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 |
|---|---|---|---|---|
| Ultrasound prostate/transrectal CPT 76872 | $645.60 | $807.00 | $348.75 – $348.75 | 1 |
| Ultrasound retroperitoneal limited CPT 76775 | $434.40 | $543.00 | $348.75 – $348.75 | 1 |
| Ultrasound scrotum and contents CPT 76870 | $477.60 | $597.00 | $348.75 – $348.75 | 1 |
| Ultrasound spinal canal and contents CPT 76800 | $776.00 | $970.00 | $348.75 – $348.75 | 1 |
| Ultrasound transabd ea addl gest CPT 76812 | $512.80 | $641.00 | not published | 0 |
| Ultrasound transvaginal non obstetric CPT 76830 | $457.60 | $572.00 | $348.75 – $348.75 | 1 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $588.44 – $588.44 | 1 |
| Umbilical artery cath newborn 36660 CPT 36660 | $100.00 | $125.00 | not published | 0 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $952.66 – $952.66 | 1 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $81.43 – $81.43 | 1 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $81.43 – $81.43 | 1 |
| Unlisted chemotherapy px CPT 96549 | $86.40 | $108.00 | $138.26 – $138.26 | 1 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $678.14 – $678.14 | 1 |
| Unlisted CT procedure CPT 76497 | not published | not published | $283.48 – $283.48 | 1 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $163.59 – $163.59 | 1 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $163.59 – $163.59 | 1 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $474.53 – $474.53 | 1 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $581.24 – $581.24 | 1 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $283.48 – $283.48 | 1 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Unlisted hematology&coagj px CPT 85999 | $198.40 | $248.00 | not published | 0 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $581.24 – $581.24 | 1 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $651.20 | $814.00 | $17,007.37 – $17,007.37 | 1 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Unlisted laps px renal CPT 50549 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Unlisted laps px testis CPT 54699 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $678.14 – $678.14 | 1 |
| Unlisted misc path test CPT 89240 | not published | not published | $163.59 – $163.59 | 1 |
| Unlisted mr procedure CPT 76498 | not published | not published | $283.48 – $283.48 | 1 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $678.14 – $678.14 | 1 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $474.53 – $474.53 | 1 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $81.43 – $81.43 | 1 |
| Unlisted orl service/px CPT 92700 | not published | not published | $81.43 – $81.43 | 1 |
| Unlisted procedure colon CPT 45399 | not published | not published | $2,711.70 – $2,711.70 | 1 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $2,693.66 – $2,693.66 | 1 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $863.77 – $863.77 | 1 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $678.14 – $678.14 | 1 |
| Unlisted procedure liver CPT 47399 | not published | not published | $2,117.62 – $2,117.62 | 1 |
| Unlisted procedure microbiology CPT 87999 | $2,585.60 | $3,232.00 | not published | 0 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $863.77 – $863.77 | 1 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $2,117.62 – $2,117.62 | 1 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $2,711.70 – $2,711.70 | 1 |
| Unlisted procedure spine CPT 22899 | not published | not published | $675.49 – $675.49 | 1 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $96.85 – $96.85 | 1 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $675.49 – $675.49 | 1 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $678.14 – $678.14 | 1 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $675.49 – $675.49 | 1 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $2,693.66 – $2,693.66 | 1 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $475.62 – $475.62 | 1 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $863.77 – $863.77 | 1 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $2,117.62 – $2,117.62 | 1 |
| Unlisted px external ear CPT 69399 | not published | not published | $678.14 – $678.14 | 1 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $863.77 – $863.77 | 1 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $675.49 – $675.49 | 1 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $675.49 – $675.49 | 1 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $675.49 – $675.49 | 1 |
| Unlisted px inner ear CPT 69949 | not published | not published | $678.14 – $678.14 | 1 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $863.77 – $863.77 | 1 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $675.49 – $675.49 | 1 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $701.12 – $701.12 | 1 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $435.21 – $435.21 | 1 |
| Unlisted px middle ear CPT 69799 | not published | not published | $678.14 – $678.14 | 1 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $678.14 – $678.14 | 1 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $678.14 – $678.14 | 1 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $675.49 – $675.49 | 1 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $678.14 – $678.14 | 1 |
| Unlisted px small intestine CPT 44799 | not published | not published | $2,693.66 – $2,693.66 | 1 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $678.14 – $678.14 | 1 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $435.21 – $435.21 | 1 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $678.14 – $678.14 | 1 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $678.14 – $678.14 | 1 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $163.59 – $163.59 | 1 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $589.25 – $589.25 | 1 |
| Unlisted surgical path px CPT 88399 | not published | not published | $163.59 – $163.59 | 1 |
| Unlisted transfusion med px CPT 86999 | $200.80 | $251.00 | $81.43 – $81.43 | 1 |
| Unlisted ultrasound procedure CPT 76999 | $136.00 | $170.00 | $283.48 – $283.48 | 1 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $1,887.67 – $1,887.67 | 1 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $17,007.37 – $17,007.37 | 1 |
| Unsched dialysis esrd pt hos HCPCS G0257 | not published | not published | $2,057.41 – $2,057.41 | 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.