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 |
|---|---|---|---|---|
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $419.44 – $419.44 | 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 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $68.07 – $68.07 | 1 |
| 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 |
| Impact tooth remov part bony HCPCS D7230 | not published | not published | $720.41 – $792.45 | 5 |
| Impedence cardiogram CPT 93701 | not published | not published | $148.26 – $163.09 | 5 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | not published | not published | $2,230.17 – $2,230.17 | 1 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | not published | not published | $1,026.54 – $1,129.19 | 5 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $5,125.79 – $5,125.79 | 1 |
| Implant brain electrodes CPT 61531 | not published | not published | $3,856.60 – $3,856.60 | 1 |
| Implant brain electrodes CPT 61533 | not published | not published | $4,850.93 – $4,850.93 | 1 |
| Implant brain electrodes CPT 61760 | not published | not published | $5,052.82 – $5,052.82 | 1 |
| Implant cochlear device CPT 69930 | not published | not published | $36,742.30 – $40,416.53 | 5 |
| Implant cochlear osia osi300 HCPCS L8690 | not published | not published | $14,380.98 – $14,380.98 | 1 |
| Implant eye drug system CPT 67027 | not published | not published | $15,548.40 – $17,103.24 | 5 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $497.80 – $547.59 | 5 |
| Implant nerve end CPT 64787 | not published | not published | $791.06 – $791.06 | 1 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $909.23 – $909.23 | 1 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $1,598.08 – $1,598.08 | 1 |
| Implant neuroelectrode CPT 61863 | not published | not published | $4,817.28 – $4,817.28 | 1 |
| Implant neuroelectrode CPT 61867 | not published | not published | $7,296.07 – $7,296.07 | 1 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $21,618.41 – $23,780.25 | 5 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $12,416.80 – $13,658.48 | 5 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $7,101.71 – $7,811.88 | 5 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $7,101.71 – $7,811.88 | 5 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $3,155.63 – $3,155.63 | 1 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $4,972.51 – $4,972.51 | 1 |
| Implant neurostim arrays CPT 61886 | not published | not published | $34,386.10 – $37,824.71 | 5 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $858.77 – $858.77 | 1 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $4,210.86 – $4,210.86 | 1 |
| Implant spinal canal cath CPT 62351 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Implant spine infusion pump CPT 62361 | not published | not published | $20,084.78 – $22,093.26 | 5 |
| Implant spine infusion pump CPT 62362 | not published | not published | $20,084.78 – $22,093.26 | 5 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $4,259.32 – $4,259.32 | 1 |
| Implant ureter in bowel CPT 50800 | not published | not published | $3,026.32 – $3,026.32 | 1 |
| Implant ureth bulk agent HCPCS L8606 | not published | not published | $687.82 – $687.82 | 1 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,822.38 – $2,004.62 | 5 |
| Impl eye bio-eye 16mm HCPCS L8042 | not published | not published | $4,069.63 – $4,476.59 | 5 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $7,101.71 – $7,811.88 | 5 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $698.74 – $698.74 | 1 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $9,779.32 – $10,757.25 | 5 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $14,306.71 – $15,737.38 | 5 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $278.98 – $278.98 | 1 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $4,606.06 – $5,066.66 | 5 |
| Imp neurosti pls gn any type HCPCS L8679 | not published | not published | $26,203.04 – $26,203.04 | 1 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $298.74 – $328.61 | 5 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | not published | not published | $6.89 – $6.89 | 1 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $263.93 – $290.33 | 5 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $42.82 – $47.11 | 5 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $1,442.60 – $4,010.75 | 5 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $5,750.73 – $8,894.51 | 5 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $4,812.03 – $8,894.51 | 5 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $4,800.32 – $8,894.51 | 5 |
| Incis addl spine segment CPT 22216 | not published | not published | $1,173.14 – $1,173.14 | 1 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $4,052.98 – $4,052.98 | 1 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $2,176.01 – $2,393.61 | 5 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $1,110.87 – $1,221.95 | 5 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $2,176.01 – $2,393.61 | 5 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $2,176.01 – $2,393.61 | 5 |
| Incise inner ear CPT 69801 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Incise inner ear nerve CPT 69915 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Incise inner ear nerve CPT 69950 | not published | not published | $5,872.41 – $5,872.41 | 1 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $612.89 – $674.18 | 5 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $2,571.71 – $2,828.88 | 5 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $2,571.71 – $2,828.88 | 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.