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 |
|---|---|---|---|---|
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $263.93 – $290.33 | 5 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $5.50 – $6.05 | 5 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $1,754.15 – $1,929.57 | 5 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $274.87 – $302.36 | 5 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.31 – $4.74 | 5 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $3,244.50 | $4,635.00 | $411.87 – $1,052.63 | 5 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $8.98 – $163.09 | 5 |
| Ghs ppd (tb intradermal) CPT 86580 | not published | not published | $32.23 – $35.45 | 5 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $9.66 – $10.63 | 5 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.61 – $6.17 | 5 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $14.35 – $15.78 | 5 |
| Ghs pr without cont pulse ox CPT 94625 | $105.21 | $150.30 | $65.74 – $72.31 | 5 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $12.25 – $13.48 | 5 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $127.59 | $182.27 | not published | 0 |
| Ghs quinidine CPT 80194 | not published | not published | $14.60 – $16.06 | 5 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $368.07 – $404.88 | 5 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $148.26 – $163.09 | 5 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $497.80 – $547.59 | 5 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.89 – $17.48 | 5 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.31 – $4.74 | 5 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $13.91 – $15.30 | 5 |
| Ghs sedimentation rate CPT 85651 | $46.62 | $66.60 | $4.27 – $4.70 | 5 |
| Ghs semen analysis fert CPT 89320 | $116.55 | $166.50 | $12.31 – $13.54 | 5 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $10.82 | 5 |
| Ghs sensitivity (per antimicro) CPT 87184 | $192.15 | $274.50 | $7.48 – $8.23 | 5 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $453.00 – $498.30 | 5 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $453.00 – $498.30 | 5 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $453.00 – $498.30 | 5 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $453.00 – $498.30 | 5 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $223.58 – $245.93 | 5 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $223.58 – $245.93 | 5 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $223.58 – $245.93 | 5 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $223.58 – $245.93 | 5 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $223.58 – $245.93 | 5 |
| Ghs sleep study unattended CPT 95800 | $359.80 | $514.00 | $169.79 – $264.67 | 5 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $89.38 – $264.67 | 5 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $151.37 – $1,052.63 | 5 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $49.36 – $54.30 | 5 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $342.05 – $376.25 | 5 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $11.33 – $163.09 | 5 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $293.58 | $419.40 | $116.81 – $128.49 | 5 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $41.62 – $45.78 | 5 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $148.26 – $163.09 | 5 |
| Ghs st - re-eval for alt comm CPT 92597 | $281.61 | $402.30 | $79.75 – $87.72 | 5 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $52.18 – $57.40 | 5 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $237.02 – $260.73 | 5 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $823.58 – $905.94 | 5 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $453.00 – $498.30 | 5 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $8.03 | 5 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $274.87 – $302.36 | 5 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $274.87 – $302.36 | 5 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $26.73 | 5 |
| Ghs urine, porphyrins quant CPT 84120 | not published | not published | $14.71 – $16.18 | 5 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $415.83 – $457.41 | 5 |
| Ghs windowing of cast CPT 29730 | not published | not published | $181.08 – $199.19 | 5 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $14.72 – $16.19 | 5 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $137.01 – $292.47 | 5 |
| Gi inhouse confirmation CPT 87045 | $268.38 | $383.40 | $9.44 – $10.38 | 5 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Gi protein loss CPT 78282 | not published | not published | $61.88 – $490.03 | 5 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $503.70 – $1,111.76 | 5 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $171.04 – $1,111.76 | 5 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $358.36 – $1,111.76 | 5 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $111.23 | 5 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $67.67 | 5 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $38.50 | 5 |
| Glassia injection HCPCS J0257 | not published | not published | $5.66 – $6.23 | 5 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $32.23 – $35.45 | 5 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $41.62 – $45.78 | 5 |
| Glaucoma surgery CPT 66150 | not published | not published | $4,606.06 – $5,066.66 | 5 |
| Glaucoma surgery CPT 66155 | not published | not published | $4,606.06 – $5,066.66 | 5 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,571.71 – $2,828.88 | 5 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,571.71 – $2,828.88 | 5 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $142.19 – $156.41 | 5 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $146.33 – $160.97 | 5 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $1,023.76 | $1,462.51 | not published | 0 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $14.29 – $15.72 | 5 |
| Glucose 1 hr post dose CPT 82950 | $37.17 | $53.10 | $4.75 – $5.22 | 5 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $6.66 | 5 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $20.79 | $29.70 | $3.28 – $3.61 | 5 |
| Glucose blood quantitative CPT 82947 | $53.55 | $76.50 | $3.93 – $4.32 | 5 |
| Glucose body fluid CPT 82945 | $40.32 | $57.60 | $3.93 – $4.32 | 5 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $65.74 – $72.31 | 5 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $139.86 | $199.80 | $12.87 – $14.16 | 5 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $28.98 | $41.40 | $3.92 – $4.31 | 5 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $70.66 | $100.94 | not published | 0 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.29 – $12.42 | 5 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | not published | not published | $18.58 – $20.44 | 5 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | not published | not published | $18.52 – $20.37 | 5 |
| Gonioscopy CPT 92020 | not published | not published | $148.26 – $163.09 | 5 |
| Goniotomy CPT 65820 | not published | not published | $4,606.06 – $5,066.66 | 5 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $1,131.91 – $1,131.91 | 1 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $99.49 – $152.54 | 5 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $102.07 – $152.54 | 5 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $654.76 – $654.76 | 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.