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 |
|---|---|---|---|---|
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $28.70 – $31.57 | 5 |
| Lso full corset HCPCS L0976 | not published | not published | $224.96 – $247.46 | 5 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $194.26 – $213.69 | 5 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,582.02 – $1,740.22 | 5 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $406.45 – $447.10 | 5 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $55.42 – $60.96 | 5 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $1,267.50 – $1,394.25 | 5 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,652.62 – $1,817.88 | 5 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $343.97 – $378.37 | 5 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $98.12 – $107.93 | 5 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $1,255.19 – $1,380.71 | 5 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,348.20 – $1,483.02 | 5 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.99 – $24.19 | 5 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $5.73 – $5.73 | 1 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $75.11 – $82.62 | 5 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $95.36 – $104.90 | 5 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $140.49 – $2,393.61 | 5 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $110.88 – $121.97 | 5 |
| Lumbar sling HCPCS L1090 | not published | not published | $114.21 – $125.63 | 5 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $19,538.71 – $21,492.58 | 5 |
| Lumizyme injection HCPCS J0221 | not published | not published | $207.51 – $228.26 | 5 |
| Lung function test (mbc/mvv) CPT 94200 | $49.14 | $70.20 | $18.19 – $72.31 | 5 |
| Lung Function Test (Spirometry) CPT 94010 | $49.14 | $70.20 | $27.47 – $264.67 | 5 |
| Lung perfusion imaging CPT 78580 | not published | not published | $119.14 – $490.03 | 5 |
| Lung transplant double CPT 32853 | not published | not published | $14,742.64 – $14,742.64 | 1 |
| Lung transplant single CPT 32851 | not published | not published | $10,584.40 – $10,584.40 | 1 |
| Lung transplant with bypass CPT 32852 | not published | not published | $11,551.30 – $11,551.30 | 1 |
| Lung transplant with bypass CPT 32854 | not published | not published | $15,650.17 – $15,650.17 | 1 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $4,732.69 – $4,732.69 | 1 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $613.75 – $675.12 | 5 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $32.23 – $35.45 | 5 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $339.39 – $373.33 | 5 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $22.06 | 5 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $2,286.72 – $10,018.77 | 5 |
| Lymphatics/lymph node imaging CPT 78195 | not published | not published | $192.23 – $665.56 | 5 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $40.22 | 5 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $49.03 – $53.93 | 5 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $95.22 – $208.46 | 5 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $52.35 | 5 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $141.10 – $768.93 | 5 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $197.77 – $1,929.57 | 5 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $132.70 – $3,870.37 | 5 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $192.30 – $3,870.37 | 5 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $601.00 – $661.10 | 5 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $2,329.41 – $2,562.35 | 5 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $24.21 – $24.21 | 1 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $4.27 – $4.70 | 5 |
| Macroscopic exam parasite CPT 87169 | $157.50 | $225.00 | $4.31 – $4.74 | 5 |
| Magnesium CPT 83735 | $102.69 | $146.70 | $6.70 – $7.37 | 5 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $100.93 | $144.19 | $1.75 – $1.75 | 1 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $263.46 – $292.47 | 5 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $14.51 | 5 |
| Male sling procedure CPT 53440 | not published | not published | $14,702.05 – $16,172.26 | 5 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $9,765.26 – $9,765.26 | 1 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $620.55 | $886.50 | $148.26 – $163.09 | 5 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $259.56 | $370.80 | $148.26 – $163.09 | 5 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Manipulation of spine CPT 22505 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $274.87 – $302.36 | 5 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $6.59 – $6.59 | 1 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $77.73 – $85.50 | 5 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $5.58 | 5 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $289.92 – $289.92 | 1 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $443.20 – $443.20 | 1 |
| Map tachycard site(s) CPT 93609 | not published | not published | $900.57 – $900.57 | 1 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $3,654.38 – $3,654.38 | 1 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $275.38 – $275.38 | 1 |
| Mastectomy form HCPCS L8020 | not published | not published | $294.95 – $324.44 | 5 |
| Mastectomy partial CPT 19301 | not published | not published | $4,363.14 – $4,799.46 | 5 |
| Mast mod rad CPT 19307 | not published | not published | $7,399.43 – $8,139.38 | 5 |
| Mastoidectomy CPT 69501 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Mastoids complete CPT 70130 | not published | not published | $56.09 – $128.15 | 5 |
| Mastoid surgery revision CPT 69603 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Mastopexy CPT 19316 | not published | not published | $7,399.43 – $8,139.38 | 5 |
| Mast radical CPT 19305 | not published | not published | $3,628.68 – $3,628.68 | 1 |
| Mast rad urban type CPT 19306 | not published | not published | $3,807.94 – $3,807.94 | 1 |
| Mast simple complete CPT 19303 | not published | not published | $7,399.43 – $8,139.38 | 5 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $38.60 | 5 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $30.02 | 5 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $47.12 | 5 |
| Maxillofacial fixation CPT 21100 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | not published | not published | $14.46 – $15.91 | 5 |
| Mayo aathr protein s free CPT 85306 | $152.46 | $217.80 | $15.32 – $16.85 | 5 |
| Mayo activated protein c resistance assay CPT 85307 | $174.51 | $249.30 | $15.32 – $16.85 | 5 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $38.57 – $42.43 | 5 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | not published | not published | $14.78 – $16.26 | 5 |
| Mayo alpha 1 antitrypsin CPT 82103 | not published | not published | $13.44 – $14.78 | 5 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | not published | not published | $15.08 – $16.59 | 5 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $157.50 | $225.00 | $121.63 – $133.79 | 5 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | not published | not published | $91.66 – $100.83 | 5 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $137.00 – $150.70 | 5 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $657.72 | $939.60 | $1,160.00 – $1,276.00 | 5 |
| Mayo androstenedione CPT 82157 | not published | not published | $29.28 – $32.21 | 5 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | not published | not published | $14.60 – $16.06 | 5 |
| Mayo antithrombin iii antigen CPT 85301 | $100.17 | $143.10 | $10.81 – $11.89 | 5 |
| Mayo aspergillus fumigatus antibody CPT 86606 | not published | not published | $15.05 – $16.56 | 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.