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 |
|---|---|---|---|---|
| Creatine kinase isoenzymes CPT 82552 | not published | not published | $13.39 – $14.73 | 5 |
| Creatine kinase mb CPT 82553 | $192.78 | $275.40 | $11.55 – $12.71 | 5 |
| Creatine - sendout CPT 82540 | not published | not published | $4.64 – $5.10 | 5 |
| Creatinine CPT 82565 | $66.78 | $95.40 | $5.12 – $5.63 | 5 |
| Creatinine 24 hour urine CPT 82570 | $74.20 | $106.00 | $5.18 – $5.70 | 5 |
| Creatinine clearance urine CPT 82575 | $68.67 | $98.10 | $9.46 – $10.41 | 5 |
| #creutz-prot.,western blot CPT 84182 | not published | not published | $29.21 – $32.13 | 5 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Cricotracheal resection CPT 31592 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Crisis psychotherapy 90839 CPT 90839 | $254.80 | $364.00 | $197.79 – $217.57 | 5 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $121.80 | $174.00 | $203.09 – $203.09 | 1 |
| Critical care 30-74 minutes CPT 99291 | not published | not published | $920.48 – $1,012.53 | 5 |
| Critical care each additional 30 minutes CPT 99292 | not published | not published | $360.22 – $360.22 | 1 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $4,245.73 – $4,245.73 | 1 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $3,664.36 – $3,664.36 | 1 |
| Cromolyn sodium noncomp unit HCPCS J7631 | not published | not published | $2.45 – $2.45 | 1 |
| Cross-over vein graft CPT 34520 | not published | not published | $6,200.75 – $6,820.83 | 5 |
| Crotalidae poly immune fab HCPCS J0840 | not published | not published | $1,841.02 – $2,025.12 | 5 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | not published | not published | $2,568.75 – $2,568.75 | 1 |
| Crutches underarm other than wood adjustable or e0114 HCPCS E0114 | not published | not published | $30.72 – $30.72 | 1 |
| Cryoablate prostate CPT 55873 | not published | not published | $10,548.90 – $11,603.79 | 5 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $339.57 – $373.53 | 5 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $76.86 | $109.80 | $14.14 – $15.55 | 5 |
| Cryoprecipitate each unit HCPCS P9012 | $746.20 | $1,066.00 | $71.95 – $79.15 | 5 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $897.80 – $987.58 | 5 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $189.85 – $208.84 | 5 |
| Cryopreservation sperm CPT 89259 | not published | not published | $189.85 – $208.84 | 5 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $491.62 – $540.78 | 5 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $58.07 – $63.88 | 5 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $4,363.14 – $4,799.46 | 5 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $223.58 – $245.93 | 5 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $65.74 – $72.31 | 5 |
| Cryptococcus abs qn - sendout CPT 86641 | not published | not published | $14.41 – $15.85 | 5 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $11.98 – $13.18 | 5 |
| Crystal identification light microscopy CPT 89060 | $101.43 | $144.90 | $7.33 – $8.06 | 5 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $7,440.75 – $7,440.75 | 1 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $4,048.19 – $4,048.19 | 1 |
| Csf leakage imaging CPT 78650 | not published | not published | $97.47 – $1,586.95 | 5 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $127.22 – $376.48 | 5 |
| Csf ventriculography CPT 78635 | not published | not published | $101.79 – $665.56 | 5 |
| CT 3d report other modality w/workstation CPT 76377 | not published | not published | $102.65 – $102.65 | 1 |
| Cta abdomen without & /or w/contrast CPT 74175 | not published | not published | $195.46 – $215.00 | 5 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | not published | not published | $195.46 – $215.00 | 5 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | not published | not published | $195.46 – $215.00 | 5 |
| Cta neck without &/or w/contrast CPT 70498 | $2,489.13 | $3,555.90 | $195.46 – $215.00 | 5 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $138.60 | $198.00 | $358.22 – $427.64 | 5 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,017.89 | $2,882.70 | $195.46 – $215.00 | 5 |
| CT Angiogram of the Head CPT 70496 | $2,485.35 | $3,550.50 | $195.46 – $215.00 | 5 |
| CT angio hrt w/3d image CPT 75574 | not published | not published | $387.60 – $427.64 | 5 |
| CT angio pelvis CPT 72191 | not published | not published | $195.46 – $215.00 | 5 |
| Cta upper extremity w &/or without contrast left CPT 73206 | not published | not published | $195.46 – $215.00 | 5 |
