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 |
|---|---|---|---|---|
| Extended culture of oocytes CPT 89272 | not published | not published | $897.80 – $987.58 | 5 |
| Extended visual field xm CPT 92083 | not published | not published | $91.35 – $163.09 | 5 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $5,427.28 – $5,427.28 | 1 |
| Extensive hand surgery CPT 26250 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Extensive surgery of throat CPT 42842 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Extensive surgery of throat CPT 42844 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Extensive testis surgery CPT 54535 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $5,392.40 – $5,392.40 | 1 |
| Extensive vulva surgery CPT 56632 | not published | not published | $4,448.62 – $4,448.62 | 1 |
| External cannula declotting CPT 36860 | not published | not published | $1,754.15 – $1,929.57 | 5 |
| External chromosome analysis 20-25 cells CPT 88264 | not published | not published | $144.61 – $159.07 | 5 |
| External ocular photography CPT 92285 | not published | not published | $10.07 – $45.78 | 5 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | not published | not published | $32.23 – $35.45 | 5 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,873.00 – $4,260.30 | 5 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | not published | not published | $143.75 – $158.12 | 5 |
| Extnd color vision xm CPT 92283 | not published | not published | $30.97 – $72.31 | 5 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $12.88 | $18.40 | $17.93 – $19.72 | 5 |
| Extraction erupted tooth/exr HCPCS D7140 | not published | not published | $720.41 – $792.45 | 5 |
| Extraction of lens CPT 66930 | not published | not published | $4,606.06 – $5,066.66 | 5 |
| Extraction of lens CPT 66940 | not published | not published | $2,571.71 – $2,828.88 | 5 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $2,571.71 – $2,828.88 | 5 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $148.26 – $163.09 | 5 |
| Eye allergy tests CPT 95060 | not published | not published | $148.26 – $163.09 | 5 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $1,825.64 – $2,008.20 | 5 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $322.27 – $354.50 | 5 |
| F9 full gene sequence CPT 81238 | not published | not published | $600.00 – $660.00 | 5 |
| Face bone graft CPT 21210 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Facial bones <3 CPT 70140 | not published | not published | $34.46 – $106.67 | 5 |
| Facial nerve function test CPT 92516 | not published | not published | $240.61 – $264.67 | 5 |
| Factor ix CPT 85250 | $190.89 | $272.70 | $19.04 – $20.94 | 5 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.58 – $3.94 | 5 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.70 – $1.87 | 5 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.32 – $5.85 | 5 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.37 – $1.51 | 5 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.84 – $2.02 | 5 |
| Factor viii CPT 85240 | $98.91 | $141.30 | $17.90 – $19.69 | 5 |
| Factor viii HCPCS J7190 | not published | not published | $1.39 – $1.53 | 5 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.46 – $2.71 | 5 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.18 – $1.30 | 5 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.14 – $2.36 | 5 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.57 – $1.72 | 5 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.41 – $1.55 | 5 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.24 – $3.56 | 5 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.78 – $11.86 | 5 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $18.33 – $20.16 | 5 |
| Fallopian tube recnl CPT 58345 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Family therapy without pt 50min 90846 CPT 90846 | $333.90 | $477.00 | $197.79 – $217.57 | 5 |
| Family therapy with patient 50 min 90847 CPT 90847 | $333.90 | $477.00 | $197.79 – $217.57 | 5 |
| Fancc gene CPT 81242 | not published | not published | $36.62 – $40.28 | 5 |
| Fat/lipids feces qualitative CPT 82705 | not published | not published | $5.10 – $5.61 | 5 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $18.77 – $20.65 | 5 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | not published | $200.58 – $220.64 | 5 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $5.02 | 5 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $848.82 – $1,139.92 | 5 |
| #fecal-sodium CPT 84302 | $34.65 | $49.50 | $4.86 – $5.35 | 5 |
| Feeding tube reposition CPT 74355 | not published | not published | $124.96 – $124.96 | 1 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $86.17 – $94.79 | 5 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | not published | not published | $18.64 – $20.50 | 5 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $762.08 – $762.08 | 1 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $31,402.83 – $31,402.83 | 1 |
| Feno poc CPT 95012 | not published | not published | $41.62 – $45.78 | 5 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | not published | not published | $1.61 – $1.61 | 1 |
| Fern test HCPCS Q0114 | not published | not published | $9.74 – $10.71 | 5 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | not published | not published | $1.10 – $1.21 | 5 |
| Ferritin CPT 82728 | $95.13 | $135.90 | $13.63 – $14.99 | 5 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.23 – $0.25 | 5 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.23 – $0.25 | 5 |
| Fetal biophys profile w/nst 76818 CPT 76818 | not published | not published | $116.50 – $128.15 | 5 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $759.05 – $834.96 | 5 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $111.99 – $247.82 | 5 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $339.57 – $373.53 | 5 |
| Fetal fibronectin CPT 82731 | $500.85 | $715.50 | $64.41 – $70.85 | 5 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $339.57 – $373.53 | 5 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $94.50 | $135.00 | $7.73 – $8.50 | 5 |
| Fetal hemoglobin rosette CPT 85461 | $63.63 | $90.90 | $9.36 – $10.30 | 5 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $19.32 – $21.25 | 5 |
| Fetal non stress test CPT 59025 | not published | not published | $60.50 – $247.82 | 5 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $339.57 – $373.53 | 5 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $339.57 – $373.53 | 5 |
| Fibrin degradation d dimer quantitative CPT 85379 | $20.16 | $28.80 | $10.18 – $11.20 | 5 |
| Fibrin degradation products CPT 85362 | not published | not published | $6.89 – $7.58 | 5 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $9.72 – $10.69 | 5 |
| Fibrinogen activity CPT 85384 | $132.30 | $189.00 | $9.72 – $10.69 | 5 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $34.02 | $48.60 | $15.48 – $17.03 | 5 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $7.71 – $8.48 | 5 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $17.19 – $18.91 | 5 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $42.84 | $61.20 | $6.53 – $7.18 | 5 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $1.02 – $1.12 | 5 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,183.60 | $1,690.85 | $0.35 – $0.39 | 5 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| Filtered speech hearing test CPT 92571 | not published | not published | $41.62 – $45.78 | 5 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $2,602.69 – $2,602.69 | 1 |
| Fine needle asp without image guide 10021 CPT 10021 | not published | not published | $453.00 – $498.30 | 5 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | not published | not published | $1,037.45 – $1,037.45 | 1 |
| Finger tendon transfer CPT 26497 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Finger tendon transfer CPT 26498 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $2,062.00 – $2,062.00 | 1 |
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.