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 |
|---|---|---|---|---|
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $3,643.94 – $3,643.94 | 1 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Drain ovary abscess open CPT 58820 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $3,520.01 – $3,520.01 | 1 |
| Drain penis lesion CPT 54015 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Drain shoulder lesion CPT 23030 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $2,386.82 – $2,386.82 | 1 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | not published | not published | $223.58 – $245.93 | 5 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | not published | not published | $223.58 – $245.93 | 5 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | not published | not published | $453.00 – $498.30 | 5 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $823.58 – $905.94 | 5 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $2,910.85 – $2,910.85 | 1 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $1,003.93 – $1,003.93 | 1 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $2,478.53 – $2,478.53 | 1 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $353.70 – $389.07 | 5 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $789.10 – $868.01 | 5 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $601.00 – $661.10 | 5 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,333.47 – $1,466.82 | 5 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $3,543.52 – $3,543.52 | 1 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $3,221.77 – $3,221.77 | 1 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $2,251.16 – $2,251.16 | 1 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $5,130.01 – $5,130.01 | 1 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $601.00 – $661.10 | 5 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $13.70 – $13.70 | 1 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $35.39 – $152.54 | 5 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $39.22 – $39.22 | 1 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $322.26 – $322.26 | 1 |
| Drug assay caffeine CPT 80155 | not published | not published | $38.57 – $42.43 | 5 |
| Drug assay posaconazole CPT 80187 | not published | not published | $27.11 – $29.82 | 5 |
| Drug assay rufinamide CPT 80210 | not published | not published | $27.11 – $29.82 | 5 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $38.57 – $42.43 | 5 |
| Drug assay voriconazole CPT 80285 | not published | not published | $27.11 – $29.82 | 5 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $20.50 | 5 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $12.60 – $13.86 | 5 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $27.11 – $29.82 | 5 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $198.74 – $218.61 | 5 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $114.43 – $125.87 | 5 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $246.92 – $271.61 | 5 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $156.59 – $172.25 | 5 |
| Drug test prsmv instrmnt CPT 80306 | $62.79 | $89.70 | $17.14 – $18.85 | 5 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $280.95 | $401.35 | $62.14 – $68.35 | 5 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $17.98 – $19.78 | 5 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $4,380.93 – $4,819.02 | 5 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $453.00 – $498.30 | 5 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $453.00 – $498.30 | 5 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $823.58 – $905.94 | 5 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $823.58 – $905.94 | 5 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $612.89 – $674.18 | 5 |
| Ductogram sgl duct CPT 77053 | not published | not published | $59.57 – $292.47 | 5 |
| Duodenal motility study CPT 91022 | not published | not published | $246.10 – $457.41 | 5 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $78.22 – $128.15 | 5 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $80.51 – $264.67 | 5 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | not published | not published | $129.25 – $292.47 | 5 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $50.30 – $128.15 | 5 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $143.39 – $157.72 | 5 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,983.42 – $2,181.76 | 5 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $1,983.42 – $2,181.76 | 5 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $1,983.42 – $2,181.76 | 5 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $41.41 – $547.59 | 5 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $240.61 – $264.67 | 5 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $143.39 – $157.72 | 5 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $435.84 – $479.42 | 5 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,983.42 – $2,181.76 | 5 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $278.42 – $306.26 | 5 |
| Dynamic surface emg CPT 96002 | not published | not published | $240.61 – $264.67 | 5 |
| Ear and throat examination CPT 92502 | not published | not published | $601.00 – $661.10 | 5 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Ear cartilage graft CPT 21235 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $65.74 – $72.31 | 5 |
| Ear protector evaluation CPT 92596 | not published | not published | $41.62 – $45.78 | 5 |
| Ecallantide injection HCPCS J1290 | not published | not published | $578.75 – $636.62 | 5 |
| Ecg 12 lead tracing only CPT 93005 | $76.23 | $108.90 | $65.74 – $72.31 | 5 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $22.80 – $22.80 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $65.74 – $72.31 | 5 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $105.94 – $116.54 | 5 |
| Ecg external < 48 hours recording CPT 93225 | not published | not published | $148.26 – $163.09 | 5 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | not published | not published | $65.74 – $72.31 | 5 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $41.62 – $45.78 | 5 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $41.62 – $45.78 | 5 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | not published | not published | $208.08 – $669.78 | 5 |
| Echocardiography doppler color flow mapping CPT 93325 | not published | not published | $10.43 – $10.43 | 1 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | not published | not published | $873.56 – $960.91 | 5 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $274.05 | $391.50 | $83.92 – $292.47 | 5 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | not published | not published | $388.77 – $427.64 | 5 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | not published | not published | $23.99 – $23.99 | 1 |
| Echo exam of eye CPT 76516 | not published | not published | $101.82 – $128.15 | 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.