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 |
|---|---|---|---|---|
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $57.04 – $62.74 | 5 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $173.66 – $191.03 | 5 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $173.17 – $190.49 | 5 |
| Chromosome analysis 15-20 cell count CPT 88262 | not published | not published | $125.49 – $138.04 | 5 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $173.17 – $190.49 | 5 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $150.29 – $165.32 | 5 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $264.34 – $290.77 | 5 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $173.17 – $190.49 | 5 |
| Chromosome analys placenta CPT 88267 | not published | not published | $188.57 – $207.43 | 5 |
| Chromosome banding study CPT 88283 | not published | not published | $68.60 – $75.46 | 5 |
| Chromosome count additional CPT 88285 | not published | not published | $26.91 – $29.60 | 5 |
| Chromosome karyotype study CPT 88280 | not published | not published | $33.47 – $36.82 | 5 |
| Chromosome study additional CPT 88289 | not published | not published | $34.43 – $37.87 | 5 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $12.46 – $13.71 | 5 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $61.50 – $67.65 | 5 |
| Cidofovir injection HCPCS J0740 | not published | not published | $560.79 – $616.87 | 5 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $18.10 – $18.10 | 1 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $2,649.34 – $2,914.27 | 5 |
| Cine/video x-rays CPT 76120 | not published | not published | $63.08 – $128.15 | 5 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $46.46 – $46.46 | 1 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $100.93 | $144.19 | $4.16 – $4.16 | 1 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $96.47 – $96.47 | 1 |
| Circum 28 days or older CPT 54161 | not published | not published | $2,329.41 – $2,562.35 | 5 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $777.03 – $854.73 | 5 |
| Circumcision (newborn) CPT 54150 | not published | not published | $2,329.41 – $2,562.35 | 5 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $6.69 – $6.69 | 1 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $329.51 – $362.46 | 5 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $8.73 – $9.60 | 5 |
| Claviculectomy partial CPT 23120 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Claviculectomy total CPT 23125 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $601.00 – $661.10 | 5 |
| Clearance of airways CPT 31720 | $200.34 | $286.20 | $244.02 – $268.42 | 5 |
| Clearance of tear duct CPT 68530 | not published | not published | $353.70 – $389.07 | 5 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $148.26 – $163.09 | 5 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $148.26 – $163.09 | 5 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $148.26 – $163.09 | 5 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $41.62 – $45.78 | 5 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $70.66 | $100.94 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Cllr miami j sm HCPCS L0174 | not published | not published | $331.73 – $364.90 | 5 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $10.94 – $12.03 | 5 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $39.12 – $39.12 | 1 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $8,956.82 – $8,956.82 | 1 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $274.87 – $302.36 | 5 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $274.87 – $302.36 | 5 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $274.87 – $302.36 | 5 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $274.87 – $302.36 | 5 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $601.00 – $661.10 | 5 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $274.87 – $302.36 | 5 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $274.87 – $302.36 | 5 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $263.93 – $290.33 | 5 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $2,196.75 – $8,894.51 | 5 |
| Close tear duct opening CPT 68760 | not published | not published | $353.70 – $389.07 | 5 |
| Close tear duct opening CPT 68761 | not published | not published | $353.70 – $389.07 | 5 |
| Close tear system fistula CPT 68770 | not published | not published | $2,649.34 – $2,914.27 | 5 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $16.00 – $17.60 | 5 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $2,808.71 – $2,808.71 | 1 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $5,171.29 – $5,171.29 | 1 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $3,294.41 – $3,294.41 | 1 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $4,526.58 – $4,526.58 | 1 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $601.00 – $661.10 | 5 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $1,110.87 – $1,221.95 | 5 |
| Closure of salivary fistula CPT 42600 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $699.03 – $768.93 | 5 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $18.93 – $20.82 | 5 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $20.42 – $22.46 | 5 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $18.93 – $20.82 | 5 |
| Clot factor xii hageman CPT 85280 | $190.89 | $272.70 | $19.35 – $21.29 | 5 |
| Clot factor xiii fibrin scrn CPT 85291 | $126.63 | $180.90 | $9.11 – $10.02 | 5 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $16.34 – $17.97 | 5 |
| Clotting assay whole blood CPT 85396 | not published | not published | $67.75 – $67.75 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | not published | not published | $274.87 – $302.36 | 5 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $274.87 – $302.36 | 5 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | not published | not published | $274.87 – $302.36 | 5 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $274.87 – $302.36 | 5 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $274.87 – $302.36 | 5 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $274.87 – $302.36 | 5 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $274.87 – $302.36 | 5 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | not published | not published | $274.87 – $302.36 | 5 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $274.87 – $302.36 | 5 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | not published | not published | $274.87 – $302.36 | 5 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $274.87 – $302.36 | 5 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $274.87 – $302.36 | 5 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | not published | not published | $274.87 – $302.36 | 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.