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 |
|---|---|---|---|---|
| Fusion of knuckle joint CPT 26516 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $7,851.46 – $8,894.51 | 5 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $2,329.41 – $2,562.35 | 5 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Fusion of thumb CPT 26841 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $14,306.71 – $15,737.38 | 5 |
| Fusion of toes CPT 28280 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| G0180 home health certification HCPCS G0180 | not published | not published | $175.07 – $175.07 | 1 |
| G6pc gene CPT 81250 | not published | not published | $58.49 – $64.34 | 5 |
| G6pd full gene sequence CPT 81249 | not published | not published | $600.00 – $660.00 | 5 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $192.29 | 5 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $412.78 | 5 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $49.63 – $54.59 | 5 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $1.22 – $1.22 | 1 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $6.39 – $6.39 | 1 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.72 – $0.72 | 1 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $44.88 – $44.88 | 1 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $21.07 – $23.18 | 5 |
| Galactokinase - sendout CPT 82759 | not published | not published | $21.48 – $23.63 | 5 |
| Galactose transferase test CPT 82776 | not published | not published | $11.74 – $12.91 | 5 |
| Galectin-3 CPT 82777 | not published | not published | $44.25 – $48.68 | 5 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $160.29 – $176.31 | 5 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $48.95 – $53.85 | 5 |
| Gammaglobulin iga CPT 82784 | $56.70 | $81.00 | $9.30 – $10.23 | 5 |
| Gammaglobulin ige CPT 82785 | $107.10 | $153.00 | $16.46 – $18.11 | 5 |
| Gamma glutamyltransferase CPT 82977 | $13.86 | $19.80 | $7.20 – $7.92 | 5 |
| Gammaplex injection HCPCS J1557 | not published | not published | $64.65 – $71.12 | 5 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $49.73 – $54.70 | 5 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $220.53 – $220.53 | 1 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $45.94 | 5 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $7.38 | 5 |
| Gastric emptying imag study CPT 78265 | not published | not published | $158.20 – $490.03 | 5 |
| Gastric emptying imag study CPT 78266 | not published | not published | $174.07 – $665.56 | 5 |
| Gastric motility studies CPT 91020 | not published | not published | $244.95 – $457.41 | 5 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $110.22 – $490.03 | 5 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $19.46 | 5 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $107.90 – $490.03 | 5 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $165.67 – $457.41 | 5 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $4,319.11 – $4,319.11 | 1 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Gated heart multiple CPT 78473 | not published | not published | $232.00 – $490.03 | 5 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $51.98 | 5 |
| Gel-one HCPCS J7326 | not published | not published | $526.79 – $579.46 | 5 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.68 – $0.75 | 5 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $18.73 – $18.73 | 1 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,448.56 – $2,693.42 | 5 |
| Genioplasty augmentation CPT 21120 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Genome sequence analysis CPT 81425 | not published | not published | $5,031.20 – $5,534.32 | 5 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $70.66 | $100.94 | $5.00 – $5.00 | 1 |
| Gentamicin peak therapeutic drug level CPT 80170 | $90.09 | $128.70 | $16.38 – $18.02 | 5 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $3.68 – $4.04 | 5 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $272.89 – $1,052.63 | 5 |
| Ghs abscess perianal iandd CPT 46050 | not published | not published | $1,036.29 – $1,139.92 | 5 |
| Ghs abscess postoperative iandd complex CPT 10180 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $9.81 – $10.79 | 5 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | not published | not published | $17.11 – $18.82 | 5 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $102.26 – $112.49 | 5 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $148.26 – $163.09 | 5 |
| Ghs antibodies (torch) igm CPT 86694 | $82.11 | $117.30 | $14.39 – $15.83 | 5 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $278.42 – $306.26 | 5 |
| Ghs bladder cath - complex-foley CPT 51703 | not published | not published | $143.39 – $157.72 | 5 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $4.82 – $5.30 | 5 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $786.59 – $865.25 | 5 |
| Ghs central line insert < age 5, failed CPT 36555 | not published | not published | $2,202.90 – $3,870.37 | 5 |
| Ghs chemo >8 hrs CPT 96416 | not published | not published | $368.07 – $404.88 | 5 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $368.07 – $404.88 | 5 |
| Ghs chemo IV push, ea addtl CPT 96411 | not published | not published | $80.23 – $88.26 | 5 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $214.20 | $306.00 | $35.09 – $38.60 | 5 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | not published | not published | $274.87 – $302.36 | 5 |
| Ghs closed reduction ankle dislocation CPT 27840 | not published | not published | $274.87 – $302.36 | 5 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $274.87 – $302.36 | 5 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $3,948.93 – $4,343.82 | 5 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $274.87 – $302.36 | 5 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $274.87 – $302.36 | 5 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | not published | not published | $274.87 – $302.36 | 5 |
| Ghs community re-entry 15 minutes CPT 97537 | $85.79 | $122.56 | $33.03 – $36.33 | 5 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | not published | not published | $497.80 – $547.59 | 5 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | not published | not published | $148.26 – $163.09 | 5 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | not published | not published | $497.80 – $547.59 | 5 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | not published | not published | $148.26 – $163.09 | 5 |
| Ghs cricothyroidotomy CPT 31605 | not published | not published | $263.93 – $290.33 | 5 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $497.80 – $547.59 | 5 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $148.26 – $163.09 | 5 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $15.21 – $16.73 | 5 |
| Ghs dislocation elbow closed treatment CPT 24600 | not published | not published | $274.87 – $302.36 | 5 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $311.67 – $342.84 | 5 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $27.73 – $157.72 | 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.