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 |
|---|---|---|---|---|
| Unlisted px casting/strpg CPT 29799 | not published | not published | $181.08 – $199.19 | 5 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $353.70 – $389.07 | 5 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $789.10 – $868.01 | 5 |
| Unlisted px external ear CPT 69399 | not published | not published | $263.93 – $290.33 | 5 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $353.70 – $389.07 | 5 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $274.87 – $302.36 | 5 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $274.87 – $302.36 | 5 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $274.87 – $302.36 | 5 |
| Unlisted px inner ear CPT 69949 | not published | not published | $263.93 – $290.33 | 5 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $353.70 – $389.07 | 5 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $274.87 – $302.36 | 5 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $278.42 – $306.26 | 5 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $149.78 – $164.76 | 5 |
| Unlisted px middle ear CPT 69799 | not published | not published | $263.93 – $290.33 | 5 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $263.93 – $290.33 | 5 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $263.93 – $290.33 | 5 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $274.87 – $302.36 | 5 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,571.71 – $2,828.88 | 5 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $263.93 – $290.33 | 5 |
| Unlisted px small intestine CPT 44799 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $263.93 – $290.33 | 5 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $149.78 – $164.76 | 5 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $263.93 – $290.33 | 5 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $263.93 – $290.33 | 5 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $58.07 – $63.88 | 5 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $445.48 – $490.03 | 5 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $223.58 – $245.93 | 5 |
| Unlisted surgical path px CPT 88399 | not published | not published | $58.07 – $63.88 | 5 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $32.23 – $35.45 | 5 |
| Unlisted ultrasound procedure CPT 76999 | $664.02 | $948.60 | $96.98 – $106.67 | 5 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $699.03 – $768.93 | 5 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $445.48 – $490.03 | 5 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,685.88 | $2,408.40 | $764.79 – $841.27 | 5 |
| Upgrade pm system CPT 33214 | not published | not published | $11,647.12 – $12,811.83 | 5 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | not published | not published | $374.48 – $427.64 | 5 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | not published | not published | $292.09 – $427.64 | 5 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,854.72 | $2,649.60 | $242.60 – $292.47 | 5 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $419.78 – $461.76 | 5 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $821.55 – $821.55 | 1 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Urea nitrogen CPT 84520 | $63.00 | $90.00 | $3.95 – $4.35 | 5 |
| Urea nitrogen 24 hour urine CPT 84540 | $34.65 | $49.50 | $5.56 – $6.12 | 5 |
| Urea nitrogen clearance CPT 84545 | $68.67 | $98.10 | $7.20 – $7.92 | 5 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $5.64 | 5 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $656.39 – $656.39 | 1 |
| Ureteral reflux study CPT 78740 | not published | not published | $89.71 – $490.03 | 5 |
| Ureter endoscopy CPT 50970 | not published | not published | $1,769.20 – $4,320.85 | 5 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $5,974.89 – $6,572.38 | 5 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $5,974.89 – $6,572.38 | 5 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,769.20 – $4,320.85 | 5 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $5,974.89 – $6,572.38 | 5 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $5,974.89 – $6,572.38 | 5 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $5,974.89 – $6,572.38 | 5 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $5,974.89 – $6,572.38 | 5 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $3,619.90 – $3,619.90 | 1 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $3,670.45 – $3,670.45 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | not published | not published | $53.77 – $292.47 | 5 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Urethrocystography void s&i CPT 74455 | not published | not published | $53.77 – $292.47 | 5 |
| Uric acid blood CPT 84550 | $53.55 | $76.50 | $4.52 – $4.97 | 5 |
| Uric acid urine CPT 84560 | $34.65 | $49.50 | $5.08 – $5.59 | 5 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $5.17 | 5 |
| Urinalysis microscopic only CPT 81015 | $37.17 | $53.10 | $3.05 – $3.36 | 5 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $2.39 | 5 |
| Urinalysis (with microscopy) CPT 81001 | $6.30 | $9.00 | $3.17 – $3.49 | 5 |
| Urinalysis (without microscopy) CPT 81003 | $68.04 | $97.20 | $2.25 – $2.48 | 5 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $24.34 – $24.34 | 1 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $11.24 – $11.24 | 1 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $21.54 – $21.54 | 1 |
| Urinary reflex study CPT 51792 | not published | not published | $65.74 – $72.31 | 5 |
| Urinary suspensory HCPCS A5105 | not published | not published | $146.15 – $146.15 | 1 |
| Urine Culture Test CPT 87086 | $81.27 | $116.10 | $8.07 – $8.88 | 5 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $23.02 – $163.09 | 5 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $23.34 – $23.34 | 1 |
| Urine pregnancy test CPT 81025 | $143.64 | $205.20 | $8.61 – $9.47 | 5 |
| Urine screen for bacteria CPT 81007 | not published | not published | $11.33 – $32.98 | 5 |
| Urine shunt to intestine CPT 50815 | not published | not published | $4,018.63 – $4,018.63 | 1 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $9.66 – $9.66 | 1 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $427.18 – $427.18 | 1 |
| Urography, antegrade CPT 74425 | not published | not published | $57.25 – $427.64 | 5 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $80.08 – $215.00 | 5 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $846.18 – $846.18 | 1 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,180.41 – $2,398.45 | 5 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $602.97 – $602.97 | 1 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $14,306.71 – $15,737.38 | 5 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $70.66 | $100.94 | not published | 0 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $133.83 | $191.18 | $171.90 – $171.90 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $84.16 – $84.16 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $619.84 | $885.48 | $203.82 – $203.82 | 1 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $84.16 – $84.16 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $553.70 | $791.00 | $157.87 – $157.87 | 1 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $161.70 – $161.70 | 1 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $61.98 – $61.98 | 1 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $57.43 – $57.43 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $68.26 – $68.26 | 1 |
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.