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 |
|---|---|---|---|---|
| Treat knee fracture CPT 27536 | $1,745.60 | $2,182.00 | not published | 0 |
| Treat knee fracture 27530 CPT 27530 | $460.80 | $576.00 | $675.49 – $675.49 | 1 |
| Treat knee fracture(s) CPT 27538 | not published | not published | $675.49 – $675.49 | 1 |
| Treat knuckle dislocation CPT 26705 | $632.80 | $791.00 | $4,680.86 – $4,680.86 | 1 |
| Treat knuckle dislocation CPT 26715 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Treat lower jaw fracture 21462 CPT 21462 | not published | not published | $17,423.47 – $17,423.47 | 1 |
| Treat lower leg bone lesion CPT 27607 | $879.20 | $1,099.00 | $9,712.92 – $9,712.92 | 1 |
| Treat lower leg dislocation CPT 27830 | not published | not published | $675.49 – $675.49 | 1 |
| Treat lower leg dislocation CPT 27831 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Treat lower leg dislocation CPT 27832 | $1,118.40 | $1,398.00 | $21,583.67 – $21,583.67 | 1 |
| Treat lower leg fracture CPT 27826 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Treat lower leg fracture CPT 27827 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Treat lower leg fracture CPT 27828 | $1,964.80 | $2,456.00 | $42,576.18 – $42,576.18 | 1 |
| Treat lower leg joint CPT 27829 | $1,049.60 | $1,312.00 | $21,583.67 – $21,583.67 | 1 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | $1,220.80 | $1,526.00 | $21,583.67 – $21,583.67 | 1 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | $1,548.80 | $1,936.00 | $21,583.67 – $21,583.67 | 1 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | $1,090.40 | $1,363.00 | $21,583.67 – $21,583.67 | 1 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $541.60 | $677.00 | $9,225.99 – $9,225.99 | 1 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $86.40 | $108.00 | $378.88 – $378.88 | 1 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $446.40 | $558.00 | $624.86 – $624.86 | 1 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $654.40 | $818.00 | $9,225.99 – $9,225.99 | 1 |
| Treatment mouth roof lesion CPT 42160 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Treatment of anal fissure CPT 46942 | not published | not published | $2,711.70 – $2,711.70 | 1 |
| Treatment of anal fissure w/dilat 46940 CPT 46940 | not published | not published | $8,384.23 – $8,384.23 | 1 |
| Treatment of ankle fracture CPT 27792 | $953.60 | $1,192.00 | $21,583.67 – $21,583.67 | 1 |
| Treatment of ankle fracture CPT 27814 | $1,128.00 | $1,410.00 | $21,583.67 – $21,583.67 | 1 |
| Treatment of ankle fracture CPT 27822 | $1,298.40 | $1,623.00 | $21,583.67 – $21,583.67 | 1 |
| Treatment of ankle fracture CPT 27823 | $1,458.40 | $1,823.00 | $21,583.67 – $21,583.67 | 1 |
| Treatment of ankle fracture 27786 CPT 27786 | $489.60 | $612.00 | $675.49 – $675.49 | 1 |
| Treatment of choroid lesion CPT 67220 | not published | not published | $1,731.92 – $1,731.92 | 1 |
| Treatment of corneal lesion CPT 65450 | not published | not published | $863.77 – $863.77 | 1 |
| Treatment of eyelid lesions CPT 68040 | not published | not published | $863.77 – $863.77 | 1 |
| Treatment of fibula fracture CPT 27784 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Treatment of fibula fracture 27780 CPT 27780 | not published | not published | $675.49 – $675.49 | 1 |
| Treatment of foot infection CPT 28002 | $361.60 | $452.00 | $4,680.86 – $4,680.86 | 1 |
| Treatment of foot infection CPT 28003 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Treatment of gum lesion CPT 41850 | not published | not published | $4,529.52 – $4,529.52 | 1 |
| Treatment of heel fracture 28400 CPT 28400 | not published | not published | $675.49 – $675.49 | 1 |
| Treatment of miscarriage CPT 59821 | $644.80 | $806.00 | $9,225.99 – $9,225.99 | 1 |
| Treatment of mouth lesion physical 40820 CPT 40820 | $379.20 | $474.00 | $9,283.38 – $9,283.38 | 1 |
| Treatment of penis lesion CPT 54110 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Treatment of penis lesion CPT 54115 | not published | not published | $8,429.22 – $8,429.22 | 1 |
| Treatment of rectal prolapse CPT 45520 | not published | not published | $2,711.70 – $2,711.70 | 1 |
| Treatment of retinal lesion CPT 67208 | not published | not published | $863.77 – $863.77 | 1 |
| Treatment of retinal lesion CPT 67210 | not published | not published | $1,731.92 – $1,731.92 | 1 |
| Treatment of retinal lesion CPT 67218 | not published | not published | $11,405.88 – $11,405.88 | 1 |
| Treatment of thigh fracture CPT 27501 | not published | not published | $675.49 – $675.49 | 1 |
