Providence Saint Joseph Health · Polson, MT
28
In-network payers
117
Disclosed rate categories
22
Beds
St. Joseph Hospital is a 22-bed voluntary non-profit - private hospital in Polson, MT, affiliated with Providence Saint Joseph Health. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 117 disclosed rate categories.
CCN (Medicare provider number)
271343
NPI
1821184888
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
22
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services St. Joseph Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 788
$24,921 - $30,201
from 4 insurers · median $26,973
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 807
$11,211 - $12,242
from 4 insurers · median $11,641
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$708 - $3,597
from 4 insurers · median $3,296
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$11,211 - $12,242
from 4 insurers · median $11,641
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 45385
$609 - $4,359
from 4 insurers · median $3,751
Typical for a hospital with this service line
CT imaging
CPT 70450
$192 - $967
from 4 insurers · median $643
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$548 - $3,759
from 4 insurers · median $3,312
Typical for a hospital with this service line
Mammography
CPT 77067
$170 - $358
from 4 insurers · median $328
Typical for a hospital with this service line
CT imaging
CPT 74176
$194 - $1,993
from 4 insurers · median $1,109
Typical for a hospital with this service line
CT imaging
CPT 71275
$365 - $2,013
from 4 insurers · median $1,363
Typical for a hospital with this service line
Gynecology
CPT 58571
$7,020 - $26,867
from 3 insurers · median $15,934
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$449 - $3,465
from 4 insurers · median $1,884
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$9,820 - $14,559
from 3 insurers · median $10,997
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$495 - $3,669
from 4 insurers · median $3,540
Typical for a hospital with this service line
MRI imaging
CPT 70553
$431 - $3,597
from 4 insurers · median $1,665
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$232 - $1,256
from 4 insurers · median $695
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$38 - $231
from 4 insurers · median $167
Typical for a hospital with this service line
Gynecology
CPT 58661
$10,997 - $14,559
from 3 insurers · median $11,878
Typical for a hospital with this service line
Gynecology
CPT 58662
$10,997 - $15,607
from 3 insurers · median $14,559
Typical for a hospital with this service line
MRI imaging
CPT 73721
$320 - $1,988
from 4 insurers · median $1,645
Typical for a hospital with this service line
Gynecology
CPT 58558
$1,384 - $9,772
from 4 insurers · median $6,623
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$16,046 - $20,036
from 3 insurers · median $18,920
Typical for a hospital with this service line
MRI imaging
CPT 70551
$256 - $1,897
from 4 insurers · median $989
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$13,597 - $18,920
from 3 insurers · median $16,046
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 357% | 5 | 4 |
| Insurer B* | 24 | 307% | 0 | 0 |
| Insurer C* | 24 | 236% | 1 | 10 |
| Insurer D* | 18 | 80% | 0 | 0 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for St. Joseph Hospital.
6 Thirteenth Avenue East, Polson, MT 59860
(406) 883-5377
The nearest hospitals of similar type and size. Their rates are compared with St. Joseph Hospital for the same insurers and services above.
St Luke Community Hospital
▼ Rates typically 8% lower than St. Joseph Hospital (17 services)
Clark Fork Valley Hospital
▲ Rates typically 24% higher than St. Joseph Hospital (18 services)
Mineral Community Hospital
▲ Rates typically 23% higher than St. Joseph Hospital (14 services)
Logan Health - Whitefish
▲ Rates typically 14% higher than St. Joseph Hospital (21 services)
Cabinet Peaks Medical Center
Rates about the same as St. Joseph Hospital (13 services)
Benefis Teton Medical Center
Too few shared services to compare rates
Livingston Healthcare
Logan Health - Shelby
Logan Health - Cut Bank
Wheatland Memorial Healthcare
About St. Joseph Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St. Joseph Hospital range from $431 to $3,597 across 4 insurers. Cigna's rate is $431. The median at nearby comparable hospitals is $2,703. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St. Joseph Hospital range from $708 to $3,597 across 4 insurers. Aetna's rate is $3,267. The median at nearby comparable hospitals is $2,828. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at St. Joseph Hospital range from $609 to $4,359 across 4 insurers. Blue Cross Blue Shield's rate is $3,743. The median at nearby comparable hospitals is $799. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at St. Joseph Hospital range from $24,921 to $30,201 across 4 insurers. Blue Cross Blue Shield's rate is $30,201. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Joseph Hospital range from $170 to $358 across 4 insurers. Cigna's rate is $170. The median at nearby comparable hospitals is $335. What a patient pays depends on their plan's deductible, coinsurance and network status.
St. Joseph Hospital has 22 beds. Facility type: Critical Access Hospital.
St. Joseph Hospital is located at 6 Thirteenth Avenue East, Polson, MT 59860. Its main phone number is (406) 883-5377.
St. Joseph Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 271343.
The National Provider Identifier (NPI) on file for St. Joseph Hospital is 1821184888.
St. Joseph Hospital is affiliated with Providence Saint Joseph Health.
St. Joseph Hospital lists 28 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
117 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers