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 |
|---|---|---|---|---|
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $22.54 | $32.20 | $61.29 – $61.29 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $30.28 – $30.28 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $149.13 – $149.13 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $283.37 | $404.81 | not published | 0 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $1,448.60 | $2,069.43 | not published | 0 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $206.21 | $294.58 | not published | 0 |
| Vaccine mmr live subcutaneous CPT 90707 | $172.66 | $246.65 | not published | 0 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $318.30 – $318.30 | 1 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $620.30 – $620.30 | 1 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $608.10 | $868.71 | not published | 0 |
| Vaccine rabies im CPT 90675 | not published | not published | $315.22 – $346.74 | 5 |
| Vaccine tdap >=7 years im CPT 90715 | not published | not published | $101.97 – $101.97 | 1 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $71.07 – $71.07 | 1 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $264.57 – $264.57 | 1 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $148.02 – $148.02 | 1 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $562.64 – $618.90 | 5 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $220.87 – $242.96 | 5 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $5,020.16 – $5,522.18 | 5 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $5,574.45 – $6,131.90 | 5 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $5,574.45 – $6,131.90 | 5 |
| Vag hyst including t/o CPT 58262 | not published | not published | $5,574.45 – $6,131.90 | 5 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $8,263.35 – $9,089.68 | 5 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $5,574.45 – $6,131.90 | 5 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $5,574.45 – $6,131.90 | 5 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $4,386.71 – $4,386.71 | 1 |
| Vaginal bx CPT 58999 | not published | not published | $225.29 – $247.82 | 5 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $6,720.37 – $6,720.37 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $5,574.45 – $6,131.90 | 5 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $1,640.30 – $1,804.33 | 5 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $5,224.68 – $5,224.68 | 1 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $2,881.29 – $2,881.29 | 1 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $362.54 – $362.54 | 1 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $3,852.41 – $3,852.41 | 1 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $3,796.87 – $3,796.87 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $65.52 | $93.60 | $13.54 – $14.89 | 5 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,270.52 – $1,397.58 | 5 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $6,342.36 – $6,976.60 | 5 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $6,155.54 – $6,155.54 | 1 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $7,293.98 – $7,293.98 | 1 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $12,864.20 – $14,150.62 | 5 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $12,864.20 – $14,150.62 | 5 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $9,938.30 – $9,938.30 | 1 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $7,858.67 – $7,858.67 | 1 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $204.01 | $291.44 | not published | 0 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $432.28 | $617.54 | not published | 0 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $8.87 – $8.87 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | $77.49 | $110.70 | $13.54 – $14.89 | 5 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $35.09 – $38.60 | 5 |
| Vantas implant HCPCS J9225 | not published | not published | $10,574.88 – $10,574.88 | 1 |
| Variable concentration mask HCPCS A4620 | not published | not published | $2.26 – $2.26 | 1 |
| Varicella zoster antibody igg CPT 86787 | not published | not published | $12.88 – $14.17 | 5 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,363.25 – $2,599.57 | 5 |
| Varus/valgus strap padded/li HCPCS L2270 | not published | not published | $82.28 – $90.51 | 5 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Vasectomy CPT 55250 | not published | not published | $2,329.41 – $2,562.35 | 5 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $7,051.45 – $7,051.45 | 1 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $3,654.54 – $3,654.54 | 1 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $20.98 – $23.08 | 5 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $415.83 – $457.41 | 5 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $956.93 – $1,052.63 | 5 |
| Veeg intrmnt 2-12 hrs CPT 95712 | not published | not published | $415.83 – $457.41 | 5 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $415.83 – $457.41 | 5 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $4,694.98 – $4,694.98 | 1 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $5,440.51 – $5,440.51 | 1 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $4,440.76 – $4,440.76 | 1 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $5,415.88 – $5,415.88 | 1 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $188.01 – $3,870.37 | 5 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $237.50 – $237.50 | 1 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $117.59 – $768.93 | 5 |
| Vein x-ray kidney CPT 75831 | not published | not published | $178.32 – $3,870.37 | 5 |
| Vein x-ray liver CPT 75891 | not published | not published | $181.80 – $3,870.37 | 5 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $221.96 – $3,870.37 | 5 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $178.29 – $3,870.37 | 5 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $224.28 – $3,870.37 | 5 |
| Vein x-ray skull CPT 75870 | not published | not published | $187.66 – $3,870.37 | 5 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $184.92 – $768.93 | 5 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $188.01 – $3,870.37 | 5 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $388.16 – $426.97 | 5 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $143.39 – $157.72 | 5 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $143.39 – $157.72 | 5 |
| Ven blood coll snf/hha HCPCS G0471 | not published | not published | $11.34 – $12.47 | 5 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | not published | not published | $30.59 – $30.59 | 1 |
| Venipuncture <3 yrs other vein CPT 36406 | not published | not published | $29.43 – $29.43 | 1 |
| Venogram ext bil s&i CPT 75822 | not published | not published | $169.47 – $1,929.57 | 5 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | not published | not published | $112.60 – $1,929.57 | 5 |
| Venous mech thrombectomy CPT 37187 | not published | not published | $12,636.19 – $14,150.62 | 5 |
| Venous m-thrombectomy add-on CPT 37188 | not published | not published | $3,518.52 – $3,870.37 | 5 |
| Venous sampling s&i CPT 75893 | not published | not published | $88.20 – $6,820.83 | 5 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $121.81 – $665.56 | 5 |
| Ven thrombosis images bilat CPT 78458 | not published | not published | $147.80 – $490.03 | 5 |
| Ventilator each subsequent day CPT 94003 | $1,458.66 | $2,083.80 | $688.43 – $757.27 | 5 |
| Ventilator initial day CPT 94002 | $1,566.53 | $2,237.90 | $688.43 – $757.27 | 5 |
| Vent mgmt nf per day CPT 94004 | not published | not published | $159.39 – $159.39 | 1 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | not published | not published | $985.61 – $1,084.17 | 5 |
| Ventriculomyotomy/ihss 33416 CPT 33416 | not published | not published | $6,533.57 – $6,533.57 | 1 |
| Version cephalic external CPT 59412 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Vertebral corpectomy partial/complete 63082 CPT 63082 | not published | not published | $856.01 – $856.01 | 1 |
| Verteporfin injection HCPCS J3396 | not published | not published | $11.57 – $12.73 | 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.