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 |
|---|---|---|---|---|
| Warde analysis gene hfe common variants CPT 81256 | $259.20 | $324.00 | $81.70 – $201.77 | 2 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $708.80 | $886.00 | $204.95 – $506.14 | 2 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | $353.60 | $442.00 | not published | 0 |
| Warde anti-mullerian hormone CPT 82166 | $61.60 | $77.00 | $48.28 – $119.22 | 2 |
| Warde apolipoprotein b CPT 82172 | $80.80 | $101.00 | $26.36 – $65.10 | 2 |
| Warde bile acids CPT 82239 | $51.20 | $64.00 | $21.40 – $52.85 | 2 |
| Warde cadmium blood CPT 82300 | $100.80 | $126.00 | $29.55 – $72.98 | 2 |
| Warde calcitonin CPT 82308 | $73.60 | $92.00 | $33.49 – $82.70 | 2 |
| Warde calculus (stone) infrared CPT 82365 | $140.80 | $176.00 | $16.13 – $39.82 | 2 |
| Warde clozapine therapeutic drug level CPT 80159 | $100.80 | $126.00 | $25.19 – $62.20 | 2 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $168.00 | $210.00 | $27.45 – $67.79 | 2 |
| Warde collagen cross links c-telopeptide CPT 82523 | $248.00 | $310.00 | $23.35 – $57.67 | 2 |
| Warde complement total hemolytic CPT 86162 | $130.40 | $163.00 | $25.40 – $62.73 | 2 |
| Warde copper CPT 82525 | $117.60 | $147.00 | $15.51 – $38.31 | 2 |
| Warde cryoglobulin CPT 82595 | $110.40 | $138.00 | $8.09 – $19.97 | 2 |
| Warde erythropoietin CPT 82668 | $178.40 | $223.00 | $23.49 – $58.00 | 2 |
| Warde estrogen fractionated CPT 82671 | $122.40 | $153.00 | $40.38 – $99.71 | 2 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $56.80 | $71.00 | $15.11 – $37.32 | 2 |
| Warde folic acid rbc CPT 82747 | $81.60 | $102.00 | $22.06 – $54.49 | 2 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $41.60 | $52.00 | $12.13 – $29.94 | 2 |
| Warde gastrin CPT 82941 | $109.60 | $137.00 | $22.04 – $54.42 | 2 |
| Warde growth hormone (hgh) CPT 83003 | $179.20 | $224.00 | $20.84 – $51.46 | 2 |
| Warde haloperidol therapeutic drug level CPT 80173 | $116.00 | $145.00 | $19.73 – $48.71 | 2 |
| Warde helminth antibody strongyloides igg CPT 86682 | $77.60 | $97.00 | $16.26 – $40.16 | 2 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | not published | not published | $16.09 – $39.73 | 2 |
| Warde hepatitis a antibody CPT 86708 | $92.80 | $116.00 | $15.49 – $38.25 | 2 |
| Warde hepatitis be antibody CPT 86707 | $153.60 | $192.00 | $14.46 – $35.72 | 2 |
| Warde hepatitis delta agent antibody CPT 86692 | $71.20 | $89.00 | $21.45 – $52.97 | 2 |
| Warde immunofixation electrophoresis urine CPT 86335 | $159.20 | $199.00 | $36.69 – $90.60 | 2 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $80.00 | $100.00 | $14.41 – $35.59 | 2 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $287.20 | $359.00 | $321.81 – $794.75 | 2 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $165.60 | $207.00 | $29.46 – $72.76 | 2 |
| Warde lipoprotein (a) CPT 83695 | $134.40 | $168.00 | $17.90 – $44.21 | 2 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | not published | not published | $57.89 – $142.96 | 2 |
| Warde mitochondrial antibody each CPT 86381 | $59.20 | $74.00 | $31.81 – $78.56 | 2 |
| Warde neutralization rabies CPT 86382 | not published | not published | $21.14 – $52.20 | 2 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $90.40 | $113.00 | $16.56 – $40.90 | 2 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $132.80 | $166.00 | $28.71 – $70.91 | 2 |
| Warde protein c antigen CPT 85302 | $222.40 | $278.00 | $15.01 – $37.07 | 2 |
| Warde sex hormone binding globulin CPT 84270 | $98.40 | $123.00 | $27.16 – $67.08 | 2 |
| Warde somatomedin CPT 84305 | $457.60 | $572.00 | $26.58 – $65.63 | 2 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $43.20 | $54.00 | $6.88 – $16.98 | 2 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $108.00 | $135.00 | $19.70 – $48.65 | 2 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $251.20 | $314.00 | $63.58 – $157.00 | 2 |
| Warde topiramate therapeutic drug level CPT 80201 | $108.80 | $136.00 | $14.90 – $36.80 | 2 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $88.00 | $110.00 | $32.59 – $80.48 | 2 |
| Warde viscosity CPT 85810 | $110.40 | $138.00 | $14.59 – $36.03 | 2 |
