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 |
|---|---|---|---|---|
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | not published | not published | $15.03 – $16.53 | 5 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $127.19 | $181.70 | $12.05 – $13.26 | 5 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | not published | not published | $35.09 – $38.60 | 5 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $66.78 | $95.40 | $17.98 – $19.78 | 5 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $94.50 | $135.00 | $13.76 – $15.14 | 5 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $148.05 | $211.50 | $8.44 – $9.28 | 5 |
| Mayo pregnenolone CPT 84140 | not published | not published | $20.67 – $22.74 | 5 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | not published | not published | $16.59 – $18.25 | 5 |
| Mayo proinsulin CPT 84206 | not published | not published | $26.69 – $29.36 | 5 |
| Mayo psaft prostate specific antigen free CPT 84154 | not published | not published | $18.39 – $20.23 | 5 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $53.55 | $76.50 | $18.40 – $20.24 | 5 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $13.36 – $14.70 | 5 |
| Mayo receptor assay transferrin soluble CPT 84238 | not published | not published | $36.57 – $40.23 | 5 |
| Mayo renin CPT 84244 | $349.02 | $498.60 | $21.99 – $24.19 | 5 |
| Mayo repu protein electrophoresis urine CPT 84166 | not published | not published | $17.83 – $19.61 | 5 |
| Mayo selenium CPT 84255 | not published | not published | $25.53 – $28.08 | 5 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.50 – $17.05 | 5 |
| Mayo serotonin CPT 84260 | not published | not published | $30.98 – $34.08 | 5 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | not published | not published | $19.35 – $21.29 | 5 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $96.39 | $137.70 | $13.73 – $15.10 | 5 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | not published | not published | $92.03 – $101.23 | 5 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | not published | not published | $4.27 – $4.70 | 5 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | $128.92 – $141.81 | 5 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $208.92 – $229.81 | 5 |
| Mayo tgrp testosterone free CPT 84402 | not published | not published | $25.47 – $28.02 | 5 |
| Mayo tgrp testosterone total CPT 84403 | $149.31 | $213.30 | $25.81 – $28.39 | 5 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $22.17 – $24.39 | 5 |
| Mayo thyroglobulin CPT 84432 | $61.74 | $88.20 | $16.06 – $17.67 | 5 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | not published | not published | $10.18 – $11.20 | 5 |
| Mayo ticks babesia microti antibody igg CPT 86753 | not published | not published | $12.39 – $13.63 | 5 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $51.28 – $56.41 | 5 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $14.16 – $15.58 | 5 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $13.54 – $14.89 | 5 |
| Mayo vasoactive intestinal peptide CPT 84586 | not published | not published | $35.33 – $38.86 | 5 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | not published | not published | $20.24 – $22.26 | 5 |
| Mayo vitamin b3 (niacin) CPT 84591 | not published | not published | $17.06 – $18.77 | 5 |
| Mayo vitamin k CPT 84597 | not published | not published | $13.72 – $15.09 | 5 |
| Mayo zonisamide therapeutic drug level CPT 80203 | not published | not published | $13.25 – $14.58 | 5 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $2,725.05 – $2,725.05 | 1 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $43.24 | 5 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $29.79 – $29.79 | 1 |
| Md service required for pmd HCPCS G0372 | not published | not published | $28.62 – $28.62 | 1 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $415.83 – $457.41 | 5 |
| Measure kidney pressure CPT 50396 | not published | not published | $777.03 – $854.73 | 5 |
| Measurement post void urine by ultrasound CPT 51798 | not published | not published | $65.74 – $72.31 | 5 |
| Measure ureter pressure CPT 50686 | not published | not published | $143.39 – $157.72 | 5 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $504.12 – $554.53 | 5 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $941.78 – $941.78 | 1 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $150.00 – $165.00 | 5 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $527.87 – $580.66 | 5 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $120.00 – $132.00 | 5 |
| Medial canthopexy CPT 21280 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $415.83 – $457.41 | 5 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $560.73 | $801.04 | $1.60 – $1.60 | 1 |
| Meg evoked each addl CPT 95967 | not published | not published | $605.75 – $605.75 | 1 |
| Meg evoked single CPT 95966 | not published | not published | $690.88 – $1,052.63 | 5 |
| Meg spontaneous CPT 95965 | not published | not published | $956.93 – $1,052.63 | 5 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $37.74 – $37.74 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $75.71 | $108.16 | $16.42 – $16.42 | 1 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $31.82 – $35.01 | 5 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $70.66 | $100.94 | $4.29 – $4.29 | 1 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $827.05 – $827.05 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $6.91 – $6.91 | 1 |
| Metabolic Blood Panel (Basic) CPT 80048 | $156.87 | $224.10 | $8.46 – $9.31 | 5 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $248.22 | $354.60 | $10.56 – $11.62 | 5 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $13.73 – $15.10 | 5 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $2,566.97 – $2,823.67 | 5 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $1,437.21 – $1,437.21 | 1 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $1.72 – $1.72 | 1 |
| Methadone injection HCPCS J1230 | not published | not published | $61.99 – $61.99 | 1 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $119.90 – $119.90 | 1 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $10.27 | $14.67 | $1.52 – $1.52 | 1 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $7.99 – $7.99 | 1 |
| Methotrexate therapeutic drug level CPT 80204 | $69.23 | $98.90 | $38.57 – $42.43 | 5 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $269.48 – $269.48 | 1 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | not published | not published | $10.29 – $11.32 | 5 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $51.86 – $51.86 | 1 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $1,409.74 | $2,013.91 | not published | 0 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $7.46 | $10.66 | $1.09 – $1.09 | 1 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $70.66 | $100.94 | not published | 0 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $615.04 | $878.63 | not published | 0 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $70.66 | $100.94 | $2.92 – $2.92 | 1 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $100.93 | $144.19 | not published | 0 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $100.28 | 5 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $124.64 – $137.10 | 5 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $1,551.34 | $2,216.20 | $3.03 – $3.03 | 1 |
| Microalbumin urine screen CPT 82044 | not published | not published | $6.23 – $6.85 | 5 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $40.17 – $44.19 | 5 |
| Microdissection laser CPT 88380 | not published | not published | $184.83 – $184.83 | 1 |
| Microdissection manual CPT 88381 | not published | not published | $84.30 – $84.30 | 1 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $24.73 | 5 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $5,469.98 – $6,016.98 | 5 |
| Microsatellite instability CPT 81301 | not published | not published | $348.56 – $383.42 | 5 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $696.61 – $696.61 | 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.