Supplies, drugs & other prices at Providence St. Joseph Medical Center
Polson, MT · every code in this section with a posted price and a Medicare benchmark.
51 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,011.20 | $1,264 | 1.3× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,011.20 | $1,264 | 1.3× |
| 2d tte w or w/o fol w/con,fu (C8924) | $656.80 | $821 | 1.8× |
| Adm of soc dtr assess 5-15 m (G0136) | $28.80 | $36 | 0.8× |
| Alcohol/sub misuse assess (G2011) | $24.80 | $31 | 0.8× |
| Alcohol/subs interv >30 min (G0397) | $99.20 | $124 | 0.5× |
| Annual alcohol screen 15 min (G0442) range across 2 matching MRF lines |
$26.40–$28 | $33–$35 | varies |
| Behavior counsel obesity 15m (G0447) | $48.80 | $61 | 0.5× |
| Brief alcohol misuse counsel (G0443) | $48.80 | $61 | 0.5× |
| Ca screen;flexi sigmoidscope (G0104) | $281.60 | $352 | 0.3× |
| Ca screen;pelvic/breast exam (G0101) range across 2 matching MRF lines |
$57.60–$58.40 | $72–$73 | varies |
| Catheterize for urine spec (P9612) | $29.60 | $37 | 3.2× |
| Colon ca scrn not hi rsk ind (G0121) | $512.80 | $641 | 0.5× |
| Colorectal scrn; hi risk ind (G0105) | $512 | $640 | 0.5× |
| Depression screen annual (G0444) range across 2 matching MRF lines |
$26.40–$27.20 | $33–$34 | varies |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) | $1,049.60 | $1,312 | 1.4× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) | $1,049.60 | $1,312 | 1.4× |
| Diab manage trn per indiv (G0108) | $81.60 | $102 | 1.5× |
| Diab manage trn ind/group (G0109) | $24 | $30 | 1.5× |
| Direct refer hospital observ (G0379) | $450.40 | $563 | 0.7× |
| Drug test def 1-7 classes (G0480) | $120.80 | $151 | 1.1× |
| Drug test def 15-21 classes (G0482) | $316 | $395 | 1.6× |
| Drug test def 22+ classes (G0483) | $409.60 | $512 | 1.7× |
| Drug test def 8-14 classes (G0481) | $140 | $175 | 0.9× |
| Ed svc ckd ind per session (G0420) | $160.80 | $201 | 1.4× |
| Ekg tracing for initial prev (G0404) | $9.60 | $12 | 0.3× |
| Elec stim other than wound (G0283) | $80 | $100 | 6.3× |
| Followup eval of foot pt lop (G0246) | $57.60 | $72 | 0.4× |
| High inten beh couns std 30m (G0445) | $48.80 | $61 | 0.5× |
| Hospital outpt clinic visit (G0463) | $120 | $150 | 0.9× |
| Initial foot exam pt lops (G0245) | $96 | $120 | 0.7× |
| Initial preventive exam (G0402) range across 2 matching MRF lines |
$243.20–$247.20 | $304–$309 | varies |
| Intens behave ther cardio dx (G0446) | $48.80 | $61 | 1.3× |
| Obtaining screen pap smear (Q0091) | $63.20 | $79 | 2.1× |
| Oth resp proc, group (G0239) | $66.40 | $83 | 1.7× |
| Oth resp proc, indiv (G0238) | $66.40 | $83 | 2.2× |
| Ppps, initial visit (G0438) range across 2 matching MRF lines |
$243.20–$246.40 | $304–$308 | varies |
| Ppps, subseq visit (G0439) range across 2 matching MRF lines |
$190.40–$194.40 | $238–$243 | varies |
| Prostate biopsy, any mthd (G0416) | $259.20 | $324 | 0.7× |
| Routine footcare pt w lops (G0247) | $124 | $155 | 0.6× |
| Tee w or w/o fol w/cont,cong (C8926) | $1,011.20 | $1,264 | 1.3× |
| Therapeutic procd strg endur (G0237) | $66.40 | $83 | 2.2× |
| Tomosynthesis, mammo (G0279) | $62.40 | $78 | 4.9× |
| Trauma respons w/hosp criti (G0390) | $961.60 | $1,202 | 0.7× |
| Trim nail(s) (G0127) | $34.40 | $43 | 0.6× |
| Tte w or w/o contr, cont ecg (C8930) | $1,011.20 | $1,264 | 1.3× |
| Tte w or w/o fol w/con,stres (C8928) | $1,011.20 | $1,264 | 1.3× |
| Tte w or w/o fol w/cont, com (C8921) | $1,011.20 | $1,264 | 1.3× |
| Tte w or w/o fol w/cont, f/u (C8922) | $1,011.20 | $1,264 | 1.3× |
| Tte w or wo fol wcon,doppler (C8929) | $1,011.20 | $1,264 | 1.3× |
| Visit to determ ldct elig (G0296) range across 2 matching MRF lines |
$41.60–$42.40 | $52–$53 | 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.