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 |
|---|---|---|---|---|
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $137.00 – $150.70 | 5 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $20.81 – $22.89 | 5 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $1.26 – $1.26 | 1 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | not published | not published | $1.14 – $1.14 | 1 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $70.66 | $100.94 | $10.51 – $10.51 | 1 |
| Hydration IV infusion each additional hour CPT 96361 | not published | not published | $52.18 – $57.40 | 5 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | not published | not published | $237.02 – $260.73 | 5 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $243.08 | $347.25 | $36.31 – $36.31 | 1 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $75.71 | $108.16 | not published | 0 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | not published | $27.38 – $27.38 | 1 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $17.90 – $19.69 | 5 |
| Hymenotomy CPT 56442 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $18.13 – $19.95 | 5 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $88.94 – $88.94 | 1 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $10.18 – $11.20 | 5 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $323.58 – $853.72 | 5 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $227.20 – $472.78 | 5 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $274.02 – $677.29 | 5 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $221.47 – $677.29 | 5 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $310.31 – $677.29 | 5 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $18.80 – $20.68 | 5 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $3,169.64 – $3,169.64 | 1 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $3,380.45 – $3,380.45 | 1 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $2,903.12 – $2,903.12 | 1 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $890.82 – $890.82 | 1 |
| Hysterosalpingography s&i CPT 74740 | not published | not published | $61.88 – $292.47 | 5 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $5,574.45 – $6,131.90 | 5 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $5,574.45 – $6,131.90 | 5 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $5,574.45 – $6,131.90 | 5 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $5,574.45 – $6,131.90 | 5 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $5,574.45 – $6,131.90 | 5 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $24.07 – $26.48 | 5 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $20.77 – $22.85 | 5 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $13.42 – $14.76 | 5 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $35.09 – $38.60 | 5 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $18.09 – $19.90 | 5 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $45.28 – $49.81 | 5 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $266.85 – $266.85 | 1 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,448.56 – $2,693.42 | 5 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $219.22 – $241.14 | 5 |
| Icatibant injection HCPCS J1744 | not published | not published | $1,079.79 – $1,079.79 | 1 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $152.57 – $264.67 | 5 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $41.62 – $45.78 | 5 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $65.74 – $72.31 | 5 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $32.23 – $35.45 | 5 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $3,027.83 – $8,894.51 | 5 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $127.11 – $127.11 | 1 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Identify sperm tissue CPT 89264 | not published | not published | $58.07 – $63.88 | 5 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Idh1 common variants CPT 81120 | not published | not published | $193.25 – $212.58 | 5 |
| Idh2 common variants CPT 81121 | not published | not published | $295.79 – $325.37 | 5 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $3,093.04 – $3,402.35 | 5 |
| I&d lacrimal gland CPT 68400 | not published | not published | $1,110.87 – $1,221.95 | 5 |
| I&d lacrimal sac CPT 68420 | not published | not published | $2,649.34 – $2,914.27 | 5 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Idursulfase injection HCPCS J1743 | not published | not published | $558.22 – $614.04 | 5 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Ifnl3 gene CPT 81283 | not published | not published | $73.37 – $80.71 | 5 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $86.45 – $86.45 | 1 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $207.31 – $228.04 | 5 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $68.55 – $75.40 | 5 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $197.99 – $217.79 | 5 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $294.52 – $323.97 | 5 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $172.73 – $190.00 | 5 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | not published | not published | $95.96 – $95.96 | 1 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $189.63 | $270.90 | $131.53 – $439.38 | 5 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | not published | not published | $119.94 – $208.84 | 5 |
| Ikbkap gene CPT 81260 | not published | not published | $39.31 – $43.24 | 5 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $3,376.27 – $3,376.27 | 1 |
| Iliac/fem angio cath insert HCPCS G0278 | not published | not published | $44.21 – $44.21 | 1 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $605.94 – $605.94 | 1 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $2,857.14 – $2,857.14 | 1 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $65.74 – $72.31 | 5 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $41.62 – $45.78 | 5 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $65.74 – $72.31 | 5 |
| Immob elbow child sm HCPCS L3762 | not published | not published | $117.38 – $129.12 | 5 |
| Immobilizer shldr cntor adlt HCPCS L3670 | not published | not published | $132.18 – $145.40 | 5 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | not published | not published | $63.18 – $69.50 | 5 |
| Immobilizer shldr sling med HCPCS L3660 | not published | not published | $115.57 – $127.13 | 5 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $9,107.97 – $10,018.77 | 5 |
| Immune complex assay CPT 86332 | not published | not published | $24.37 – $26.81 | 5 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $49.08 – $53.99 | 5 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $80.40 – $88.43 | 5 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $47.04 – $51.74 | 5 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | not published | not published | $20.81 – $22.89 | 5 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $127.19 | $181.70 | $20.81 – $22.89 | 5 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $25.57 – $28.13 | 5 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | not published | not published | $11.98 – $13.18 | 5 |
| Immunodiffusion nes CPT 86329 | not published | not published | $14.05 – $15.46 | 5 |
| Immunofixation electrophoresis serum CPT 86334 | not published | not published | $22.34 – $24.57 | 5 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | not published | $97.08 – $97.08 | 1 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | not published | not published | $122.61 – $208.84 | 5 |
| Immunoglobulin assay CPT 86023 | not published | not published | $12.46 – $13.71 | 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.