| CT bone density axial CPT 77078 | not published | not published | $40.22 – $106.67 | 5 |
| CT colonography dx CPT 74261 | not published | not published | $116.50 – $128.15 | 5 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $195.46 – $215.00 | 5 |
| CT guidance for needle placement CPT 77012 | not published | not published | $186.44 – $186.44 | 1 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | not published | not published | $189.91 – $189.91 | 1 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $274.87 – $302.36 | 5 |
| CT guid parench tis ablat CPT 77013 | not published | not published | $633.93 – $633.93 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $1,029.42 | $1,470.60 | $93.99 – $106.67 | 5 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $388.77 – $427.64 | 5 |
| CT hrt w/3d image CPT 75572 | not published | not published | $283.14 – $427.64 | 5 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $96.98 – $106.67 | 5 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $684.18 | $977.40 | $189.95 – $215.00 | 5 |
| CT lower extremity without contrast (both sides) CPT 73700 | $593.46 | $847.80 | $116.50 – $128.15 | 5 |
| CT lwr extremity w/o&w/dye CPT 73702 | $876.33 | $1,251.90 | $195.46 – $215.00 | 5 |
| CT neck soft tissue w/contrast CPT 70491 | $926.10 | $1,323.00 | $195.46 – $215.00 | 5 |
| CT neck soft tissue without contrast CPT 70490 | $667.17 | $953.10 | $116.50 – $128.15 | 5 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,516.41 | $2,166.30 | $195.46 – $215.00 | 5 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | not published | not published | $195.46 – $215.00 | 5 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | not published | not published | $195.46 – $215.00 | 5 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | not published | not published | $116.50 – $128.15 | 5 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $263.93 – $290.33 | 5 |
| CT scan for therapy guide CPT 77014 | not published | not published | $143.54 – $143.54 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,556.54 | $3,652.20 | $328.83 – $427.64 | 5 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,472.12 | $3,531.60 | $297.88 – $427.64 | 5 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,850.31 | $2,643.30 | $265.88 – $292.47 | 5 |
| CT thoracic spine w/contrast CPT 72129 | $1,358.28 | $1,940.40 | $195.46 – $215.00 | 5 |
| CT thoracic spine without contrast CPT 72128 | $582.75 | $832.50 | $116.50 – $128.15 | 5 |
| CT t-spine w /wo contrast CPT 72130 | not published | not published | $195.46 – $215.00 | 5 |
| CT upper extremity w/contrast (both sides) CPT 73201 | not published | not published | $189.95 – $427.64 | 5 |
| CT upper extremity without contrast (both sides) CPT 73200 | $404.46 | $577.80 | $116.50 – $128.15 | 5 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,490.58 | $2,129.40 | $195.46 – $215.00 | 5 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $189.85 – $208.84 | 5 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $189.85 – $208.84 | 5 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $3,948.93 – $4,343.82 | 5 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| Culture aerobic additional method definitive id each CPT 87077 | $127.26 | $181.80 | $8.08 – $8.89 | 5 |
| Culture afb any source CPT 87116 | $266.49 | $380.70 | $10.80 – $11.88 | 5 |
| Culture anaerobic additional method definitive id each CPT 87076 | not published | not published | $8.08 – $8.89 | 5 |
| Culture anaerobic except blood CPT 87075 | $227.43 | $324.90 | $9.47 – $10.42 | 5 |
| Culture bact stool aero addl path ea CPT 87046 | $103.95 | $148.50 | $9.44 – $10.38 | 5 |
| Culture body fluid CPT 87070 | $267.12 | $381.60 | $8.62 – $9.48 | 5 |
| Culture fungi definitive id mold CPT 87107 | $134.19 | $191.70 | $10.32 – $11.35 | 5 |
| Culture fungi definitive id yeast CPT 87106 | not published | not published | $10.32 – $11.35 | 5 |
| Culture fungi other (except blood) CPT 87102 | $51.66 | $73.80 | $8.41 – $9.25 | 5 |
| Culture fungi skin/hair/nail CPT 87101 | not published | not published | $7.71 – $8.48 | 5 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $156.24 | $223.20 | $14.61 – $16.07 | 5 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $15.39 – $16.93 | 5 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $9.89 – $10.88 | 5 |
| Culture screening strep group a CPT 87081 | $202.86 | $289.80 | $6.63 – $7.29 | 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.