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 |
|---|---|---|---|---|
| X-ray exam of tear duct CPT 70170 | not published | not published | $49.14 – $292.47 | 5 |
| X-ray exam of teeth CPT 70300 | not published | not published | $19.38 – $106.67 | 5 |
| X-ray exam of teeth CPT 70310 | not published | not published | $26.30 – $292.47 | 5 |
| X-ray exam si joints CPT 72200 | not published | not published | $28.62 – $128.15 | 5 |
| X-ray exam thorac spine4/>vw CPT 72074 | $808.92 | $1,155.60 | $35.58 – $128.15 | 5 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $27.47 – $106.67 | 5 |
| X-ray facial bones complete > 3 views CPT 70150 | not published | not published | $43.73 – $128.15 | 5 |
| X-ray fallopian tube CPT 74742 | not published | not published | $99.82 – $99.82 | 1 |
| X-ray femur >=2 views (both sides) CPT 73552 | $590.31 | $843.30 | $30.97 – $106.67 | 5 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $145.53 | $207.90 | $22.83 – $106.67 | 5 |
| X-ray foot 2 views (both sides) CPT 73620 | $145.53 | $207.90 | $25.15 – $106.67 | 5 |
| X-ray forearm 2 views (both sides) CPT 73090 | $641.34 | $916.20 | $27.47 – $106.67 | 5 |
| X-ray hand 2 views (both sides) CPT 73120 | $145.53 | $207.90 | $27.47 – $128.15 | 5 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $31.23 – $106.67 | 5 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | not published | not published | $26.30 – $106.67 | 5 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $620.55 | $886.50 | $46.85 – $128.15 | 5 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $830.34 | $1,186.20 | $37.93 – $128.15 | 5 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $887.04 | $1,267.20 | $49.14 – $128.15 | 5 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | not published | not published | $52.65 – $128.15 | 5 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | not published | not published | $30.97 – $106.67 | 5 |
| X-ray humerus >= 2 views left CPT 73060 | $518.49 | $740.70 | $27.47 – $106.67 | 5 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $52.65 – $128.15 | 5 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $177.66 | $253.80 | $27.47 – $106.67 | 5 |
| X-ray knee 3 views (both sides) CPT 73562 | $185.85 | $265.50 | $30.97 – $106.67 | 5 |
| X-ray knee ap standing bilateral CPT 73565 | not published | not published | $28.65 – $106.67 | 5 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | not published | $26.30 – $106.67 | 5 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | not published | not published | $36.74 – $128.15 | 5 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | not published | not published | $51.46 – $128.15 | 5 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | not published | not published | $53.81 – $128.15 | 5 |
| X-ray male genital tract CPT 74440 | not published | not published | $60.73 – $292.47 | 5 |
| X-ray mandible complete > 4 views CPT 70110 | $272.16 | $388.80 | $41.38 – $128.15 | 5 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $29.79 – $106.67 | 5 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $56.09 – $56.09 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | not published | not published | $28.62 – $106.67 | 5 |
| X-ray neck soft tissue CPT 70360 | $143.01 | $204.30 | $27.47 – $106.67 | 5 |
| X-ray nose to rectum for foreign body child CPT 76010 | not published | not published | $29.79 – $106.67 | 5 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $74.29 – $292.47 | 5 |
| X-ray optic foramina CPT 70190 | not published | not published | $36.77 – $106.67 | 5 |
| X-ray pelvis 1-2 views CPT 72170 | $145.53 | $207.90 | $28.62 – $128.15 | 5 |
| X-ray pelvis complete > 3 views CPT 72190 | $170.10 | $243.00 | $35.61 – $128.15 | 5 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $535.48 – $535.48 | 1 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $631.15 – $631.15 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | not published | not published | $57.61 – $427.64 | 5 |
| X-ray ribs 2 views left CPT 71100 | $175.77 | $251.10 | $36.74 – $106.67 | 5 |
| X-ray ribs 3 views bilateral CPT 71110 | not published | not published | $44.88 – $128.15 | 5 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | not published | not published | $44.50 – $128.15 | 5 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $808.92 | $1,155.60 | $53.81 – $128.15 | 5 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | not published | not published | $30.94 – $128.15 | 5 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | not published | not published | $28.62 – $106.67 | 5 |
| X-ray scapula complete (both sides) CPT 73010 | $578.97 | $827.10 | $29.82 – $128.15 | 5 |
| X-ray sella turcica CPT 70240 | not published | not published | $32.11 – $106.67 | 5 |
| X-ray shoulder 1 view (both sides) CPT 73020 | not published | not published | $26.34 – $106.67 | 5 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | not published | not published | $41.38 – $106.67 | 5 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $85.88 – $669.78 | 5 |
| X-ray skull < 4 views CPT 70250 | $695.80 | $994.00 | $41.41 – $128.15 | 5 |
| X-ray skull > 4 views complete CPT 70260 | not published | not published | $57.29 – $128.15 | 5 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $102.62 – $128.15 | 5 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | not published | not published | $77.76 – $215.00 | 5 |
| X-ray spine single view CPT 72020 | not published | not published | $25.15 – $106.67 | 5 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | not published | not published | $36.74 – $106.67 | 5 |
| X-ray sternum > 2 views CPT 71120 | not published | not published | $33.26 – $106.67 | 5 |
| X-ray surgical specimen CPT 76098 | not published | not published | $26.30 – $669.78 | 5 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $211.68 | $302.40 | $87.03 – $215.00 | 5 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | not published | not published | $41.41 – $106.67 | 5 |
| X-ray thoracic spine 2 views CPT 72070 | $185.85 | $265.50 | $36.74 – $128.15 | 5 |
| X-ray thoracic spine 3 views CPT 72072 | $682.92 | $975.60 | $35.58 – $128.15 | 5 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | not published | not published | $35.58 – $106.67 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | not published | not published | $43.35 – $106.67 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | not published | not published | $52.65 – $128.15 | 5 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $161.91 | $231.30 | $27.47 – $106.67 | 5 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $529.83 | $756.90 | $21.67 – $106.67 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | not published | not published | $113.34 – $215.00 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | not published | not published | $113.34 – $215.00 | 5 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $113.34 – $113.34 | 1 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $148.96 – $148.96 | 1 |
| X-ray wrist 2 views (both sides) CPT 73100 | $145.53 | $207.90 | $27.47 – $106.67 | 5 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $59.57 – $215.00 | 5 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $299.75 – $299.75 | 1 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.91 – $14.20 | 5 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.49 – $1.64 | 5 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $14.51 | 5 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $62,507.00 | 5 |
| Ziconotide injection HCPCS J2278 | not published | not published | $10.46 – $11.51 | 5 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $1.66 | 5 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $51.31 – $56.44 | 5 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.85 – $18.54 | 5 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $4.54 – $4.54 | 1 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $71.41 – $71.41 | 1 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.61 – $9.47 | 5 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $48.25 – $48.25 | 1 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $212.58 | 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.