.92 | 1 |
| Treat foot dislocation CPT 28540 | not published | not published | $675.49 – $675.49 | 1 |
| Treat foot dislocation CPT 28545 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Treat foot dislocation CPT 28546 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Treat foot dislocation CPT 28570 | $348.00 | $435.00 | $675.49 – $675.49 | 1 |
| Treat foot dislocation CPT 28576 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Treat foot dislocation CPT 28600 | not published | not published | $675.49 – $675.49 | 1 |
| Treat foot dislocation CPT 28605 | $508.00 | $635.00 | $675.49 – $675.49 | 1 |
| Treat foot dislocation CPT 28606 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Treat fracture of radius CPT 25505 | $2,251.20 | $2,814.00 | $4,680.86 – $4,680.86 | 1 |
| Treat fracture of radius CPT 25520 | $896.00 | $1,120.00 | $4,680.86 – $4,680.86 | 1 |
| Treat fracture of ulna CPT 25535 | $739.20 | $924.00 | $675.49 – $675.49 | 1 |
| Treat/graft heel fracture CPT 28420 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Treat hand bone lesion CPT 26034 | $816.80 | $1,021.00 | $4,680.86 – $4,680.86 | 1 |
| Treat hand dislocation CPT 26675 | $2,022.40 | $2,528.00 | $4,680.86 – $4,680.86 | 1 |
| Treat hand dislocation CPT 26685 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Treat hand dislocation CPT 26686 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Treat heel fracture CPT 28415 | $1,659.20 | $2,074.00 | $21,583.67 – $21,583.67 | 1 |
| Treat hip dislocation CPT 27252 | $2,684.80 | $3,356.00 | $4,680.86 – $4,680.86 | 1 |
| Treat hip dislocation CPT 27257 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Treat humerus fracture CPT 24515 | $1,300.80 | $1,626.00 | $42,576.18 – $42,576.18 | 1 |
| Treat humerus fracture CPT 24516 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Treat humerus fracture CPT 24535 | $920.00 | $1,150.00 | $4,680.86 – $4,680.86 | 1 |
| Treat humerus fracture CPT 24545 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Treat humerus fracture CPT 24546 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Treat humerus fracture CPT 24565 | $806.40 | $1,008.00 | $4,680.86 – $4,680.86 | 1 |
| Treat humerus fracture CPT 24575 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Treat humerus fracture CPT 24579 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Treat humerus fracture CPT 24582 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Treat kneecap dislocation CPT 27562 | $728.00 | $910.00 | $675.49 – $675.49 | 1 |
| Treat kneecap dislocation CPT 27566 | $1,316.80 | $1,646.00 | $21,583.67 – $21,583.67 | 1 |
| Treat kneecap fracture CPT 27524 | $1,112.80 | $1,391.00 | $21,583.67 – $21,583.67 | 1 |
| Treat knee dislocation CPT 27552 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Treat knee fracture CPT 27535 | $1,321.60 | $1,652.00 | not published | 0 |
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.