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 |
|---|---|---|---|---|
| Ceftazidime and avibactam HCPCS J0714 | not published | not published | $104.75 – $115.22 | 5 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $157.61 | $225.16 | $2.11 – $2.11 | 1 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $70.66 | $100.94 | $8.68 – $8.68 | 1 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $94.74 – $104.21 | 5 |
| #celiac hla-dq8 CPT 81383 | not published | not published | $109.13 – $120.04 | 5 |
| Cell count body fluid CPT 89050 | $115.29 | $164.70 | $4.72 – $5.19 | 5 |
| Cell count w differential body fluid CPT 89051 | $224.28 | $320.40 | $5.60 – $6.16 | 5 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $13.07 – $14.38 | 5 |
| Cell enumeration & id CPT 86152 | not published | not published | $250.78 – $275.86 | 5 |
| Cell function assay w/stim CPT 86352 | not published | not published | $135.86 – $149.45 | 5 |
| Cell marker study CPT 88182 | not published | not published | $58.07 – $63.88 | 5 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $14,358.03 – $14,358.03 | 1 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $779.08 – $779.08 | 1 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Cerebrospinal fld flw imag CPT 78645 | not published | not published | $90.52 – $665.56 | 5 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $3.79 – $4.17 | 5 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $7,399.43 – $8,139.38 | 5 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | not published | not published | $113.21 – $124.53 | 5 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $2,938.67 – $2,938.67 | 1 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $80.46 – $88.50 | 5 |
| #cf-97variants CPT 81220 | not published | not published | $556.60 – $612.26 | 5 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $435.07 – $478.58 | 5 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $168.75 – $185.63 | 5 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $97.22 – $106.94 | 5 |
| Change cystostomy tube; complex 51710 CPT 51710 | not published | not published | $777.03 – $854.73 | 5 |
| Change cystostomy tube simple CPT 51705 | not published | not published | $278.42 – $306.26 | 5 |
| Change gastric port open CPT 43888 | not published | not published | $3,948.93 – $4,343.82 | 5 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Change nephroureteral cath CPT 50387 | not published | not published | $2,329.41 – $2,562.35 | 5 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $2,329.41 – $2,562.35 | 5 |
| Change of windpipe airway 31502 CPT 31502 | $296.73 | $423.90 | $263.93 – $290.33 | 5 |
| Change stent via transureth CPT 50385 | not published | not published | $2,329.41 – $2,562.35 | 5 |
| Change ureter stent percut CPT 50382 | not published | not published | $2,329.41 – $2,562.35 | 5 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $189.85 – $208.84 | 5 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $223.58 – $245.93 | 5 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $453.00 – $498.30 | 5 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $453.00 – $498.30 | 5 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $823.58 – $905.94 | 5 |
| Chemo adm cns w/lmbr punct CPT 96450 | not published | not published | $368.07 – $404.88 | 5 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $786.59 – $865.25 | 5 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $233.48 – $233.48 | 1 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $268.84 – $268.84 | 1 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $786.59 – $865.25 | 5 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $786.59 – $865.25 | 5 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,333.47 – $1,466.82 | 5 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $342.05 – $376.25 | 5 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $353.70 – $389.07 | 5 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $342.05 – $376.25 | 5 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $342.05 – $376.25 | 5 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $342.05 – $376.25 | 5 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $342.05 – $376.25 | 5 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $342.05 – $376.25 | 5 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $786.59 – $865.25 | 5 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $786.59 – $865.25 | 5 |
| Chemo extend IV infus w/pump HCPCS G0498 | not published | not published | $368.07 – $404.88 | 5 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $52.18 – $57.40 | 5 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $368.07 – $404.88 | 5 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $368.07 – $404.88 | 5 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $237.02 – $260.73 | 5 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $80.23 – $88.26 | 5 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.36 – $17.59 | 5 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $368.07 – $404.88 | 5 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $368.07 – $404.88 | 5 |
| Chest apical lordotic proj CPT 71047 | $269.01 | $384.30 | not published | 0 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,275.56 | $3,250.80 | $195.46 – $215.00 | 5 |
| Chest CT scan (with contrast) CPT 71260 | $1,959.30 | $2,799.00 | $195.46 – $215.00 | 5 |
| Chest CT scan (without contrast) CPT 71250 | $997.92 | $1,425.60 | $116.50 – $128.15 | 5 |
| Chest X-ray CPT 71046 | $239.40 | $342.00 | not published | 0 |
| Chest X-ray (single view) CPT 71045 | $210.42 | $300.60 | not published | 0 |
| Chg pr pul rehab for copd patients CPT 94626 | $105.21 | $150.30 | $65.74 – $72.31 | 5 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $228.21 | 5 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $260.79 – $286.87 | 5 |
| Chlamydia culture CPT 87110 | not published | not published | $19.60 – $21.56 | 5 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $11.98 – $13.18 | 5 |
| Chlamydia type CPT 87140 | not published | not published | $5.57 – $6.13 | 5 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $34.07 – $34.07 | 1 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $126.94 – $126.94 | 1 |
| Chloride CPT 82435 | $41.58 | $59.40 | $4.60 – $5.06 | 5 |
| Chloride 24 hour urine CPT 82436 | $34.65 | $49.50 | $5.75 – $6.32 | 5 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | not published | not published | $196.21 – $196.21 | 1 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | not published | not published | $90.30 – $90.30 | 1 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $368.07 – $404.88 | 5 |
| Cholangiogram percutaneous compl CPT 47532 | not published | not published | $3,989.80 – $4,388.78 | 5 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | not published | not published | $59.21 – $59.21 | 1 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $4,081.71 – $4,081.71 | 1 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $3,617.44 – $3,617.44 | 1 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $3,688.32 – $3,688.32 | 1 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | not published | not published | $3,989.80 – $4,388.78 | 5 |
| Cholesterol CPT 82465 | $34.65 | $49.50 | $4.35 – $4.78 | 5 |
| Cholesterol (Lipid) Test CPT 80061 | $175.14 | $250.20 | $13.39 – $14.73 | 5 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,516.43 – $2,768.07 | 5 |
| Cholinesterase CPT 82480 | not published | not published | $7.87 – $8.66 | 5 |
| Cholinesterase challenge CPT 95857 | not published | not published | $240.61 – $264.67 | 5 |
| Chorion biopsy CPT 59015 | not published | not published | $1,026.37 – $1,129.00 | 5 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $66.12 – $66.12 | 1 |
| Chrom analysis CPT 88273 | not published | not published | $34.81 – $38.29 | 5 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $16.87 – $42.90 | 5 |
| Chromatography CPT 83021 | $182.70 | $261.00 | $18.06 – $19.87 | 5 |
| Chromogenic substrate assay CPT 85130 | $98.91 | $141.30 | $11.89 – $13.08 | 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.