| Treatment of thigh fracture CPT 27503 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Treatment of thigh fracture CPT 27506 | $1,965.60 | $2,457.00 | not published | 0 |
| Treatment of thigh fracture CPT 27508 | not published | not published | $675.49 – $675.49 | 1 |
| Treatment of thigh fracture CPT 27509 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Treatment of thigh fracture CPT 27510 | $3,217.60 | $4,022.00 | $4,680.86 – $4,680.86 | 1 |
| Treatment of thigh fracture CPT 27507 | $1,424.80 | $1,781.00 | not published | 0 |
| Treatment of thigh fracture CPT 27514 | $1,423.20 | $1,779.00 | not published | 0 |
| Treatment of tibia fracture CPT 27756 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Treatment of tibia fracture CPT 27758 | $1,322.40 | $1,653.00 | $42,576.18 – $42,576.18 | 1 |
| Treatment of tibia fracture CPT 27759 | $1,468.80 | $1,836.00 | $42,576.18 – $42,576.18 | 1 |
| Treatment of toe fracture 28510 CPT 28510 | $188.80 | $236.00 | $675.49 – $675.49 | 1 |
| Treatment of urethra lesion CPT 53220 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Treatment of urethra lesion CPT 53260 | not published | not published | $10,458.39 – $10,458.39 | 1 |
| Treatment of urethra lesion CPT 53265 | $336.00 | $420.00 | $6,052.50 – $6,052.50 | 1 |
| Treatment radiation delivery level 2 CPT 77407 | not published | not published | $857.96 – $857.96 | 1 |
| Treatment x10sv retinopathy CPT 67228 | not published | not published | $1,731.92 – $1,731.92 | 1 |
| Treat metacarpal fracture CPT 26608 | $716.00 | $895.00 | $9,712.92 – $9,712.92 | 1 |
| Treat metacarpal fracture CPT 26615 | $851.20 | $1,064.00 | $9,712.92 – $9,712.92 | 1 |
| Treat metatarsal fracture CPT 28476 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Treat metatarsal fracture CPT 28485 | $826.40 | $1,033.00 | $21,583.67 – $21,583.67 | 1 |
| Treat midfoot fracture each CPT 28455 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Treat midfoot fracture each CPT 28465 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Treat pelvic fracture(s) CPT 27215 | $882.40 | $1,103.00 | not published | 0 |
| Treat penis lesion graft CPT 54111 | not published | not published | $15,343.31 – $15,343.31 | 1 |
| Treat penis lesion graft CPT 54112 | not published | not published | $27,923.42 – $27,923.42 | 1 |
| Treat radius fracture CPT 24665 | $972.80 | $1,216.00 | $21,583.67 – $21,583.67 | 1 |
| Treat radius fracture CPT 24666 | not published | not published | $42,576.18 – $42,576.18 | 1 |
| Treat sesamoid bone fracture CPT 28531 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Treat skull fracture CPT 62000 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Treat spinal cord lesion CPT 62280 | not published | not published | $2,780.68 – $2,780.68 | 1 |
| Treat spinal cord lesion CPT 62281 | not published | not published | $2,780.68 – $2,780.68 | 1 |
| Treat sternum fracture CPT 21820 | $220.80 | $276.00 | $675.49 – $675.49 | 1 |
| Treat tail bone fracture CPT 27202 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Treat thigh fracture CPT 27230 | $137.60 | $172.00 | $675.49 – $675.49 | 1 |
| Treat thigh fracture CPT 27235 | $1,337.60 | $1,672.00 | $21,583.67 – $21,583.67 | 1 |
| Treat thigh fracture CPT 27236 | $1,754.40 | $2,193.00 | not published | 0 |
| Treat thigh fracture CPT 27238 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Treat thigh fracture CPT 27245 | $1,803.20 | $2,254.00 | not published | 0 |
| Treat thigh fracture CPT 27246 | not published | not published | $675.49 – $675.49 | 1 |
| Treat thigh fracture CPT 27244 | $1,804.80 | $2,256.00 | not published | 0 |
| Treat thigh fx growth plate CPT 27516 | not published | not published | $675.49 – $675.49 | 1 |
| Treat thigh fx growth plate CPT 27517 | $1,019.20 | $1,274.00 | $4,680.86 – $4,680.86 | 1 |
| Treat thumb fracture CPT 26650 | $715.20 | $894.00 | $9,712.92 – $9,712.92 | 1 |
| Treat thumb fracture CPT 26665 | $962.40 | $1,203.00 | $9,712.92 – $9,712.92 | 1 |
| Treat toe dislocation CPT 28636 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Treat toe dislocation CPT 28665 | $228.80 | $286.00 | $782.84 – $782.84 | 1 |
| Treat toe dislocation CPT 28666 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Treat toe fracture CPT 28525 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Treat trigeminal tract CPT 61791 | not published | not published | $5,865.36 – $5,865.36 | 1 |
| Treat ulnar fracture CPT 24675 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Treat ulnar fracture CPT 24685 | $966.40 | $1,208.00 | $21,583.67 – $21,583.67 | 1 |
| Treat vaginal bleeding CPT 57180 | $292.00 | $365.00 | $581.24 – $581.24 | 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.