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 |
|---|---|---|---|---|
| Warde thyroid stimulating immunoglobulins CPT 84445 | not published | not published | $50.86 – $55.95 | 5 |
| Warde topiramate therapeutic drug level CPT 80201 | not published | not published | $11.92 – $13.11 | 5 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $158.13 | $225.90 | $26.07 – $28.68 | 5 |
| Warde viscosity CPT 85810 | not published | not published | $11.67 – $12.84 | 5 |
| Warde vitamin a CPT 84590 | not published | not published | $11.61 – $12.77 | 5 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $141.75 | $202.50 | $21.23 – $23.35 | 5 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $114.66 | $163.80 | $28.10 – $30.91 | 5 |
| Warde vitamin c (ascorbic acid) CPT 82180 | not published | not published | $9.89 – $10.88 | 5 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $324.45 | $463.50 | $38.50 – $42.35 | 5 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | not published | not published | $14.18 – $15.60 | 5 |
| Warde zinc CPT 84630 | $175.77 | $251.10 | $11.39 – $12.53 | 5 |
| Warfarin respon genetic test HCPCS G9143 | not published | not published | $533.20 – $533.20 | 1 |
| Wash harvest stem cells CPT 38209 | not published | not published | $491.62 – $540.78 | 5 |
| Water distilled w/nebulizer HCPCS A7018 | not published | not published | $0.97 – $0.97 | 1 |
| Wbc automated CPT 85048 | $44.10 | $63.00 | $2.54 – $2.79 | 5 |
| Wcd device interrogate CPT 93292 | not published | not published | $35.90 – $45.75 | 5 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | not published | $2,726.99 – $2,726.99 | 1 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $8,263.35 – $9,089.68 | 5 |
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $501.52 – $501.52 | 1 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $501.52 – $501.52 | 1 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $2,996.05 – $2,996.05 | 1 |
| Wedging of cast CPT 29740 | not published | not published | $311.67 – $342.84 | 5 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $311.67 – $342.84 | 5 |
| Western blot test CPT 84181 | not published | not published | $17.03 – $18.73 | 5 |
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $18.54 – $20.39 | 5 |
| Whfo electric custom fitted HCPCS L3904 | not published | not published | $3,292.96 – $3,622.26 | 5 |
| Whfo nontorsion joint prefab HCPCS L3931 | not published | not published | $210.31 – $231.34 | 5 |
| Whfo w/joint(s) custom fab HCPCS L3806 | not published | not published | $495.89 – $545.48 | 5 |
| Whole blood for transfusion HCPCS P9010 | $1,548.40 | $2,212.00 | $189.84 – $208.82 | 5 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $509.12 | $727.32 | $265.19 – $291.71 | 5 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $514.50 | $735.00 | $151.58 – $166.74 | 5 |
| Whole body photography CPT 96904 | not published | not published | $206.47 – $206.47 | 1 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $1,287.00 – $1,415.70 | 5 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $936.00 – $1,029.60 | 5 |
| Who nontorsion jnts pre cst HCPCS L3915 | not published | not published | $580.28 – $638.31 | 5 |
| Who nontorsion jnts pre ots HCPCS L3916 | not published | not published | $580.28 – $638.31 | 5 |
| Wilate injection HCPCS J7183 | not published | not published | $1.32 – $1.45 | 5 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | not published | not published | $0.87 – $0.87 | 1 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | not published | not published | $295.79 – $295.79 | 1 |
| Woman's shoe oxford brace HCPCS L3224 | not published | not published | $67.57 – $74.33 | 5 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $90.74 – $90.74 | 1 |
| Wound pouch each HCPCS A6154 | not published | not published | $51.49 – $51.49 | 1 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $365.40 | $522.00 | $453.00 – $498.30 | 5 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $365.40 | $522.00 | $453.00 – $498.30 | 5 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $230.58 | $329.40 | $223.58 – $245.93 | 5 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $405.72 | $579.60 | $453.00 – $498.30 | 5 |
| Wrist arthroscopy CPT 29840 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $2,205.31 – $2,425.84 | 5 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $1,752.48 – $1,927.73 | 5 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Wrist X-ray CPT 73110 | $552.51 | $789.30 | $28.62 – $106.67 | 5 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $2,657.94 – $2,923.73 | 5 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $2,571.71 – $2,828.88 | 5 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $1,005.40 | 5 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $914.00 – $1,005.40 | 5 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $32.23 – $35.45 | 5 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $1,088.43 – $1,088.43 | 1 |
| X-ray abdomen 1 view CPT 74018 | $219.24 | $313.20 | not published | 0 |
| X-ray abdomen 2 views CPT 74019 | $267.12 | $381.60 | not published | 0 |
| X-ray abdomen >=3 views CPT 74021 | $421.47 | $602.10 | not published | 0 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $723.24 | $1,033.20 | $52.61 – $128.15 | 5 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | not published | not published | $34.46 – $106.67 | 5 |
| X-ray ankle 2 views (both sides) CPT 73600 | $81.90 | $117.00 | $27.47 – $106.67 | 5 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | not published | not published | $89.38 – $427.64 | 5 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $13.77 | 5 |
| X-ray bone age studies CPT 77072 | not published | not published | $30.94 – $128.15 | 5 |
| X-ray bone length studies CPT 77073 | not published | not published | $46.85 – $128.15 | 5 |
| X-ray bone survey complete CPT 77075 | $1,117.62 | $1,596.60 | $88.20 – $128.15 | 5 |
| X-ray bone survey infant CPT 77076 | not published | not published | $114.50 – $128.15 | 5 |
| X-ray cervical spine 2-3 views CPT 72040 | $127.26 | $181.80 | $36.74 – $106.67 | 5 |
| X-ray cervical spine 4-5 views CPT 72050 | $176.40 | $252.00 | $51.46 – $128.15 | 5 |
| X-ray cervical spine >= 6 views CPT 72052 | $287.28 | $410.40 | $59.57 – $128.15 | 5 |
| X-ray clavicle complete (both sides) CPT 73000 | $145.53 | $207.90 | $27.47 – $106.67 | 5 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | not published | not published | $113.34 – $215.00 | 5 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | not published | not published | $162.48 – $215.00 | 5 |
| X-ray elbow 2 views (both sides) CPT 73070 | $185.85 | $265.50 | $26.34 – $106.67 | 5 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $373.59 | $533.70 | $28.62 – $106.67 | 5 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $1,102.79 – $1,102.79 | 1 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $946.78 – $946.78 | 1 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $635.67 | $908.10 | $75.44 – $215.00 | 5 |
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $57.25 – $128.15 | 5 |
| X-ray exam entire spi 6/> vw CPT 72084 | not published | not published | $66.52 – $128.15 | 5 |
| X-ray exam of arm infant CPT 73092 | not published | not published | $26.30 – $128.15 | 5 |
| X-ray exam of eye sockets CPT 70200 | not published | not published | $46.05 – $128.15 | 5 |
| X-ray exam of femur 1 CPT 73551 | not published | not published | $27.47 – $106.67 | 5 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $29.79 – $106.67 | 5 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $101.07 – $292.47 | 5 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $29.79 – $128.15 | 5 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $57.64 – $669.78 | 5 |
| X-ray exam of penis CPT 74445 | not published | not published | $116.50 – $128.15 | 5 |
| X-ray exam of perineum CPT 74775 | not published | not published | $101.76 – $292.47 | 5 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $29.82 – $106.67 | 5 |
| X-ray exam of sinuses CPT 70210 | not published | not published | $28.62 – $106.67 | 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.