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 |
|---|---|---|---|---|
| Initial observation care CPT 99218 | not published | not published | $321.62 – $321.62 | 1 |
| Initial observation care CPT 99219 | not published | not published | $438.88 – $438.88 | 1 |
| Initial observation care CPT 99220 | not published | not published | $600.24 – $600.24 | 1 |
| Initiation & management bipap/cpap initial day CPT 94660 | $170.66 | $243.80 | $244.02 – $268.42 | 5 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $204.67 – $204.67 | 1 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $7.27 – $8.00 | 5 |
| Inj bulking agent anal canal HCPCS L8605 | not published | not published | $2,165.16 – $2,165.16 | 1 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $2.11 – $2.11 | 1 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $8.84 – $9.72 | 5 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $7.84 – $7.84 | 1 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.62 – $0.62 | 1 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $558.29 – $558.29 | 1 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $342.05 – $376.25 | 5 |
| Inj dx for sinogram CPT 20501 | not published | not published | $125.00 – $125.00 | 1 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | not published | not published | $229.27 – $229.27 | 1 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $53.11 – $58.42 | 5 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $20.02 – $22.02 | 5 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $342.05 – $376.25 | 5 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $70.77 – $77.85 | 5 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $1.38 – $1.38 | 1 |
| Injection during cath supravalvular aortography CPT 93567 | not published | not published | $169.40 – $169.40 | 1 |
| Injection epidural blood patch or clot CPT 62273 | not published | not published | $786.59 – $865.25 | 5 |
| Injection eye drug CPT 67028 | not published | not published | $368.07 – $404.88 | 5 |
| Injection for arthrography wrist (both sides) CPT 25246 | not published | not published | $246.62 – $246.62 | 1 |
| Injection for bladder x-ray CPT 51600 | $502.11 | $717.30 | $145.51 – $145.51 | 1 |
| Injection for hip x-ray CPT 27095 | not published | not published | $271.22 – $271.22 | 1 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | not published | not published | $167.22 – $167.22 | 1 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $446.68 – $446.68 | 1 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $184.63 – $184.63 | 1 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $166.76 – $166.76 | 1 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $232.94 – $232.94 | 1 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $311.59 – $311.59 | 1 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $690.50 – $690.50 | 1 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $449.10 – $494.01 | 5 |
| Injection into brain canal CPT 61026 | not published | not published | $786.59 – $865.25 | 5 |
| Injection into brain canal CPT 61055 | not published | not published | $342.05 – $376.25 | 5 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $1,036.29 – $1,139.92 | 5 |
| Injection into spinal artery CPT 62294 | not published | not published | $985.61 – $1,084.17 | 5 |
| Injection into vocal cord CPT 31513 | not published | not published | $435.84 – $479.42 | 5 |
| Injection intraop add-on CPT 48400 | not published | not published | $345.37 – $345.37 | 1 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.01 – $1.11 | 5 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $144.51 – $144.51 | 1 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.73 – $6.30 | 5 |
| Injection of sinus tract CPT 20500 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,844.98 | $2,635.68 | $6.51 – $7.16 | 5 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.68 – $1.85 | 5 |
| Injection px peyronie ds CPT 54200 | not published | not published | $278.42 – $306.26 | 5 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $445.48 – $490.03 | 5 |
| Injection, ruconest HCPCS J0596 | not published | not published | $36.67 – $40.34 | 5 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $786.59 – $865.25 | 5 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $786.59 – $865.25 | 5 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | not published | not published | $786.59 – $865.25 | 5 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $985.61 – $1,084.17 | 5 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $197.04 – $197.04 | 1 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $985.61 – $1,084.17 | 5 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $169.57 – $169.57 | 1 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $985.61 – $1,084.17 | 5 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $786.59 – $865.25 | 5 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $786.59 – $865.25 | 5 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $174.08 – $191.48 | 5 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $342.05 – $376.25 | 5 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | not published | not published | $342.05 – $376.25 | 5 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $342.05 – $376.25 | 5 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | not published | not published | $52.18 – $57.40 | 5 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | not published | not published | $237.02 – $260.73 | 5 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | not published | not published | $80.23 – $88.26 | 5 |
| Injection treatment of eye CPT 66020 | not published | not published | $2,571.71 – $2,828.88 | 5 |
| Injection treatment of eye CPT 66030 | not published | not published | $2,571.71 – $2,828.88 | 5 |
| Injection treatment of nerve CPT 64605 | not published | not published | $2,176.01 – $2,393.61 | 5 |
| Injection treatment of nerve CPT 64610 | not published | not published | $2,176.01 – $2,393.61 | 5 |
| Injection treatment of nerve CPT 64681 | not published | not published | $985.61 – $1,084.17 | 5 |
| Injection treatment of nose CPT 30200 | not published | not published | $601.00 – $661.10 | 5 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $274.25 – $274.25 | 1 |
| Inject/treat eye socket CPT 67500 | not published | not published | $353.70 – $389.07 | 5 |
| Inject/treat eye socket CPT 67505 | not published | not published | $353.70 – $389.07 | 5 |
| Inject/treat eye socket CPT 67515 | not published | not published | $353.70 – $389.07 | 5 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $786.59 – $865.25 | 5 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $985.61 – $1,084.17 | 5 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.95 – $10.95 | 5 |
| Inj for ext venography CPT 36005 | not published | not published | $156.84 – $156.84 | 1 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $255.86 – $255.86 | 1 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | not published | not published | $153.11 – $153.11 | 1 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $189.47 – $189.47 | 1 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $198.13 – $198.13 | 1 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $147.25 – $147.25 | 1 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | not published | not published | $149.64 – $149.64 | 1 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.52 – $1.68 | 5 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $79.44 – $87.39 | 5 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $985.61 – $1,084.17 | 5 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $223.58 – $245.93 | 5 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $223.58 – $245.93 | 5 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $49.53 – $54.49 | 5 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $71.09 – $71.09 | 1 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $1.71 – $1.71 | 1 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $120.67 – $132.73 | 5 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | not published | not published | $8.57 – $8.57 | 1 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $26.75 – $26.75 | 1 |
| Inj multihance HCPCS A9577 | not published | not published | $6.70 – $6.70 | 1 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $6.41 – $6.41 | 1 |
| Inj naloxone hydrochloride HCPCS J2310 | not published | not published | $92.83 – $92.83 | 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.