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 |
|---|---|---|---|---|
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $3,948.93 – $4,343.82 | 5 |
| Dermagraft HCPCS Q4106 | not published | not published | $107.01 – $107.01 | 1 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $3,948.93 – $4,343.82 | 5 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $5,805.60 – $5,805.60 | 1 |
| Design custom breast implant CPT 19396 | not published | not published | $4,363.14 – $4,799.46 | 5 |
| Design mlc device for imrt CPT 77338 | not published | not published | $417.24 – $458.97 | 5 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $151.85 | $216.93 | $41.06 – $41.06 | 1 |
| Desoxycorticosterone CPT 82633 | not published | not published | $30.98 – $34.08 | 5 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $1,330.15 – $1,330.15 | 1 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $4,988.04 – $4,988.04 | 1 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $3,624.98 – $3,624.98 | 1 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $223.58 – $245.93 | 5 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $223.58 – $245.93 | 5 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $223.58 – $245.93 | 5 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $223.58 – $245.93 | 5 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $223.58 – $245.93 | 5 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $223.58 – $245.93 | 5 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $223.58 – $245.93 | 5 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $223.58 – $245.93 | 5 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $223.58 – $245.93 | 5 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $223.58 – $245.93 | 5 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $2,176.01 – $2,393.61 | 5 |
| Destroy cth facet jnt addl 64634 CPT 64634 | not published | not published | $223.34 – $223.34 | 1 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $1,333.47 – $1,466.82 | 5 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $223.58 – $245.93 | 5 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $223.58 – $245.93 | 5 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $823.58 – $905.94 | 5 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $453.00 – $498.30 | 5 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $7.76 – $7.76 | 1 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $3,093.04 – $3,402.35 | 5 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $453.00 – $498.30 | 5 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $223.58 – $245.93 | 5 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $985.61 – $1,084.17 | 5 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $195.07 – $195.07 | 1 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $2,176.01 – $2,393.61 | 5 |
| Destruction ciliary body CPT 66700 | not published | not published | $2,571.71 – $2,828.88 | 5 |
| Destruction ciliary body CPT 66720 | not published | not published | $2,649.34 – $2,914.27 | 5 |
| Destruction ciliary body CPT 66740 | not published | not published | $2,649.34 – $2,914.27 | 5 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $223.58 – $245.93 | 5 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $3,093.04 – $3,402.35 | 5 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $2,649.34 – $2,914.27 | 5 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $453.00 – $498.30 | 5 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $453.00 – $498.30 | 5 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $453.00 – $498.30 | 5 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $453.00 – $498.30 | 5 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $453.00 – $498.30 | 5 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $453.00 – $498.30 | 5 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $3,093.04 – $3,402.35 | 5 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $30.03 – $33.03 | 5 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $43.67 – $48.04 | 5 |
| Developmental screen/score/document 96110 CPT 96110 | $279.34 | $399.05 | not published | 0 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $143.39 – $157.72 | 5 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $119.00 | $170.00 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $35.58 – $106.67 | 5 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $8.34 | $11.92 | $0.27 – $0.27 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $70.66 | $100.94 | $0.40 – $0.40 | 1 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $203.79 – $224.17 | 5 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $49.74 – $54.71 | 5 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $103.66 | $148.09 | $2.87 – $2.87 | 1 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $105.03 | $150.04 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $102.98 | $147.11 | $6.65 – $6.65 | 1 |
| Dextrose 5 % IV bolus HCPCS J7070 | $103.66 | $148.09 | $12.57 – $12.57 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | not published | not published | $22.23 – $24.45 | 5 |
| Diabetes (HbA1c) Test CPT 83036 | $95.13 | $135.90 | $9.71 – $10.68 | 5 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $18.06 – $19.87 | 5 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,983.42 – $2,181.76 | 5 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $175.65 – $547.59 | 5 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,333.47 – $1,466.82 | 5 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $148.26 – $163.09 | 5 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $222.43 – $244.67 | 5 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $222.43 – $244.67 | 5 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $96.98 – $106.67 | 5 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $574.77 – $574.77 | 1 |
| Dialysis one evaluation CPT 90945 | $1,499.40 | $2,142.00 | $464.97 – $511.47 | 5 |
| Diathermy eg microwave CPT 97024 | not published | not published | $8.52 – $9.37 | 5 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.25 – $0.25 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $29.51 – $29.51 | 1 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $241.32 – $241.32 | 1 |
| Diffusing capacity CPT 94729 | not published | not published | $29.79 – $29.79 | 1 |
| Digital analysis of eeg CPT 95957 | $371.70 | $531.00 | $342.93 – $342.93 | 1 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $70.66 | $100.94 | $27.04 – $27.04 | 1 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $5,166.99 – $5,683.69 | 5 |
| Digoxin total therapeutic drug level CPT 80162 | $89.46 | $127.80 | $13.28 – $14.61 | 5 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $340.10 – $340.10 | 1 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $451.09 – $451.09 | 1 |
| Dilate esophagus CPT 43453 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Dilate tear duct opening CPT 68801 | not published | not published | $497.80 – $547.59 | 5 |
| Dilate urethra stricture CPT 53600 | not published | not published | $278.42 – $306.26 | 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.