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 |
|---|---|---|---|---|
| Incision secondary cataract CPT 66820 | not published | not published | $2,571.71 – $2,828.88 | 5 |
| Incision tendon sheath CPT 26055 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Incisn of toe tndn CPT 28010 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Incisn windpipe CPT 31600 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $1,877.90 – $1,877.90 | 1 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $7,739.98 – $8,894.51 | 5 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $7,876.44 – $8,894.51 | 5 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $5.29 – $5.82 | 5 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $282.91 – $282.91 | 1 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $1,566.37 – $1,566.37 | 1 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $1,702.44 – $1,702.44 | 1 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $1,334.50 – $1,334.50 | 1 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $1,282.78 – $1,282.78 | 1 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $1,660.26 – $1,660.26 | 1 |
| Induced abortion d&c CPT 59840 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Induction of vomiting CPT 99175 | not published | not published | $52.30 – $52.30 | 1 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $70.20 – $77.22 | 5 |
| Infect ag drug suscept pheno predict CPT 87900 | $308.70 | $441.00 | $130.35 – $143.39 | 5 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $15.00 – $16.50 | 5 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $14.13 – $15.54 | 5 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $257.45 – $283.20 | 5 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $257.45 – $283.20 | 5 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $303.66 | $433.80 | $128.73 – $141.60 | 5 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $608.58 | $869.40 | $257.45 – $283.20 | 5 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $118.44 | $169.20 | $32.77 – $36.05 | 5 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $35.29 – $38.82 | 5 |
| Infect ag ia optc obs influenza CPT 87804 | not published | not published | $16.55 – $18.21 | 5 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $11.98 – $13.18 | 5 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $18.36 – $20.20 | 5 |
| Infect ag if influenza a CPT 87276 | not published | not published | $16.07 – $17.68 | 5 |
| Infect ag if influenza b CPT 87275 | not published | not published | $12.25 – $13.48 | 5 |
| Infect ag if legionella pneumophila CPT 87278 | $200.97 | $287.10 | $15.60 – $17.16 | 5 |
| Infect ag if nos ea CPT 87299 | not published | not published | $16.10 – $17.71 | 5 |
| Infect ag if pneumocystis carinii CPT 87281 | $348.39 | $497.70 | $11.98 – $13.18 | 5 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $13.42 – $14.76 | 5 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $53.47 – $58.82 | 5 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $35.09 – $38.60 | 5 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $42.84 – $47.12 | 5 |
| Infect ag na hpv high-risk types CPT 87624 | $164.43 | $234.90 | $35.09 – $38.60 | 5 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $461.79 | $659.70 | $95.80 – $105.38 | 5 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $51.31 – $56.44 | 5 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $51.31 – $56.44 | 5 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $890.82 | $1,272.60 | $416.78 – $458.46 | 5 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $488.66 – $537.53 | 5 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $26.07 – $28.68 | 5 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $41.38 – $45.52 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $121.59 | $173.70 | $11.98 – $13.18 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $13.42 – $14.76 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $42.84 | $61.20 | $13.82 – $15.20 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $73.08 | $104.40 | $11.98 – $13.18 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $73.08 | $104.40 | $14.38 – $15.82 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $73.50 | $105.00 | $10.33 – $11.36 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | not published | not published | $10.33 – $11.36 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $112.77 | $161.10 | $24.08 – $26.49 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | not published | not published | $11.98 – $13.18 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | not published | not published | $11.98 – $13.18 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $11.98 – $13.18 | 5 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $214.83 | $306.90 | $35.09 – $38.60 | 5 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $214.83 | $306.90 | $35.09 – $38.60 | 5 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $88.20 | $126.00 | $37.27 – $41.00 | 5 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $2,528.82 | $3,612.60 | $416.78 – $458.46 | 5 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $255.15 | $364.50 | $35.09 – $38.60 | 5 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $214.20 | $306.00 | $35.09 – $38.60 | 5 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | not published | not published | $41.68 – $45.85 | 5 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $214.83 | $306.90 | $35.09 – $38.60 | 5 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $149.94 | $214.20 | $51.31 – $56.44 | 5 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $163.17 | $233.10 | $142.63 – $156.89 | 5 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $521.01 | $744.30 | $142.63 – $156.89 | 5 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $191.52 | $273.60 | $35.09 – $38.60 | 5 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $70.70 | $101.00 | $35.09 – $38.60 | 5 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | not published | not published | $70.18 – $77.20 | 5 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $76.77 – $84.45 | 5 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $679.77 – $747.75 | 5 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | not published | not published | $416.78 – $458.46 | 5 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $399.42 | $570.60 | $128.29 – $141.12 | 5 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $262.99 – $289.29 | 5 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | not published | not published | $42.84 – $47.12 | 5 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | not published | not published | $42.84 – $47.12 | 5 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $479.50 | $685.00 | $42.84 – $47.12 | 5 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $201.60 | $288.00 | $85.10 – $93.61 | 5 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $521.01 | $744.30 | $142.63 – $156.89 | 5 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $31.04 – $34.15 | 5 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $29.22 – $32.14 | 5 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $130.77 – $130.77 | 1 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $9,974.63 – $9,974.63 | 1 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $9,879.18 – $9,879.18 | 1 |
| Infuse radioactive materials CPT 77750 | not published | not published | $375.45 – $472.78 | 5 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $218.48 – $218.48 | 1 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $415.83 – $457.41 | 5 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $244.02 – $268.42 | 5 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $2,129.35 – $2,342.29 | 5 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $1,572.33 – $1,729.56 | 5 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $42.72 – $46.99 | 5 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $1,580.90 – $1,738.99 | 5 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $148.36 – $163.20 | 5 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $1,143.65 – $1,143.65 | 1 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $421.66 – $421.66 | 1 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $539.67 – $539.67 | 1 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $295.44 – $295.44 | 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.