| Warde vitamin a CPT 84590 | $96.00 | $120.00 | $14.51 – $35.84 | 2 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $120.80 | $151.00 | $26.54 – $65.54 | 2 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $144.80 | $181.00 | $35.13 – $86.74 | 2 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $132.80 | $166.00 | $12.36 – $30.53 | 2 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $249.60 | $312.00 | $48.13 – $118.85 | 2 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $145.60 | $182.00 | $17.73 – $43.77 | 2 |
| Warde zinc CPT 84630 | $110.40 | $138.00 | $14.24 – $35.16 | 2 |
| Warfarin respon genetic test HCPCS G9143 | not published | not published | $150.90 – $372.66 | 2 |
| Wash harvest stem cells CPT 38209 | not published | not published | $1,330.51 – $1,330.51 | 1 |
| Wbc automated CPT 85048 | $10.40 | $13.00 | $3.18 – $7.84 | 2 |
| Wcd device interrogate CPT 93292 | not published | not published | $114.22 – $114.22 | 1 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $22,598.24 – $22,598.24 | 1 |
| Wedging of cast CPT 29740 | $152.00 | $190.00 | $782.84 – $782.84 | 1 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $782.84 – $782.84 | 1 |
| Western blot test CPT 84181 | $71.20 | $89.00 | $21.29 – $52.57 | 2 |
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $22.74 – $56.15 | 2 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $396.00 | $495.00 | not published | 0 |
| Whole blood for transfusion HCPCS P9010 | $300.80 | $376.00 | $742.71 – $742.71 | 1 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | not published | not published | $968.72 – $968.72 | 1 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $227.20 | $284.00 | $640.94 – $640.94 | 1 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $1,608.75 – $3,972.97 | 2 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $1,170.00 – $2,889.43 | 2 |
| Wilate injection HCPCS J7183 | not published | not published | $2.86 – $3.92 | 2 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $173.60 | $217.00 | not published | 0 |
| Wound closure by adhesive HCPCS G0168 | $264.00 | $330.00 | not published | 0 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $715.50 – $981.67 | 2 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $524.00 | $655.00 | $1,217.32 – $1,217.32 | 1 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $479.20 | $599.00 | $1,217.32 – $1,217.32 | 1 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $91.20 | $114.00 | $589.25 – $589.25 | 1 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $479.20 | $599.00 | $1,217.32 – $1,217.32 | 1 |
| Wrist arthroscopy CPT 29840 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $9,712.92 – $9,712.92 | 1 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Wrist endoscopy/surgery CPT 29848 | $754.40 | $943.00 | $4,680.86 – $4,680.86 | 1 |
| Wrist X-ray CPT 73110 | $239.20 | $299.00 | $283.48 – $283.48 | 1 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $13,037.66 – $13,037.66 | 1 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $7,046.29 – $7,046.29 | 1 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $13,869.47 – $13,869.47 | 1 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $13,037.66 – $13,037.66 | 1 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $13,869.47 – $13,869.47 | 1 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $1,142.40 | $1,428.00 | $5,631.53 – $5,631.53 | 1 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $1,056.80 | $1,321.00 | $5,631.53 – $5,631.53 | 1 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $1,142.50 – $2,821.52 | 2 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $1,142.50 – $2,821.52 | 2 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $81.43 – $81.43 | 1 |
| X-ray abdomen 1 view CPT 74018 | $180.00 | $225.00 | $283.48 – $283.48 | 1 |
| X-ray abdomen 2 views CPT 74019 | $188.80 | $236.00 | $348.75 – $348.75 | 1 |
| X-ray abdomen >=3 views CPT 74021 | $324.00 | $405.00 | $348.75 – $348.75 | 1 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $546.40 | $683.00 | $348.75 – $348.75 | 1 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $242.40 | $303.00 | $283.48 – $283.48 | 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.