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 |
|---|---|---|---|---|
| Valvuloplasty aortic CPT 92986 | not published | not published | $17,017.98 – $17,017.98 | 1 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $34,638.00 – $34,638.00 | 1 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $34,638.00 – $34,638.00 | 1 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $98.81 | $123.51 | $0.07 – $0.10 | 2 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $151.28 | $189.10 | $0.27 – $0.37 | 2 |
| Vancomycin peak therapeutic drug level CPT 80202 | $188.80 | $236.00 | $16.93 – $41.80 | 2 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $43.86 – $108.32 | 2 |
| Varicella zoster antibody igg CPT 86787 | $68.80 | $86.00 | $16.10 – $39.76 | 2 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Vasectomy CPT 55250 | $496.80 | $621.00 | $6,052.50 – $6,052.50 | 1 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $192.10 | $240.12 | $2.82 – $3.87 | 2 |
| Vbac delivery 59610 CPT 59610 | $3,066.40 | $3,833.00 | not published | 0 |
| Vbac/include postpartum care 59614 CPT 59614 | $1,681.60 | $2,102.00 | not published | 0 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $24,950.38 | $31,187.98 | $49.64 – $68.11 | 2 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $1,577.43 – $1,577.43 | 1 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $3,048.91 – $3,048.91 | 1 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $464.00 | $580.00 | $913.84 – $913.84 | 1 |
| Veeg unmon 12-26 hrs CPT 95714 | $888.80 | $1,111.00 | $1,577.43 – $1,577.43 | 1 |
| Veeg unmon 2-12 hrs CPT 95711 | $464.00 | $580.00 | $913.84 – $913.84 | 1 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $1,887.67 – $1,887.67 | 1 |
| Vein x-ray kidney CPT 75831 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Vein x-ray liver CPT 75891 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Vein x-ray skull CPT 75870 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $1,887.67 – $1,887.67 | 1 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $855.41 – $1,173.62 | 2 |
| Vemp test i&r cervical CPT 92517 | $192.00 | $240.00 | $474.53 – $474.53 | 1 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $474.53 – $474.53 | 1 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $913.84 – $913.84 | 1 |
| Ven blood coll snf/hha HCPCS G0471 | not published | not published | $13.86 – $34.23 | 2 |
| Vendaje, per square centimet HCPCS Q4252 | not published | not published | $119.25 – $163.61 | 2 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $32.00 | $40.00 | not published | 0 |
| Venipuncture <3 yrs other vein CPT 36406 | $25.60 | $32.00 | not published | 0 |
| Venogram ext bil s&i CPT 75822 | not published | not published | $4,854.90 – $4,854.90 | 1 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,379.20 | $1,724.00 | $4,854.90 – $4,854.90 | 1 |
| Venous mech thrombectomy CPT 37187 | not published | not published | $34,638.00 – $34,638.00 | 1 |
| Venous m-thrombectomy add-on CPT 37188 | not published | not published | $9,720.46 – $9,720.46 | 1 |
| Venous sampling s&i CPT 75893 | not published | not published | $16,771.14 – $16,771.14 | 1 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $1,646.19 – $1,646.19 | 1 |
| Ven thrombosis images bilat CPT 78458 | not published | not published | $1,268.29 – $1,268.29 | 1 |
| Ventilator each subsequent day CPT 94003 | $742.40 | $928.00 | $1,816.60 – $1,816.60 | 1 |
| Ventilator initial day CPT 94002 | $1,054.40 | $1,318.00 | $1,816.60 – $1,816.60 | 1 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | $1,042.40 | $1,303.00 | $2,780.68 – $2,780.68 | 1 |
| Version cephalic external CPT 59412 | $2,789.60 | $3,487.00 | $9,225.99 – $9,225.99 | 1 |
| Verteporfin injection HCPCS J3396 | not published | not published | $25.99 – $35.66 | 2 |
| Very long chain fatty acids CPT 82726 | $193.60 | $242.00 | $24.69 – $60.97 | 2 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $191.18 | $238.97 | $11.90 – $16.33 | 2 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $65.42 | $81.77 | $17.69 – $24.27 | 2 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $113.71 | $142.14 | $4.40 – $6.04 | 2 |
