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 |
|---|---|---|---|---|
| Intracranial angioplasty CPT 61630 | not published | not published | $4,327.59 – $4,327.59 | 1 |
| Intracranial complete study CPT 93886 | not published | not published | $153.24 – $292.47 | 5 |
| Intracranial limited study CPT 93888 | not published | not published | $84.01 – $128.15 | 5 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $7,232.58 – $7,232.58 | 1 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $13,304.82 – $13,304.82 | 1 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $9,121.32 – $9,121.32 | 1 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $14,402.45 – $14,402.45 | 1 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $6,972.94 – $6,972.94 | 1 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $11,691.69 – $11,691.69 | 1 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Intranasal reconstruction CPT 30620 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $542.70 – $542.70 | 1 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $1,279.95 – $1,279.95 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $601.00 – $661.10 | 5 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $244.02 – $268.42 | 5 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $491.62 – $540.78 | 5 |
| Intraventricular pacing CPT 93612 | not published | not published | $527.47 – $9,560.66 | 5 |
| Intrinsic factor antibody CPT 86340 | not published | not published | $15.08 – $16.59 | 5 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $148.36 – $163.20 | 5 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $1,754.15 – $1,929.57 | 5 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $6,342.36 – $6,976.60 | 5 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $12,864.20 – $14,150.62 | 5 |
| Intro catheter aorta CPT 36200 | not published | not published | $452.54 – $452.54 | 1 |
| Intro cath svc/ivc CPT 36010 | not published | not published | $356.67 – $356.67 | 1 |
| Intro long gi tube CPT 44500 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | not published | $88.20 – $88.20 | 1 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,983.42 – $2,181.76 | 5 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $297.20 – $297.20 | 1 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $239.50 – $239.50 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | not published | not published | $263.93 – $290.33 | 5 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $146.96 – $146.96 | 1 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $65.74 – $72.31 | 5 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $96.37 – $435.95 | 5 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $41.59 – $45.75 | 5 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $106.10 – $106.10 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $1.06 – $1.06 | 1 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | not published | not published | $0.39 – $0.39 | 1 |
| Io radiation tx management CPT 77469 | not published | not published | $1,044.37 – $1,044.37 | 1 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $8,207.47 – $9,028.22 | 5 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $8,207.47 – $9,028.22 | 5 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $187.17 – $205.88 | 5 |
| Ipratropium bromide non-comp HCPCS J7644 | $7.43 | $10.62 | $0.71 – $0.71 | 1 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $10.91 – $10.91 | 1 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $66.37 – $73.01 | 5 |
| Iron CPT 83540 | $88.20 | $126.00 | $6.47 – $7.12 | 5 |
| Iron binding capacity CPT 83550 | $88.20 | $126.00 | $8.74 – $9.61 | 5 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $18.10 – $19.92 | 5 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $7.57 | 5 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $117.36 | $167.66 | $0.82 – $0.82 | 1 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $41.62 – $45.78 | 5 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | not published | not published | $65.74 – $72.31 | 5 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Irrigation syringe HCPCS A4322 | not published | not published | $10.92 – $10.92 | 1 |
| Irrigation tray HCPCS A4320 | not published | not published | $19.13 – $19.13 | 1 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $65.74 – $72.31 | 5 |
| Island pedicle flap graft CPT 15740 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| Ivc venogram s&i CPT 75825 | not published | not published | $180.70 – $3,870.37 | 5 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | not published | not published | $80.23 – $88.26 | 5 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | not published | not published | $67.27 – $67.27 | 1 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | not published | not published | $52.18 – $57.40 | 5 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | not published | not published | $237.02 – $260.73 | 5 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $445.48 – $490.03 | 5 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $497.80 – $547.59 | 5 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $80.08 – $215.00 | 5 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $80.08 – $215.00 | 5 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $139.75 – $153.72 | 5 |
| Jak2 targeted sequence analysis CPT 81279 | $157.50 | $225.00 | $185.20 – $203.72 | 5 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| John cunningham antibody CPT 86711 | not published | not published | $16.89 – $18.58 | 5 |
| J-tube placement CPT 44015 | not published | not published | $457.50 – $457.50 | 1 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $1,789.03 – $1,967.93 | 5 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $1,540.73 – $1,694.80 | 5 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $2,627.25 – $2,889.98 | 5 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $1,162.25 – $1,278.48 | 5 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $1,376.03 – $1,513.63 | 5 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $1,358.95 – $1,494.85 | 5 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $926.98 – $1,019.68 | 5 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $2,432.42 – $2,675.66 | 5 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $2,269.05 – $2,495.96 | 5 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $215.83 – $237.41 | 5 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $1,554.06 – $1,709.47 | 5 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $4,915.21 – $5,406.73 | 5 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $1,402.89 – $1,543.18 | 5 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $1,911.46 – $2,102.61 | 5 |
| Keratoprosthesis CPT 65770 | not published | not published | $16,164.80 – $17,781.28 | 5 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $17.02 | 5 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $42.84 | $61.20 | $8.17 – $8.99 | 5 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $70.66 | $100.94 | $0.34 – $0.38 | 5 |
| Kidney endoscopy CPT 50551 | not published | not published | $5,974.89 – $6,572.38 | 5 |
| Kidney endoscopy CPT 50553 | not published | not published | $5,974.89 – $6,572.38 | 5 |
| Kidney endoscopy CPT 50570 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Kidney endoscopy CPT 50575 | not published | not published | $5,974.89 – $6,572.38 | 5 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $10,548.90 – $11,603.79 | 5 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $1,769.20 – $4,320.85 | 5 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $10,548.90 – $11,603.79 | 5 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $5,974.89 – $6,572.38 | 5 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $10,548.90 – $11,603.79 | 5 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $5,974.89 – $6,572.38 | 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.