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 |
|---|---|---|---|---|
| Dilate urethra stricture CPT 53601 | not published | not published | $148.26 – $163.09 | 5 |
| Dilate urethra stricture CPT 53605 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Dilate urethra stricture CPT 53621 | not published | not published | $278.42 – $306.26 | 5 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $143.39 – $157.72 | 5 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,333.47 – $1,466.82 | 5 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,333.47 – $1,466.82 | 5 |
| Dilation of salivary duct CPT 42660 | not published | not published | $601.00 – $661.10 | 5 |
| Dilation of urethra CPT 53661 | not published | not published | $148.26 – $163.09 | 5 |
| Dilation of urethra CPT 53665 | not published | not published | $2,329.41 – $2,562.35 | 5 |
| Dilation of vagina CPT 57400 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $777.03 – $854.73 | 5 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $169.67 – $169.67 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $23.96 – $23.96 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $748.98 – $823.87 | 5 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $0.91 | $1.30 | $0.86 – $0.86 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $70.66 | $100.94 | $1.95 – $1.95 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $41.62 – $45.78 | 5 |
| Disability dlco CPT 94727 | not published | not published | $40.22 – $264.67 | 5 |
| Disaccharidases CPT 82657 | not published | not published | $22.17 – $24.39 | 5 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $4,804.34 – $4,804.34 | 1 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $627.74 – $627.74 | 1 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $171.72 – $2,393.61 | 5 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $1,215.71 – $1,215.71 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $6,200.75 – $6,820.83 | 5 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $1,061.05 – $1,061.05 | 1 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $279.00 – $306.90 | 5 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $137.00 – $150.70 | 5 |
| Dna antibody native/double stranded CPT 86225 | $200.45 | $286.35 | $13.74 – $15.11 | 5 |
| Dna gardnerella CPT 87510 | not published | not published | $20.05 – $22.06 | 5 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.75 – $25.02 | 5 |
| Dna probe gc CPT 87590 | not published | not published | $26.88 – $29.57 | 5 |
| Dna trichomonas CPT 87660 | not published | not published | $20.05 – $22.06 | 5 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $70.66 | $100.94 | $18.03 – $18.03 | 1 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $6.09 – $6.09 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $100.93 | $144.19 | $2.04 – $2.04 | 1 |
| Doppler echo complete CPT 93320 | not published | not published | $59.93 – $59.93 | 1 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $309.25 – $309.25 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | not published | not published | $72.39 – $264.67 | 5 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | not published | not published | $40.63 – $163.09 | 5 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $2.28 – $2.28 | 1 |
| Dornase alfa non-comp unit HCPCS J7639 | $199.69 | $285.27 | $146.41 – $146.41 | 1 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $57,848.23 – $57,848.23 | 1 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $9.59 – $9.59 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $71.86 – $79.05 | 5 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $168.22 | $240.32 | not published | 0 |
| Dpyd gene common variants CPT 81232 | not published | not published | $174.81 – $192.29 | 5 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $789.10 – $868.01 | 5 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $789.10 – $868.01 | 5 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $789.10 – $868.01 | 5 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $263.93 – $290.33 | 5 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Drainage of eye CPT 65800 | not published | not published | $2,571.71 – $2,828.88 | 5 |
| Drainage of eye CPT 65810 | not published | not published | $2,571.71 – $2,828.88 | 5 |
| Drainage of eye CPT 65815 | not published | not published | $2,571.71 – $2,828.88 | 5 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $789.10 – $868.01 | 5 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $263.93 – $290.33 | 5 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $601.00 – $661.10 | 5 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $601.00 – $661.10 | 5 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $263.93 – $290.33 | 5 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $601.00 – $661.10 | 5 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $1,333.47 – $1,466.82 | 5 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $3,093.04 – $3,402.35 | 5 |
| Drainage of salivary gland CPT 42305 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Drainage of salivary gland CPT 42320 | not published | not published | $601.00 – $661.10 | 5 |
| Drainage of throat abscess CPT 42725 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $2,329.41 – $2,562.35 | 5 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $777.03 – $854.73 | 5 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,329.41 – $2,562.35 | 5 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $956.93 – $1,052.63 | 5 |
| Drain blood from under nail 11740 CPT 11740 | not published | not published | $148.26 – $163.09 | 5 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Drain cath image guided visceral pq CPT 49405 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $786.59 – $865.25 | 5 |
| Drain chest lesion CPT 21502 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $265.94 – $265.94 | 1 |
| Drain finger abscess;simple 26010 CPT 26010 | not published | not published | $223.58 – $245.93 | 5 |
| Drain lower leg bursa CPT 27604 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Drain neck/chest lesion 21501 CPT 21501 | 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.