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Providence St Joseph Medical Center

Polson, MT · 22 beds · 97 procedures priced

Sourced from this hospital's machine-readable file, posted Wed Jun 03 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 82/100 · source file ↗

Category

Procedure ▲	Negotiated i	Cash i	Gross i
Abdominal Hysterectomy	—	$1,491	$1,864
ACL Reconstruction (Arthroscopic)	$21,584	$1,438	$1,798
Allergy Skin Testing	$3,049	$6	$7
Anesthesia for Screening Colonoscopy	—	$38	$48
Anesthesia for Upper Endoscopy	—	$38	$48
Basic Metabolic Panel	$18$11$26	$86	$107
Bone Marrow Biopsy	$4,893	—	—
Breast Biopsy (Ultrasound-guided)	$4,893	$770	$963
Bunion Correction Surgery	$9,713	—	—
Cardiac Ablation for Atrial Fibrillation	$76,620	—	—
Cardiac Catheterization (Left Heart)	$9,654	—	—
Carpal Tunnel Release Surgery	$5,865	$656	$820
Cataract Surgery with Lens Implant	$7,046	—	—
Cervical Spinal Fusion (Anterior)	$42,576	—	—
Cesarean Delivery (Global Package)	—	$3,297	$4,121
Chemotherapy Infusion (First Hour)	$1,085	$462	$577
Chest X-ray (2 Views)	$283	$231	$289
Colonoscopy with Biopsy	$3,534	$660	$825
Complete Abdominal Ultrasound	$349	$431	$539
Complete Blood Count (CBC) with Differential	$17$10$24	$64	$80
Comprehensive Metabolic Panel	$23$13$33	$114	$142
Coronary Angioplasty with Stent	$34,638	—	—
Critical Care, First Hour	$2,505	$405	$506
CT Abdomen and Pelvis with Contrast	$1,202	$2,883	$3,604
CT Cardiac Calcium Scoring	$283	$238	$298
CT Chest without Contrast	$349	$1,380	$1,725
CT Head without Contrast	$349	$830	$1,037
DEXA Bone Density Scan	$349	$55	$69
Diagnostic Colonoscopy	$2,712	$563	$704
Diagnostic Mammogram (Both Breasts)	—	$314	$393
Ear Tube Placement (Tympanostomy)	$4,530	$234	$293
Echocardiogram (Complete with Doppler)	$1,642	$289	$361
EKG (Electrocardiogram, 12-lead)	—	$22	$27
Emergency Room Visit (Level 3)	$800	$105	$131
Group Therapy Session	$248	$39	$49
Hemoglobin A1c (Diabetes Test)	$21$12$30	$41	$51
HIV Antibody Test	$19$11$27	$188	$235
Holter Monitor (24-48 Hour Heart Monitor)	—	$105	$131
Home Sleep Study	$475	$143	$179
Individual Therapy Session (45 Minutes)	$475	$148	$185
Inguinal Hernia Repair (Open)	$11,557	$777	$971
Initial Hospital Admission (Level 1)	—	$145	$181
Initial Psychiatric Diagnostic Evaluation	$475	$257	$321
Initial Psychiatric Evaluation with Medication Management	$475	$287	$359
Intensity-modulated Radiation Therapy (IMRT) Treatment	$1,868	—	—
IUD Insertion	—	$166	$208
IUD Removal	$953	$165	$206
Knee Arthroscopy with Meniscectomy	$9,713	$960	$1,200
Laparoscopic Appendectomy	$17,007	$894	$1,117
Laparoscopic Gallbladder Removal	$17,007	$981	$1,226
Laparoscopic Tubal Ligation	$17,007	$962	$1,202
Lipid Panel (Cholesterol Test)	$29$17$41	$90	$113
Lumbar Epidural Steroid Injection	$2,102	$505	$632
Lumbar Puncture (Spinal Tap)	$2,102	$225	$281
Lumbar Spinal Fusion (Posterior)	$71,452	—	—
Lumpectomy (Partial Mastectomy)	$11,218	$979	$1,224
MRI Abdomen with and without Contrast	$1,202	$2,934	$3,667
MRI Brain with and without Contrast	$1,202	$2,817	$3,521
MRI Brain with Contrast	$1,202	$2,014	$2,518
MRI Brain without Contrast	$762	$1,764	$2,205
MRI Cervical Spine (Neck) without Contrast	$762	$1,691	$2,114
MRI Knee without Contrast	$762	$1,724	$2,155
MRI Lower Back (Lumbar Spine) without Contrast	$762	$1,957	$2,446
MRI Thoracic Spine (Mid-back) without Contrast	$762	$1,822	$2,277
Newborn Circumcision	$6,053	$220	$276
Nuclear Cardiac Stress Test	$4,331	$627	$784
Office Visit, Established Patient (Level 3)	—	$134	$168
Office Visit, New Patient (Level 3)	—	$165	$207
Pacemaker Insertion (Dual Chamber)	$33,703	—	—
PET/CT Scan, Whole Body	$4,860	—	—
Pregnancy Ultrasound (Second or Third Trimester)	$349	$200	$250
Prostate Biopsy	$6,053	$358	$448
PSA Prostate Cancer Screening	$40$23$57	$151	$189
Pulmonary Function Test with Bronchodilator	$914	$58	$73
Rotator Cuff Repair (Arthroscopic)	$21,584	$1,574	$1,967
Screening Mammogram	—	$283	$354
Septoplasty (Deviated Septum Repair)	$9,283	$1,008	$1,260
Sinus Surgery (Endoscopic, with Tissue Removal)	$20,189	—	—
Skin Biopsy (Tangential)	$589	$152	$190
Skin Lesion Removal (Benign, up to 0.5 cm)	$4,893	$190	$237
Sleep Study (In-lab Polysomnography)	$3,049	$934	$1,167
Spinal Cord Stimulator Trial	$21,549	—	—
Spirometry (Breathing Test)	$475	$40	$50
Tonsillectomy and Adenoidectomy (Age 12 and Over)	$9,283	$446	$558
Tonsillectomy and Adenoidectomy (Under Age 12)	$17,423	$427	$534
Total Hip Replacement	$42,576	$1,886	$2,358
Total Knee Replacement	$42,576	$1,884	$2,355
Total Mastectomy	$19,393	$1,419	$1,774
TSH Thyroid Function Test	$36$21$52	$105	$131
TURP (Transurethral Prostate Resection)	$15,343	—	—
Upper GI Endoscopy (EGD)	$2,694	$451	$564
Urinalysis with Microscopy	$7$4$10	$55	$69
Vaginal Birth After Cesarean (VBAC) Global Package	—	$3,066	$3,833
Vaginal Delivery (Global Package)	—	$2,909	$3,636
Vaginal Hysterectomy	$15,124	$1,240	$1,550
Vasectomy	$6,053	$497	$621
Vitamin D Blood Test	$64$37$91	$69	$86

Median facility price per procedure. Negotiated shows the median across payers with the full range. Figures as reported in the hospital's file — not a quote.