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 |
|---|---|---|---|---|
| Levalbuterol non-comp con HCPCS J7612 | $15.28 | $21.83 | $0.68 – $0.68 | 1 |
| Levalbuterol non-comp unit HCPCS J7614 | $13.29 | $18.98 | $0.15 – $0.15 | 1 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $70.66 | $100.94 | $0.37 – $0.37 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $110.29 | $157.55 | $13.25 – $14.58 | 5 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $100.93 | $144.19 | $3.80 – $3.80 | 1 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.06 – $0.06 | 1 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $70.66 | $100.94 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $106.39 | $151.99 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | not published | not published | $14.69 – $16.16 | 5 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $231.34 – $254.47 | 5 |
| Lift heel adj small gl60404sm HCPCS L3332 | not published | not published | $88.45 – $97.30 | 5 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $45.78 – $50.36 | 5 |
| Lifts elevation metal extens HCPCS L3330 | not published | not published | $678.86 – $746.75 | 5 |
| Ligate esophagus veins CPT 43400 | not published | not published | $4,888.93 – $4,888.93 | 1 |
| Ligate leg veins open CPT 37761 | not published | not published | $2,202.90 – $3,870.37 | 5 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $3,518.52 – $3,870.37 | 5 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $247.82 – $247.82 | 1 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $4,947.59 – $4,947.59 | 1 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $3,518.52 – $3,870.37 | 5 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $3,518.52 – $3,870.37 | 5 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Ligation common iliac vein CPT 37660 | not published | not published | $4,192.92 – $4,192.92 | 1 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $3,518.52 – $3,870.37 | 5 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $3,518.52 – $3,870.37 | 5 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,518.52 – $3,870.37 | 5 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $2,202.90 – $3,870.37 | 5 |
| Ligation major artery chest CPT 37616 | not published | not published | $3,557.26 – $3,557.26 | 1 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $1,244.50 – $1,244.50 | 1 |
| Ligation major artery neck CPT 37615 | not published | not published | $2,202.90 – $3,870.37 | 5 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $3,518.52 – $3,870.37 | 5 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $4,330.83 – $6,820.83 | 5 |
| Ligation of femoral vein CPT 37650 | not published | not published | $3,518.52 – $3,870.37 | 5 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $6,200.75 – $6,820.83 | 5 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,518.52 – $3,870.37 | 5 |
| Ligation of salivary duct CPT 42665 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Ligation of shunt CPT 49428 | not published | not published | $1,467.96 – $1,467.96 | 1 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $3,518.52 – $3,870.37 | 5 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $3,518.52 – $3,870.37 | 5 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $3,518.52 – $3,870.37 | 5 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $3,518.52 – $3,870.37 | 5 |
| Limb exercise test CPT 95875 | not published | not published | $143.39 – $157.72 | 5 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $722.73 – $722.73 | 1 |
| Limited ankle motion ea jnt HCPCS L2200 | not published | not published | $72.84 – $80.12 | 5 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $142.35 – $156.58 | 5 |
| Limited visual field xm CPT 92081 | not published | not published | $53.04 – $72.31 | 5 |
| Lincomycin injection HCPCS J2010 | not published | not published | $40.52 – $40.52 | 1 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $171.73 | $245.33 | $44.80 – $44.80 | 1 |
| Lipase CPT 83690 | $105.84 | $151.20 | $6.89 – $7.58 | 5 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $28.33 – $37.25 | 5 |
| Lipoprotein blood quant CPT 83704 | $107.73 | $153.90 | $34.19 – $37.61 | 5 |
| Lipoprotein direct measurement hdl CPT 83718 | $42.84 | $61.20 | $8.19 – $9.01 | 5 |
| Lipoprotein direct measurement ldl CPT 83721 | $108.36 | $154.80 | $10.50 – $11.55 | 5 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $37.61 | 5 |
| Lip surgery procedure CPT 40799 | not published | not published | $263.93 – $290.33 | 5 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $14.51 | 5 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $193.82 – $213.20 | 5 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $77.75 – $85.52 | 5 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $606.56 – $667.22 | 5 |
| Lithium therapeutic drug level CPT 80178 | $61.74 | $88.20 | $6.61 – $7.27 | 5 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $3,890.98 – $3,890.98 | 1 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $193.81 | 5 |
| Liver elastography 91200 CPT 91200 | not published | not published | $44.88 – $157.72 | 5 |
| Liver Function Test CPT 80076 | $119.07 | $170.10 | $8.17 – $8.99 | 5 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $4,674.02 – $4,674.02 | 1 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $152.37 – $152.37 | 1 |
| Liver imaging CPT 78201 | not published | not published | $68.84 – $665.56 | 5 |
| Liver imaging (3d) CPT 78205 | not published | not published | $110.19 – $110.19 | 1 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $76.93 – $665.56 | 5 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $78.92 – $490.03 | 5 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $89.32 – $490.03 | 5 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,649.34 – $2,914.27 | 5 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $3,412.03 – $3,753.23 | 5 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $2.64 – $2.64 | 1 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $135.33 – $148.86 | 5 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $75.71 | $108.16 | $2.38 – $2.38 | 1 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $26.67 – $29.34 | 5 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $93.48 – $102.83 | 5 |
| Loudness balance test CPT 92562 | not published | not published | $240.61 – $264.67 | 5 |
| Low back disk surgery CPT 63030 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $1,458.98 – $1,458.98 | 1 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $4,597.42 – $4,597.42 | 1 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $1,458.98 – $1,458.98 | 1 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $1,458.98 – $1,458.98 | 1 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | not published | not published | $195.46 – $215.00 | 5 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | not published | not published | $199.22 – $427.64 | 5 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $582.75 | $832.50 | $116.50 – $128.15 | 5 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,837.33 | $5,481.90 | $375.68 – $427.64 | 5 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | not published | not published | $292.89 – $427.64 | 5 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,401.12 | $2,001.60 | $243.75 – $292.47 | 5 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $642.60 | $918.00 | $36.74 – $128.15 | 5 |
| Lower jaw bone graft CPT 21215 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $223.58 – $245.93 | 5 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $11,845.30 – $13,029.83 | 5 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $11,845.30 – $13,029.83 | 5 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $11,845.30 – $13,029.83 | 5 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $11,845.30 – $13,029.83 | 5 |
| Lso corset front HCPCS L0972 | not published | not published | $118.26 – $130.09 | 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.