Providence St. Joseph Medical Center
6 13th Ave E, Polson, MT 59860 · (406) 883-5377
Not rated CMS overall rating
40 procedure prices published
Critical Access Hospitals hospital type
About this hospital Hospital type Critical Access Hospitals Ownership Voluntary Non-Profit - Private Emergency services Yes CMS overall rating Not rated Facility ID (CCN) 271343
Published prices
From this hospital's own machine-readable price file, last updated 2026-04-01. Cash price is the hospital's discounted cash price for self-pay patients. Typical insurance price is the median of the per-plan negotiated rates in the file. List price is the gross charge before any discount.
Procedure Cash price Typical insurance List price Negotiated range MRI Brain Without Contrast $1,764 - $2,205 - MRI Brain With and Without Contrast $2,817 - $3,521 - MRI Lumbar Spine Without Contrast $1,957 - $2,446 - MRI Cervical Spine Without Contrast $1,691 - $2,114 - MRI Knee Without Contrast $1,724 - $2,155 - MRI Shoulder Without Contrast $1,850 - $2,313 - CT Abdomen and Pelvis With Contrast $2,883 - $3,604 - CT Abdomen and Pelvis Without Contrast $2,518 - $3,148 - CT Chest With Contrast $1,622 - $2,027 - CT Head Without Contrast $830 - $1,037 - Screening Mammogram $283 - $354 - Echocardiogram (Complete) $289 - $361 - Abdominal Ultrasound (Complete) $431 - $539 - Pelvic Ultrasound $156 - $195 - Chest X-Ray (2 Views) $231 - $289 - Knee X-Ray (3 Views) $194 - $242 - Comprehensive Metabolic Panel $114 - $142 - Basic Metabolic Panel $85.60 - $107 - Lipid Panel (Cholesterol) $90.40 - $113 - Complete Blood Count (CBC) $64.00 - $80.00 - Hemoglobin A1c $40.80 - $51.00 - TSH (Thyroid) Test $136 - $170 - Vitamin D Test $68.80 - $86.00 - Colonoscopy (Diagnostic) $614 - $768 - Colonoscopy With Biopsy $660 - $825 - Colonoscopy With Polyp Removal $686 - $858 - Upper Endoscopy (EGD) With Biopsy $578 - $722 - Upper Endoscopy (EGD, Diagnostic) $451 - $564 - Gallbladder Removal (Laparoscopic) $981 - $1,226 - Knee Arthroscopy With Meniscus Repair $960 - $1,200 - Inguinal Hernia Repair $777 - $971 - Total Hip Replacement $1,886 - $2,358 - Total Knee Replacement $1,884 - $2,355 - Nuclear Stress Test (MPI) $627 - $784 - Sleep Study (Polysomnography) $934 - $1,167 - Sleep Study With CPAP $1,818 - $2,273 - Physical Therapy Evaluation $92.80 - $116 - Emergency Room Visit, Level 3 $105 - $131 - Emergency Room Visit, Level 4 $177 - $221 - Emergency Room Visit, Level 5 $257 - $321 -
Source file: hospital's machine-readable file . Rates vary by plan; the range covers the lowest and highest negotiated rates in the file.
Full price list
Every standard-coded charge in this hospital's price file: 3,511 items with a CPT, HCPCS or MS-DRG code. Search by code (for example 70551) or by name. Codes link to a comparison across hospitals where one exists.
Code Description Cash price Typical insurance List price Negotiated range