Providence St Luke's Rehabilitation Medical Center
711 S Cowley St, Spokane, WA · Providence · · NPI 1497752091
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $29.28 – $32.21 | 5 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $22.81 – $25.09 | 5 |
| 17-ketosteroids CPT 83586 | not published | not published | $12.80 – $14.08 | 5 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $148.36 – $163.20 | 5 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $3,192.85 – $3,192.85 | 1 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $35.92 – $39.51 | 5 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $148.26 – $163.09 | 5 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $873.56 – $960.91 | 5 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $873.56 – $960.91 | 5 |
| 2nd order venous cath CPT 36012 | not published | not published | $566.81 – $566.81 | 1 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $143.39 – $157.72 | 5 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $143.39 – $157.72 | 5 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $723.14 – $1,696.64 | 5 |
| 3d recon without postprocess indpndt CPT 76376 | not published | not published | $32.11 – $32.11 | 1 |
| 5' nucleotidase - sendout CPT 83915 | not published | not published | $11.15 – $12.26 | 5 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | not published | not published | $64.02 – $64.02 | 1 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $10,128.93 – $10,128.93 | 1 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $44.72 – $49.19 | 5 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $12.01 – $13.21 | 5 |
| Abciximab injection HCPCS J0130 | not published | not published | $3,912.93 – $3,912.93 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | not published | not published | $270.02 – $3,870.37 | 5 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $3,851.09 – $3,851.09 | 1 |
| Abd/low ext cath 1st CPT 36245 | not published | not published | $780.53 – $780.53 | 1 |
| Abd/low ext cath 2nd CPT 36246 | not published | not published | $829.44 – $829.44 | 1 |
| Abd/low ext cath 3rd CPT 36247 | not published | not published | $989.96 – $989.96 | 1 |
| Abd/low ext cath addl CPT 36248 | not published | not published | $161.77 – $161.77 | 1 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $847.35 | $1,210.50 | $195.46 – $215.00 | 5 |
| Abdominal CT scan (with contrast) CPT 74160 | not published | not published | $195.46 – $215.00 | 5 |
| Abdominal CT scan (without contrast) CPT 74150 | $830.34 | $1,186.20 | $116.50 – $128.15 | 5 |
| Abdominal MRI (with and without contrast) CPT 74183 | not published | not published | $369.85 – $427.64 | 5 |
| Abdominal MRI (with contrast) CPT 74182 | not published | not published | $283.97 – $427.64 | 5 |
| Abdominal MRI (without contrast) CPT 74181 | $955.08 | $1,364.40 | $238.31 – $292.47 | 5 |
| Abdominal paracentesis w/image guidance CPT 49083 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Abdominal Ultrasound (complete) CPT 76700 | $706.23 | $1,008.90 | $116.50 – $128.15 | 5 |
| Abdominal Ultrasound (limited) CPT 76705 | $592.20 | $846.00 | $96.31 – $128.15 | 5 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $7,399.43 – $8,139.38 | 5 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Abl1 gene CPT 81170 | not published | not published | $300.00 – $330.00 | 5 |
| Ablate arrhythmia add on CPT 93655 | not published | not published | $1,376.36 – $1,376.36 | 1 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $4,375.18 – $4,375.18 | 1 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $6,251.88 – $6,251.88 | 1 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $2,111.29 – $2,111.29 | 1 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $5,939.54 – $5,939.54 | 1 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $16,813.45 – $21,492.58 | 5 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $8,691.51 – $9,560.66 | 5 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Ablation cardiac vagal inputs atrium CPT 93799 | not published | not published | $143.39 – $157.72 | 5 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $274.87 – $302.36 | 5 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $11,845.30 – $13,029.83 | 5 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $491.62 – $540.78 | 5 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $274.87 – $302.36 | 5 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $342.05 – $376.25 | 5 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.90 – $9.79 | 5 |
| Abortion CPT 59850 | not published | not published | $1,221.13 – $1,221.13 | 1 |
| Abortion (mpr) CPT 59866 | not published | not published | $339.57 – $373.53 | 5 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $56.12 – $56.12 | 1 |
| Abrasion lesion single CPT 15786 | not published | not published | $223.58 – $245.93 | 5 |
| Abscess drain retroperitoneal surg code CPT 49406 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $991.86 – $991.86 | 1 |
| Acetaminophen level CPT 80143 | $295.44 | $422.05 | $18.64 – $20.50 | 5 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | not published | not published | $68.42 – $68.42 | 1 |
| Acetone qualitative CPT 82009 | $119.70 | $171.00 | $4.52 – $4.97 | 5 |
| Acetylcholine receptor modulating antibody CPT 86043 | not published | not published | $12.05 – $13.26 | 5 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $12.29 – $13.52 | 5 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | not published | not published | $3.95 – $3.95 | 1 |
| Acetylcysteine non-comp unit HCPCS J7608 | $26.24 | $37.49 | $16.36 – $16.36 | 1 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $152.82 – $457.41 | 5 |
| Acne surgery 10040 CPT 10040 | not published | not published | $223.58 – $245.93 | 5 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $196.23 – $215.85 | 5 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $141.07 – $155.18 | 5 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $113.21 – $124.53 | 5 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $84.75 – $84.75 | 1 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $197.79 – $217.57 | 5 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $148.36 – $163.20 | 5 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | not published | not published | $41.75 – $45.93 | 5 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $12.58 – $13.84 | 5 |
| Acoustic immitance testing CPT 92570 | not published | not published | $143.39 – $157.72 | 5 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $41.62 – $45.78 | 5 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Actigraphy testing CPT 95803 | not published | not published | $65.74 – $72.31 | 5 |
| Actinotherapy uv light CPT 96900 | not published | not published | $41.62 – $45.78 | 5 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $32.23 – $35.45 | 5 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $32.23 – $35.45 | 5 |
| Acute hepatitis panel CPT 80074 | $382.41 | $546.30 | $47.63 – $52.39 | 5 |
| Acute venous thrombus image CPT 78456 | not published | not published | $159.71 – $1,586.95 | 5 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $193.99 | $277.13 | $0.23 – $0.23 | 1 |
| #acylcarnitineprfl CPT 82017 | not published | not published | $16.87 – $18.56 | 5 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.49 – $18.14 | 5 |
| Adding walker to prev cast CPT 29440 | not published | not published | $181.08 – $199.19 | 5 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $70.66 | $100.94 | $1.95 – $1.95 | 1 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.98 – $13.18 | 5 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $12.87 – $14.16 | 5 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $21.76 – $23.94 | 5 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $2,843.38 – $2,843.38 | 1 |
| Adh-sendout CPT 84588 | not published | not published | $33.94 – $37.33 | 5 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.