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 |
|---|---|---|---|---|
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $1,101,870.00 – $1,511,765.64 | 2 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $1,230.61 – $1,230.61 | 1 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Bronchial allergy tests CPT 95070 | $52.80 | $66.00 | $1,577.43 – $1,577.43 | 1 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $1,230.61 – $1,230.61 | 1 |
| Bronchial challenge CPT 94070 | $296.00 | $370.00 | $913.84 – $913.84 | 1 |
| Bronchial valve init insert CPT 31647 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $5,216.13 – $5,216.13 | 1 |
| Bronchial valve remov init CPT 31648 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Bronchoscopy clear airways 31645 CPT 31645 | not published | not published | $5,216.13 – $5,216.13 | 1 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | not published | not published | $5,216.13 – $5,216.13 | 1 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | not published | not published | $5,216.13 – $5,216.13 | 1 |
| Bronchoscopy w/markers CPT 31626 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | $10,877.76 – $10,877.76 | 1 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $20,188.57 – $20,188.57 | 1 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | $583.27 – $583.27 | 1 |
| Br punct aspir ea add, l CPT 19001 | $196.00 | $245.00 | not published | 0 |
| Budesonide non-comp unit HCPCS J7626 | $47.71 | $59.64 | $2.87 – $3.94 | 2 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $70.50 | $88.13 | $1.37 – $1.88 | 2 |
| Bundled special stain group 1 microorganisms CPT 88312 | $89.60 | $112.00 | $163.59 – $163.59 | 1 |
| Bundled special stain group 2 CPT 88313 | $276.80 | $346.00 | $110.81 – $110.81 | 1 |
| Bundle his recording CPT 93600 | not published | not published | $21,969.11 – $21,969.11 | 1 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $71.42 | $89.27 | $0.02 – $0.03 | 2 |
| Buprenorphine and metabolite - sendout CPT 80348 | $67.20 | $84.00 | not published | 0 |
| Buprenorphine hydrochloride HCPCS J0592 | not published | not published | $9.30 – $12.76 | 2 |
| Buprenorphine oral 1mg HCPCS J0571 | $20.61 | $25.76 | not published | 0 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | $1,756.00 | $2,195.00 | $4,447.24 – $6,101.62 | 2 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | $1,756.00 | $2,195.00 | $4,447.24 – $6,101.62 | 2 |
| Busulfan injection HCPCS J0594 | not published | not published | $4.14 – $5.67 | 2 |
| Butorphanol tartrate 1 mg HCPCS J0595 | not published | not published | $11.37 – $15.60 | 2 |
| Buttock fasciotomy CPT 27027 | not published | not published | $21,583.67 – $21,583.67 | 1 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $4,680.86 – $4,680.86 | 1 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $4,893.07 – $4,893.07 | 1 |
| Bx bone trocar/ndl deep CPT 20225 | $561.60 | $702.00 | $4,893.07 – $4,893.07 | 1 |
| Bx breast 1st lesion mr imag CPT 19085 | $1,720.00 | $2,150.00 | $4,893.07 – $4,893.07 | 1 |
| Bx breast 1st lesion strtctc CPT 19081 | $1,720.00 | $2,150.00 | $4,893.07 – $4,893.07 | 1 |
| Bx breast add lesion mr imag CPT 19086 | $860.00 | $1,075.00 | not published | 0 |
| Bx breast add lesion strtctc CPT 19082 | $860.00 | $1,075.00 | not published | 0 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $860.00 | $1,075.00 | not published | 0 |
| Bx breast perq without image 19100 CPT 19100 | $231.20 | $289.00 | $4,893.07 – $4,893.07 | 1 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | $11,217.60 – $11,217.60 | 1 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $252.00 | $315.00 | $952.66 – $952.66 | 1 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $785.60 | $982.00 | $11,217.60 – $11,217.60 | 1 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $503.20 | $629.00 | $11,217.60 – $11,217.60 | 1 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $8,429.22 – $8,429.22 | 1 |
| Bx liver with other CPT 47001 | $152.00 | $190.00 | not published | 0 |
| Bx muscle CPT 20200 | $319.20 | $399.00 | $4,893.07 – $4,893.07 | 1 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $9,283.38 – $9,283.38 | 1 |
| Bx of breast open 19101 CPT 19101 | $496.00 | $620.00 | $11,217.60 – $11,217.60 | 1 |
| Bx of cervix w/scope leep 57460 CPT 57460 | $475.20 | $594.00 | $9,225.99 – $9,225.99 | 1 |
| Bx pancreas pq ndl CPT 48102 | not published | not published | $4,893.07 – $4,893.07 | 1 |
| Bx perianal mass CPT 46999 | $360.00 | $450.00 | $2,711.70 – $2,711.70 | 1 |
| Bx pleura pq ndl CPT 32400 | not published | not published | $4,893.07 – $4,893.07 | 1 |
| Bx prst8 ndl sat sampling CPT 55706 | $564.00 | $705.00 | $10,458.39 – $10,458.39 | 1 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $8,429.22 – $8,429.22 | 1 |
| Bx shoulder tissues supf 23065 CPT 23065 | $993.60 | $1,242.00 | $4,893.07 – $4,893.07 | 1 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $104.80 | $131.00 | not published | 0 |
| Bx skin punch ea sep/ addl les CPT 11105 | $88.00 | $110.00 | not published | 0 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $76.00 | $95.00 | not published | 0 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | $379.20 | $474.00 | $4,893.07 – $4,893.07 | 1 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $505.60 | $632.00 | $4,893.07 – $4,893.07 | 1 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | $4,893.07 – $4,893.07 | 1 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | $744.00 | $930.00 | $4,893.07 – $4,893.07 | 1 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | $220.80 | $276.00 | $4,893.07 – $4,893.07 | 1 |
| Bx spinal cord pq ndl CPT 62269 | not published | not published | $4,893.07 – $4,893.07 | 1 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $407.20 | $509.00 | $4,893.07 – $4,893.07 | 1 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,016.80 | $1,271.00 | $2,117.62 – $2,117.62 | 1 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $154.40 | $193.00 | $2,295.45 – $2,295.45 | 1 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $1,056.80 | $1,321.00 | $2,295.45 – $2,295.45 | 1 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $56.80 | $71.00 | not published | 0 |
| Bypass temp external fem-fem CPT 37799 | not published | not published | $1,887.67 – $1,887.67 | 1 |
| C-1 esterase, berinert HCPCS J0597 | not published | not published | $170.69 – $234.19 | 2 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $147.88 – $202.89 | 2 |
| C1 esterase inhibitor func - sendout CPT 86161 | $104.00 | $130.00 | $15.00 – $37.04 | 2 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | not published | not published | $510.98 – $701.06 | 2 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $53.17 – $72.94 | 2 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $1,057.84 – $2,612.44 | 2 |
| Cadd pump refill CPT 96521 | $213.60 | $267.00 | $674.04 – $674.04 | 1 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $184.29 – $252.84 | 2 |
| Calcium 24 hour urine CPT 82340 | $77.60 | $97.00 | $7.54 – $18.61 | 2 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $242.58 | $303.23 | $0.09 – $0.12 | 2 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $55.58 | $69.47 | $0.18 – $0.24 | 2 |
| Calcium ionized CPT 82330 | $80.00 | $100.00 | $17.10 – $42.23 | 2 |
| Calcium total CPT 82310 | $52.80 | $66.00 | $6.45 – $15.93 | 2 |
| Calculi urinary-sendout CPT 82360 | $140.80 | $176.00 | $16.09 – $39.73 | 2 |
| Calculus analysis qual CPT 82355 | not published | not published | $14.48 – $35.75 | 2 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $474.53 – $474.53 | 1 |
| Calprotectin fecal CPT 83993 | $324.00 | $405.00 | $24.54 – $60.60 | 2 |
| Campylobacter antibody CPT 86625 | not published | not published | $16.40 – $40.50 | 2 |
| Canakinumab injection HCPCS J0638 | not published | not published | $317.24 – $435.25 | 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.