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 |
|---|---|---|---|---|
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $717.55 – $1,492.43 | 5 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $70.66 | $100.94 | not published | 0 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $4.61 – $4.61 | 1 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $4.17 – $4.17 | 1 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $779.63 | $1,113.76 | not published | 0 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,377.04 | $1,967.20 | $7.30 – $8.04 | 5 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $5.24 – $5.24 | 1 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $50.12 – $50.12 | 1 |
| Epstein barr early antigen antibody CPT 86663 | not published | not published | $13.12 – $14.43 | 5 |
| Epstein barr nuclear antigen antibody CPT 86664 | not published | not published | $15.29 – $16.82 | 5 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | not published | not published | $18.14 – $19.95 | 5 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | not published | not published | $3.26 – $3.59 | 5 |
| Ercp biliary & pancreas CPT 74330 | not published | not published | $148.96 – $148.96 | 1 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $6,765.07 – $7,441.58 | 5 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $4,296.32 – $4,725.96 | 5 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $4,296.32 – $4,725.96 | 5 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $6,765.07 – $7,441.58 | 5 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $4,296.32 – $4,725.96 | 5 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $6,765.07 – $7,441.58 | 5 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $4,296.32 – $4,725.96 | 5 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $76.76 – $84.43 | 5 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $655.90 | $937.00 | $168.53 – $168.53 | 1 |
| ER Visit (level 1, minor) CPT 99281 | not published | not published | $93.97 – $103.36 | 5 |
| ER Visit (level 2) CPT 99282 | not published | not published | $171.10 – $188.21 | 5 |
| ER Visit (level 3) CPT 99283 | not published | not published | $304.19 – $334.61 | 5 |
| ER Visit (level 4) CPT 99284 | not published | not published | $464.97 – $511.47 | 5 |
| ER Visit (level 5, high severity) CPT 99285 | not published | not published | $663.63 – $729.99 | 5 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $208.98 – $208.98 | 1 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $90.96 – $90.96 | 1 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $372.87 – $372.87 | 1 |
| Esophageal motility CPT 78258 | not published | not published | $120.30 – $490.03 | 5 |
| Esophageal recording CPT 93615 | not published | not published | $126.54 – $1,492.43 | 5 |
| Esophageal recording CPT 93616 | not published | not published | $173.82 – $1,492.43 | 5 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $4,297.51 – $4,297.51 | 1 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $4,314.71 – $4,314.71 | 1 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $6,765.07 – $7,441.58 | 5 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $4,296.32 – $4,725.96 | 5 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $4,296.32 – $4,725.96 | 5 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Esophagus motility study CPT 91010 | not published | not published | $218.67 – $457.41 | 5 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $164.44 – $457.41 | 5 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $2,644.56 – $2,644.56 | 1 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $3,627.01 – $3,627.01 | 1 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $30.97 – $30.97 | 1 |
| Esoph imped function test CPT 91037 | not published | not published | $165.25 – $264.67 | 5 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $188.08 – $457.41 | 5 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Essure 58565 CPT 58565 | not published | not published | $5,574.45 – $6,131.90 | 5 |
| Establish access to aorta CPT 36160 | not published | not published | $406.78 – $406.78 | 1 |
| Establish access to artery CPT 36100 | not published | not published | $494.40 – $494.40 | 1 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $3,356.34 – $3,356.34 | 1 |
| Established Patient Office Visit (level 1) CPT 99211 | not published | not published | $29.79 – $29.79 | 1 |
| Established Patient Office Visit (level 2) CPT 99212 | not published | not published | $82.08 – $82.08 | 1 |
| Established Patient Office Visit (level 3) CPT 99213 | not published | not published | $164.51 – $164.51 | 1 |
| Established Patient Office Visit (level 4) CPT 99214 | not published | not published | $253.90 – $253.90 | 1 |
| Established Patient Office Visit (level 5) CPT 99215 | not published | not published | $358.81 – $358.81 | 1 |
| Estradiol total CPT 82670 | not published | not published | $27.94 – $30.73 | 5 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $32.19 – $32.19 | 1 |
| Estrogens total-sendout CPT 82672 | not published | not published | $21.70 – $23.87 | 5 |
| Etanercept injection HCPCS J1438 | not published | not published | $1,895.18 – $1,895.18 | 1 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $518.63 – $570.49 | 5 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Ethylene glycol -sendout CPT 82693 | not published | not published | $14.90 – $16.39 | 5 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $1.61 – $1.61 | 1 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $86.84 – $95.52 | 5 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $105.58 – $116.14 | 5 |
| Euglobulin lysis CPT 85360 | $154.98 | $221.40 | $8.41 – $9.25 | 5 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $143.39 – $157.72 | 5 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $286.65 | $409.50 | $138.92 – $152.81 | 5 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $323.82 | $462.60 | $98.11 – $107.92 | 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.