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 |
|---|---|---|---|---|
| Blinded conv. tx mdd clin tr HCPCS G2000 | not published | not published | $1,577.43 – $1,577.43 | 1 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $57,104.52 – $57,104.52 | 1 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $57,104.52 – $57,104.52 | 1 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $31,816.10 – $31,816.10 | 1 |
| Blink reflex test CPT 95933 | $119.20 | $149.00 | $187.55 – $187.55 | 1 |
| Blm gene CPT 81209 | not published | not published | $49.14 – $121.35 | 2 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $2,780.68 – $2,780.68 | 1 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $812.80 | $1,016.00 | $2,780.68 – $2,780.68 | 1 |
| Block paracervical nrv CPT 64435 | $120.80 | $151.00 | $2,102.48 – $2,102.48 | 1 |
| Block plantar digital nerve CPT 64455 | $73.60 | $92.00 | $887.20 – $887.20 | 1 |
| Block tap inj(s) w/wo img bi CPT 64488 | $123.20 | $154.00 | not published | 0 |
| Blood Clotting (PT/INR) Test CPT 85610 | $114.40 | $143.00 | $5.36 – $13.24 | 2 |
| Blood Clotting (PTT) Test CPT 85730 | $114.40 | $143.00 | $7.51 – $18.55 | 2 |
| Blood Count (CBC) Test CPT 85025 | $103.20 | $129.00 | $9.71 – $23.99 | 2 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $62.40 | $78.00 | $8.09 – $19.97 | 2 |
| Blood count spun microhematocrit CPT 85013 | $9.60 | $12.00 | $8.75 – $21.61 | 2 |
| Blood Culture Test CPT 87040 | $140.80 | $176.00 | $12.90 – $31.86 | 2 |
| Blood draw capillary 36416 CPT 36416 | $20.80 | $26.00 | not published | 0 |
| Blood gases o2 saturation direct measurement CPT 82805 | $265.60 | $332.00 | $98.46 – $243.16 | 2 |
| Blood gases ph venous CPT 82800 | $104.80 | $131.00 | $13.75 – $33.96 | 2 |
| Blood, l/r, irradiated HCPCS P9056 | not published | not published | $354.75 – $354.75 | 1 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $67.20 | $84.00 | $19.90 – $49.15 | 2 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $56.80 | $71.00 | $5.29 – $13.06 | 2 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $68.00 | $85.00 | $5.48 – $13.52 | 2 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $51.20 | $64.00 | $6.65 – $16.42 | 2 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $66.40 | $83.00 | $4.75 – $11.73 | 2 |
| Blood split unit HCPCS P9011 | $222.40 | $278.00 | $453.72 – $453.72 | 1 |
| Blood typing abo CPT 86900 | $64.80 | $81.00 | $3.74 – $9.23 | 2 |
| Blood typing ag donor ea ag CPT 86902 | $140.80 | $176.00 | $7.94 – $19.60 | 2 |
| Blood typing patient serum CPT 86904 | not published | not published | $20.43 – $50.44 | 2 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $87.20 | $109.00 | $4.79 – $11.82 | 2 |
| Blood typing rh (d) CPT 86901 | $48.00 | $60.00 | $3.74 – $9.23 | 2 |
| Blood typing rh phenotype complete reference CPT 86906 | $96.00 | $120.00 | $9.69 – $23.92 | 2 |
| Blood volume CPT 78122 | not published | not published | $1,646.19 – $1,646.19 | 1 |
| Bone biopsy open superficial CPT 20240 | $208.80 | $261.00 | $8,429.22 – $8,429.22 | 1 |
| Bone Density Scan (DEXA) CPT 77080 | $368.00 | $460.00 | $348.75 – $348.75 | 1 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Bone/joint imaging ltd area CPT 78300 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Bone marrow;aspiration only 38220 CPT 38220 | not published | not published | $4,893.07 – $4,893.07 | 1 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | not published | not published | $4,893.07 – $4,893.07 | 1 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $4,437.20 – $4,437.20 | 1 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $13,574.19 – $13,574.19 | 1 |
| Bone marrow imaging body CPT 78104 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Bone marrow interpretation CPT 85097 | $436.00 | $545.00 | $2,533.78 – $2,533.78 | 1 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Bone survey-lead poisoning CPT 77074 | $314.40 | $393.00 | $348.75 – $348.75 | 1 |
