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 |
|---|---|---|---|---|
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $163.25 | 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 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $3,490.13 – $3,490.13 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $138.67 – $152.54 | 5 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $138.67 – $152.54 | 5 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $138.67 – $152.54 | 5 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $11.30 – $11.30 | 1 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $1.17 – $1.17 | 1 |
| Granulocyte pheresis ea unit HCPCS P9050 | $3,782.10 | $5,403.00 | not published | 0 |
| Great toe-hand transfer CPT 26551 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $274.87 – $302.36 | 5 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $41.75 – $45.93 | 5 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $12.58 – $13.84 | 5 |
| Group train without patient HCPCS G0543 | not published | not published | $32.23 – $35.45 | 5 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $17.31 | 5 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $73.37 | 5 |
| Growth hormone panel CPT 80430 | not published | not published | $129.33 – $142.26 | 5 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $75.60 – $83.16 | 5 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $6,182.08 – $6,182.08 | 1 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $4,094.56 – $4,094.56 | 1 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $5,209.54 – $5,209.54 | 1 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $5,725.41 – $5,725.41 | 1 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| G-tube reposition CPT 43761 | not published | not published | $278.42 – $306.26 | 5 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $85.07 – $2,562.35 | 5 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $789.10 – $868.01 | 5 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $1,714.14 – $1,714.14 | 1 |
| Gum graft CPT 41870 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $4,363.14 – $4,799.46 | 5 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $823.58 – $905.94 | 5 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $453.00 – $498.30 | 5 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $453.00 – $498.30 | 5 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $51.86 – $57.05 | 5 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $3,102.85 – $3,413.14 | 5 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $3,159.50 – $3,475.45 | 5 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $4,352.18 – $4,787.40 | 5 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $70.66 | $100.94 | $58.41 – $58.41 | 1 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $70.66 | $100.94 | $3.88 – $3.88 | 1 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $258.53 – $284.38 | 5 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $85.24 – $85.24 | 1 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $115.37 – $126.91 | 5 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $2,396.60 – $2,636.26 | 5 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $1,966.99 – $2,163.69 | 5 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $888.95 – $977.85 | 5 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $2,377.15 – $2,614.87 | 5 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Hand X-ray CPT 73130 | $370.44 | $529.20 | $28.62 – $106.67 | 5 |
| Haptoglobin quantitative CPT 83010 | $75.60 | $108.00 | $12.58 – $13.84 | 5 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $237.00 – $260.70 | 5 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $180.72 – $198.79 | 5 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $147.02 – $161.72 | 5 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $274.95 – $274.95 | 1 |
| Harvest auto stem cells CPT 38206 | not published | not published | $1,735.51 – $1,909.06 | 5 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $2,649.34 – $2,914.27 | 5 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $1,118.02 – $1,118.02 | 1 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $491.62 – $540.78 | 5 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $1,031.01 – $1,031.01 | 1 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $47.14 – $163.09 | 5 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $61.85 – $163.09 | 5 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $600.00 – $660.00 | 5 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $202.40 – $222.64 | 5 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $412.78 | 5 |
| Hbb full gene sequence CPT 81364 | not published | not published | $324.58 – $357.04 | 5 |
| Hbb gene com variants CPT 81361 | not published | not published | $174.81 – $192.29 | 5 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $202.40 – $222.64 | 5 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $412.78 | 5 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $9.71 – $10.68 | 5 |
| Hbot, full body chamber, 30m HCPCS G0277 | not published | not published | $153.34 – $168.68 | 5 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $113.34 – $215.00 | 5 |
| Hcg free betachain test CPT 84704 | not published | not published | $15.29 – $16.82 | 5 |
| Hcg qualitative CPT 84703 | $175.77 | $251.10 | $7.52 – $8.27 | 5 |
| Hcg quantitative CPT 84702 | $116.55 | $166.50 | $15.05 – $16.56 | 5 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $823.58 – $905.94 | 5 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $657.62 – $657.62 | 1 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $823.58 – $905.94 | 5 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $174.10 – $174.10 | 1 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $610.32 – $610.32 | 1 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $156.24 – $665.56 | 5 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $445.48 – $490.03 | 5 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $76.96 – $490.03 | 5 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $147.35 – $665.56 | 5 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $230.81 – $1,586.95 | 5 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $328.89 – $853.72 | 5 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $641.53 – $853.72 | 5 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $776.11 – $853.72 | 5 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $178.00 – $472.78 | 5 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $236.80 – $472.78 | 5 |
| Head CT scan (with and without contrast) CPT 70470 | $722.61 | $1,032.30 | $195.46 – $215.00 | 5 |
| Head CT scan (with contrast) CPT 70460 | $667.17 | $953.10 | $184.54 – $215.00 | 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.