| Viper venom prothrombin time CPT 85612 | not published | not published | $21.86 – $53.99 | 2 |
| Virus isolation addl studies ea CPT 87253 | not published | not published | $25.25 – $62.36 | 2 |
| Visit esketamine, > 56m HCPCS G2083 | not published | not published | $4,733.01 – $4,733.01 | 1 |
| Visit esketamine 56m or less HCPCS G2082 | not published | not published | $3,427.80 – $3,427.80 | 1 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $120.00 | $150.00 | $394.38 – $394.38 | 1 |
| Visual audiometry (vra) CPT 92579 | not published | not published | $474.53 – $474.53 | 1 |
| Vital capacity test CPT 94150 | $178.40 | $223.00 | $474.53 – $474.53 | 1 |
| Vitamin b-12 CPT 82607 | $80.00 | $100.00 | $18.85 – $46.55 | 2 |
| Vitamin D Test CPT 82306 | $68.80 | $86.00 | $37.00 – $91.38 | 2 |
| Vit for macular hole CPT 67042 | not published | not published | $13,037.66 – $13,037.66 | 1 |
| Vit for macular pucker CPT 67041 | not published | not published | $13,037.66 – $13,037.66 | 1 |
| Vit for membrane dissect CPT 67043 | not published | not published | $13,037.66 – $13,037.66 | 1 |
| Vkorc1 gene CPT 81355 | not published | not published | $110.25 – $272.27 | 2 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | $294.40 | $368.00 | not published | 0 |
| Vol reduction of blood/prod CPT 86960 | not published | not published | $513.12 – $513.12 | 1 |
| Volume deplete of harvest CPT 38214 | not published | not published | $1,330.51 – $1,330.51 | 1 |
| Volume measurement urine timed CPT 81050 | $11.20 | $14.00 | $4.55 – $11.24 | 2 |
| Vonvendi inj 1 iu vwf:rco HCPCS J7179 | not published | not published | $4.15 – $5.70 | 2 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | not published | not published | $1.75 – $2.40 | 2 |
| Vulvectomy simple partial CPT 56620 | $880.00 | $1,100.00 | $9,225.99 – $9,225.99 | 1 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | not published | not published | $11,213.67 – $15,385.16 | 2 |
| Vyjuvek 5x10^9pfu/ml, 0.1 ml HCPCS J3401 | not published | not published | $2,333.52 – $3,201.58 | 2 |
| Warde 1003990 aldosterone CPT 82088 | $170.40 | $213.00 | $50.94 – $125.80 | 2 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $117.60 | $147.00 | $34.75 – $85.82 | 2 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $148.80 | $186.00 | $16.13 – $39.82 | 2 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $108.00 | $135.00 | $31.56 – $77.95 | 2 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $173.60 | $217.00 | $19.38 – $47.85 | 2 |
| Warde 1015200 kappa light chain free CPT 83521 | $78.40 | $98.00 | $21.59 – $53.31 | 2 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $263.20 | $329.00 | $10.03 – $24.76 | 2 |
| Warde 3008005 oligoclonal bands CPT 83916 | $97.60 | $122.00 | $34.24 – $84.55 | 2 |
| Warde 3016000 west nile virus antibody CPT 86788 | $59.20 | $74.00 | $21.06 – $52.02 | 2 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $84.80 | $106.00 | $17.99 – $44.42 | 2 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $140.80 | $176.00 | $15.31 – $37.82 | 2 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $71.20 | $89.00 | $11.13 – $27.47 | 2 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $75.20 | $94.00 | $22.48 – $55.50 | 2 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | not published | not published | $178.29 – $440.30 | 2 |
| Warde 3400852 arsenic CPT 82175 | $100.00 | $125.00 | $23.71 – $58.56 | 2 |
| Warde 3708165 mercury urine CPT 83825 | $109.60 | $137.00 | $20.33 – $50.19 | 2 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | not published | not published | $23.00 – $56.80 | 2 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $80.00 | $100.00 | $15.06 – $37.20 | 2 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $169.60 | $212.00 | $10.13 – $25.00 | 2 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $202.40 | $253.00 | $48.28 – $119.22 | 2 |
| Warde aldolase CPT 82085 | $91.20 | $114.00 | $12.14 – $29.97 | 2 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $428.80 | $536.00 | $21.09 – $52.08 | 2 |
| Warde amiodarone therapeutic drug level CPT 80151 | $27.20 | $34.00 | $23.30 – $57.54 | 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.