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 |
|---|---|---|---|---|
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $240.61 – $264.67 | 5 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $601.00 – $661.10 | 5 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $192.29 | 5 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.25 – $212.58 | 5 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $4.02 – $4.42 | 5 |
| Ue triple control harness HCPCS L6677 | not published | not published | $356.52 – $392.17 | 5 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $234.00 – $257.40 | 5 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | not published | not published | $90.55 – $128.15 | 5 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $8.92 – $128.15 | 5 |
| Ultrasound breast complete CPT 76641 | not published | not published | $116.50 – $128.15 | 5 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | not published | not published | $96.98 – $106.67 | 5 |
| Ultrasound chest CPT 76604 | not published | not published | $88.20 – $128.15 | 5 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | not published | not published | $74.55 – $128.15 | 5 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $116.50 – $128.15 | 5 |
| Ultrasound encephalogram CPT 76506 | not published | not published | $104.88 – $128.15 | 5 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $63.05 – $63.05 | 1 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $671.58 | $959.40 | $116.50 – $128.15 | 5 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | not published | not published | $116.50 – $128.15 | 5 |
| Ultrasound guidance for vascular access CPT 76937 | not published | not published | $46.79 – $46.79 | 1 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | not published | not published | $92.09 – $92.09 | 1 |
| Ultrasound guide intraoperative CPT 76998 | not published | not published | $201.83 – $201.83 | 1 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $332.98 – $332.98 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | not published | not published | $96.98 – $106.67 | 5 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $96.98 – $106.67 | 5 |
| Ultrasound joint complete left CPT 76881 | $371.70 | $531.00 | $103.30 – $128.15 | 5 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $275.94 | $394.20 | $37.10 – $128.15 | 5 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | not published | not published | $144.00 – $144.00 | 1 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | not published | not published | $73.74 – $73.74 | 1 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $265.88 – $292.47 | 5 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | not published | not published | $116.50 – $128.15 | 5 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | not published | not published | $107.58 – $128.15 | 5 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | not published | not published | $116.50 – $128.15 | 5 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $109.42 – $128.15 | 5 |
| Ultrasound retroperitoneal limited CPT 76775 | not published | not published | $93.99 – $128.15 | 5 |
| Ultrasound scrotum and contents CPT 76870 | $840.42 | $1,200.60 | $105.23 – $128.15 | 5 |
| Ultrasound spinal canal and contents CPT 76800 | not published | not published | $116.50 – $128.15 | 5 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $301.55 – $301.55 | 1 |
| Ultrasound transvaginal non obstetric CPT 76830 | not published | not published | $113.34 – $128.15 | 5 |
| Ultraviolet therapy CPT 97028 | not published | not published | $9.64 – $10.60 | 5 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $240.11 – $240.11 | 1 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $339.57 – $373.53 | 5 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $14,389.66 – $15,828.63 | 5 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $32.23 – $35.45 | 5 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $32.23 – $35.45 | 5 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $52.18 – $57.40 | 5 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $263.93 – $290.33 | 5 |
| Unlisted CT procedure CPT 76497 | not published | not published | $96.98 – $106.67 | 5 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $445.48 – $490.03 | 5 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $58.07 – $63.88 | 5 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $58.07 – $63.88 | 5 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $143.39 – $157.72 | 5 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $445.48 – $490.03 | 5 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $225.29 – $247.82 | 5 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $96.98 – $106.67 | 5 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $445.48 – $490.03 | 5 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $445.48 – $490.03 | 5 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $225.29 – $247.82 | 5 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Unlisted laps px renal CPT 50549 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Unlisted laps px testis CPT 54699 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $263.93 – $290.33 | 5 |
| Unlisted misc path test CPT 89240 | not published | not published | $58.07 – $63.88 | 5 |
| Unlisted mr procedure CPT 76498 | not published | not published | $96.98 – $106.67 | 5 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $445.48 – $490.03 | 5 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $263.93 – $290.33 | 5 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $143.39 – $157.72 | 5 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $445.48 – $490.03 | 5 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $32.23 – $35.45 | 5 |
| Unlisted orl service/px CPT 92700 | not published | not published | $32.23 – $35.45 | 5 |
| Unlisted procedure colon CPT 45399 | not published | not published | $1,036.29 – $1,139.92 | 5 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $353.70 – $389.07 | 5 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $263.93 – $290.33 | 5 |
| Unlisted procedure liver CPT 47399 | not published | not published | $789.10 – $868.01 | 5 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $353.70 – $389.07 | 5 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $789.10 – $868.01 | 5 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $1,036.29 – $1,139.92 | 5 |
| Unlisted procedure spine CPT 22899 | not published | not published | $274.87 – $302.36 | 5 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $3,076.46 – $3,076.46 | 1 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $41.75 – $45.93 | 5 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $274.87 – $302.36 | 5 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $263.93 – $290.33 | 5 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $2,571.71 – $2,828.88 | 5 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $274.87 – $302.36 | 5 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $1,010.69 – $1,111.76 | 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.