Providence St. Joseph Medical Center
Polson, MT · Critical Access Hospital
Posts prices for 61 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-04.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $771.20 | $964 | 0.2× |
| Shoulder arthroscopy with decompression (29826) | $253.60 | $317 | — |
| Knee arthroscopy with meniscectomy (29881) | $960 | $1,200 | 0.3× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) likely a partial charge, not the full procedure |
$427.20 | $534 | 0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) | $451.20 | $564 | 0.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $577.60 | $722 | 0.6× |
| Diagnostic colonoscopy (45378) range across 2 matching MRF lines |
$512–$614.40 | $640–$768 | varies |
| Colonoscopy with biopsy (45380) | $660 | $825 | 0.5× |
| Colonoscopy with lesion removal (45385) | $686.40 | $858 | 0.6× |
| Laparoscopic gallbladder removal (47562) likely a partial charge, not the full procedure |
$980.80 | $1,226 | 0.2× |
| Inguinal hernia repair (age 5+) (49505) | $776.80 | $971 | 0.2× |
| Obstetric care, vaginal delivery (global) (59400) | $2,908.80 | $3,636 | — |
| Obstetric care, cesarean delivery (global) (59510) | $3,296.80 | $4,121 | — |
| Obstetric care, VBAC delivery (global) (59610) | $3,066.40 | $3,833 | — |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $196 | $245 | 0.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $362.40 | $453 | 0.4× |
| CT head/brain without contrast (70450) | $829.60 | $1,037 | 7.8× |
| MRI brain without contrast (70551) | $1,764 | $2,205 | 7.2× |
| MRI brain with contrast (70552) | $2,014.40 | $2,518 | 5.7× |
| MRI brain without and with contrast (70553) | $2,816.80 | $3,521 | 7.9× |
| X-ray lower spine, 4+ views (72110) | $330.40 | $413 | 3.1× |
| MRI lumbar spine without contrast (72148) | $1,956.80 | $2,446 | 8.0× |
| CT pelvis with contrast (72193) | $1,429.60 | $1,787 | 8.0× |
| MRI lower-extremity joint without contrast (73721) | $1,724 | $2,155 | 7.1× |
| CT abdomen and pelvis with contrast (74177) | $2,883.20 | $3,604 | 8.1× |
| Ultrasound, abdomen complete (76700) | $431.20 | $539 | 4.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $200 | $250 | 1.9× |
| Ultrasound, transvaginal (76830) | $175.20 | $219 | 1.6× |
| Mammography, one breast (diagnostic) (77065) | $246.40 | $308 | 2.9× |
| Mammography, both breasts (diagnostic) (77066) | $314.40 | $393 | 2.8× |
| Mammography, screening (bilateral) (77067) | $283.20 | $354 | 3.1× |
| Basic metabolic panel (80048) | $85.60 | $107 | 10.1× |
| Comprehensive metabolic panel (80053) | $113.60 | $142 | 10.8× |
| Obstetric panel (80055) | $325.60 | $407 | 6.8× |
| Lipid panel (80061) | $90.40 | $113 | 6.8× |
| Renal function panel (80069) | $88.80 | $111 | 10.2× |
| Hepatic function panel (80076) | $76.80 | $96 | 9.4× |
| Urinalysis, non-automated, with microscopy (81000) | $19.20 | $24 | 4.8× |
| Urinalysis, non-automated, without microscopy (81002) | $7.20 | $9 | 2.1× |
| PSA, total (84153) range across 3 matching MRF lines |
$143.20–$158.40 | $179–$198 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 5 matching MRF lines |
$73.60–$136 | $92–$170 | varies |
| CBC with automated differential (85025) range across 4 matching MRF lines |
$40.80–$103.20 | $51–$129 | varies |
| CBC, automated (85027) | $62.40 | $78 | 9.6× |
| Prothrombin time (PT) (85610) range across 13 matching MRF lines |
$13.60–$114.40 | $17–$143 | varies |
| Partial thromboplastin time (PTT) (85730) range across 9 matching MRF lines |
$13.60–$114.40 | $17–$143 | varies |
| Psychotherapy, 30 minutes (90832) | $112 | $140 | 0.6× |
| Psychotherapy, 45 minutes (90834) | $148 | $185 | 0.8× |
| Psychotherapy, 60 minutes (90837) | $216.80 | $271 | 1.2× |
| Family psychotherapy, without patient (50 min) (90846) | $141.60 | $177 | 0.8× |
| Family psychotherapy, with patient (50 min) (90847) range across 3 matching MRF lines |
$146.40–$158.40 | $183–$198 | varies |
| Group psychotherapy (90853) | $39.20 | $49 | 0.4× |
| Electrocardiogram (ECG), complete (93000) | $21.60 | $27 | 0.4× |
| Sleep study (attended polysomnography) (95810) | $933.60 | $1,167 | 1.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $68 | $85 | 2.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$163.20–$167.20 | $204–$209 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 2 matching MRF lines |
$243.20–$251.20 | $304–$314 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 2 matching MRF lines |
$321.60–$331.20 | $402–$414 | varies |
| Office consultation (low complexity, ~30 min) (99243) range across 2 matching MRF lines |
$168–$174.40 | $210–$218 | varies |
| Office consultation (moderate complexity, ~40 min) (99244) range across 2 matching MRF lines |
$239.20–$260 | $299–$325 | varies |
| Preventive visit, new patient (age 18–39) (99385) range across 3 matching MRF lines |
$191.20–$193.60 | $239–$242 | varies |
| Preventive visit, new patient (age 40–64) (99386) range across 3 matching MRF lines |
$220.80–$223.20 | $276–$279 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 249 codes with posted prices and Medicare benchmarks
- Lab & pathology: 755 codes with posted prices and Medicare benchmarks
- Visits & medical services: 264 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 1207 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 51 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 10.7 MB) ↓ — captured 2026-09-04
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.