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 |
|---|---|---|---|---|
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $20.26 – $22.29 | 5 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $173.88 | $248.40 | $41.62 – $45.78 | 5 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | not published | not published | $41.62 – $45.78 | 5 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $95.13 | $135.90 | $24.57 – $24.57 | 1 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | not published | not published | $65.17 – $208.84 | 5 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | not published | not published | $58.07 – $63.88 | 5 |
| Cytopath smear other source CPT 88160 | $43.47 | $62.10 | $32.23 – $35.45 | 5 |
| Cytopath smear other source CPT 88162 | not published | not published | $58.07 – $63.88 | 5 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $32.23 – $35.45 | 5 |
| Cytopath tbs c/v manual CPT 88164 | $29.61 | $42.30 | $18.54 – $20.39 | 5 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $78.65 – $86.52 | 5 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $29.68 – $32.65 | 5 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $167.51 – $208.84 | 5 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $12.50 – $12.50 | 1 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $337.67 – $371.44 | 5 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $2,617.80 | $3,739.72 | $15.00 – $16.50 | 5 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $49.18 – $49.18 | 1 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $232.95 | $332.78 | $1.99 – $1.99 | 1 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $3.07 – $3.38 | 5 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $3.07 – $3.38 | 5 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $121.91 – $121.91 | 1 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Dch glucoscan CPT 82948 | not published | not published | $5.04 – $5.54 | 5 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $225.08 – $457.41 | 5 |
| Dch validity tests CPT 81002 | $61.11 | $87.30 | $3.48 – $3.83 | 5 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $2,176.01 – $2,393.61 | 5 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $2,176.01 – $2,393.61 | 5 |
| D&c of cervical stump CPT 57558 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $12.05 – $13.26 | 5 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $2,274.48 – $2,274.48 | 1 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $453.00 – $498.30 | 5 |
| Debridement (>20 cm) charge pt CPT 97598 | $224.91 | $321.30 | $35.55 – $35.55 | 1 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | $181.35 – $181.35 | 1 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $321.71 – $321.71 | 1 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $453.00 – $498.30 | 5 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $65.74 – $72.31 | 5 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $65.74 – $72.31 | 5 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $789.10 – $868.01 | 5 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $1,870.50 – $1,870.50 | 1 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $2,512.63 – $2,512.63 | 1 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | not published | $84.43 – $84.43 | 1 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $223.58 – $245.93 | 5 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $789.10 – $868.01 | 5 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $46.43 – $46.43 | 1 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $823.58 – $905.94 | 5 |
| Decalcification CPT 88311 | not published | not published | $30.08 – $30.08 | 1 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $57.01 – $57.01 | 1 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $487.62 | $696.60 | $368.07 – $404.88 | 5 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Decompress fingers/hand CPT 26035 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Decompression fasct forearm CPT 24495 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Decompression of leg CPT 27892 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Decompression of leg CPT 27893 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Decompression of leg CPT 27894 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Decompression of lower leg CPT 27600 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Decompression of lower leg CPT 27601 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $7,851.46 – $8,894.51 | 5 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $2,176.01 – $2,393.61 | 5 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $2,176.01 – $2,393.61 | 5 |
| Decompressive craniotomy CPT 61322 | not published | not published | $7,609.12 – $7,609.12 | 1 |
| Decompress optic nerve CPT 67570 | not published | not published | $4,380.93 – $4,819.02 | 5 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Decompress small bowel CPT 44021 | not published | not published | $3,140.46 – $3,140.46 | 1 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $1,029.46 – $1,029.46 | 1 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $25.87 – $25.87 | 1 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.46 – $4.90 | 5 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $9,107.97 – $10,018.77 | 5 |
| Delay flap arms/legs CPT 15610 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $3,948.93 – $4,343.82 | 5 |
| Delivery of placenta 59414 CPT 59414 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $3,007.64 – $3,007.64 | 1 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $4,130.35 – $4,130.35 | 1 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $148.36 – $163.20 | 5 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | not published | not published | $244.02 – $268.42 | 5 |
| Denervation of hip joint CPT 27035 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $29.51 – $32.46 | 5 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | not published | not published | $148.26 – $163.09 | 5 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $9.27 – $9.27 | 1 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $62.90 – $62.90 | 1 |
| Dermabrasion other than face CPT 15782 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $789.10 – $868.01 | 5 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $453.00 – $498.30 | 5 |
| Dermabrasion total face CPT 15780 | not published | not published | $3,236.85 – $3,560.54 | 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.