| Borrelia antibody CPT 86619 | $60.00 | $75.00 | $16.73 – $41.30 | 2 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $274.40 | $343.00 | $21.29 – $52.57 | 2 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $43.86 – $108.32 | 2 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $2,105.38 | $2,631.73 | $3.58 – $4.91 | 2 |
| (both sides) smear without diff wbc count CPT 85008 | $20.00 | $25.00 | $4.29 – $10.59 | 2 |
| Bowel imaging CPT 78290 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $8,429.22 – $8,429.22 | 1 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $124.47 – $124.47 | 1 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | not published | not published | $115.23 – $115.23 | 1 |
| Brachy source palladium HCPCS C2640 | not published | not published | $289.21 – $289.21 | 1 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | not published | not published | $264.27 – $264.27 | 1 |
| Brachy source yttrium-90 HCPCS C2616 | not published | not published | $57,461.02 – $57,461.02 | 1 |
| Brachy src nonstrand c-131 HCPCS C2643 | not published | not published | $266.00 – $266.00 | 1 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | not published | not published | $1,095.42 – $1,095.42 | 1 |
| Brachy src stranded c-131 HCPCS C2642 | not published | not published | $296.05 – $296.05 | 1 |
| Brachytx isodose complex CPT 77318 | not published | not published | $1,170.51 – $1,170.51 | 1 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $1,170.51 – $1,170.51 | 1 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $1,170.51 – $1,170.51 | 1 |
| Braf gene CPT 81210 | $547.20 | $684.00 | $219.25 – $541.46 | 2 |
| Brain flow imaging only CPT 78610 | not published | not published | $1,646.19 – $1,646.19 | 1 |
| Brain image < 4 views CPT 78600 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Brain image 4+ views CPT 78605 | not published | not published | $1,646.19 – $1,646.19 | 1 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $1,646.19 – $1,646.19 | 1 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,870.40 | $3,588.00 | $1,202.18 – $1,202.18 | 1 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,759.20 | $2,199.00 | $761.98 – $761.98 | 1 |
| Brain MRI (with and without contrast) CPT 70553 | $2,816.80 | $3,521.00 | $1,202.18 – $1,202.18 | 1 |
| Brain MRI (with contrast) CPT 70552 | $2,014.40 | $2,518.00 | $1,202.18 – $1,202.18 | 1 |
| Brain MRI (without contrast) CPT 70551 | $1,764.00 | $2,205.00 | $761.98 – $761.98 | 1 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $585.00 – $1,444.72 | 2 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $730.29 – $1,803.52 | 2 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $469.06 – $1,158.40 | 2 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $376.69 – $930.27 | 2 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $353.60 – $873.25 | 2 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $231.40 – $571.47 | 2 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $469.06 – $1,158.40 | 2 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $353.60 – $873.25 | 2 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $550.00 – $1,358.28 | 2 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $2,281.10 – $5,633.40 | 2 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $28,733.32 – $28,733.32 | 1 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,720.00 | $2,150.00 | $4,893.07 – $4,893.07 | 1 |
| Breast punct aspir cyst, bil CPT 19000 | $441.60 | $552.00 | $2,117.62 – $2,117.62 | 1 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $54,439.50 – $54,439.50 | 1 |
| Breast reduction CPT 19318 | $1,604.00 | $2,005.00 | $19,392.63 – $19,392.63 | 1 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $474.53 – $474.53 | 1 |
| Breathing response hypoxia CPT 94450 | not published | not published | $913.84 – $913.84 | 1 |
| Breath recording infant CPT 94772 | not published | not published | $1,577.43 – $1,577.43 | 1 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $118.01 – $291.44 | 2 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $13.83 – $34.14 | 2 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $11,724.73 | $14,655.91 | $581.66 – $798.04 | 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.