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 |
|---|---|---|---|---|
| X-ray wrist 2 views (both sides) CPT 73100 | $190.40 | $238.00 | $283.48 – $283.48 | 1 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $588.44 – $588.44 | 1 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | $398.40 | $498.00 | not published | 0 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | $104.80 | $131.00 | not published | 0 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $8,493.24 – $11,652.73 | 2 |
| Xylose absorption test blood &/or urine CPT 84620 | $193.60 | $242.00 | $16.14 – $39.85 | 2 |
| Xyntha inj HCPCS J7185 | not published | not published | $3.47 – $4.75 | 2 |
| Yersinia antibody CPT 86793 | $55.20 | $69.00 | $16.49 – $40.72 | 2 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $187.15 – $256.76 | 2 |
| Ziconotide injection HCPCS J2278 | not published | not published | $22.79 – $31.27 | 2 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $168.40 | $210.50 | $3.41 – $4.67 | 2 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $64.14 – $158.39 | 2 |
| Zika virus igm antibody CPT 86794 | not published | not published | $21.06 – $52.02 | 2 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $294.09 | $367.61 | $7.06 – $9.69 | 2 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $17.95 – $24.63 | 2 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $75.50 – $103.59 | 2 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $588.62 | $735.78 | $11.71 – $16.06 | 2 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $241.56 – $596.56 | 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.