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 |
|---|---|---|---|---|
| Microvolt t-wave assess CPT 93025 | not published | not published | $120.65 – $157.72 | 5 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $75.71 | $108.16 | $0.36 – $0.36 | 1 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $116.50 – $128.15 | 5 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $6.26 – $6.26 | 1 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $653.22 – $718.54 | 5 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.66 – $2.93 | 5 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,324.00 – $3,656.40 | 5 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $28.46 – $31.30 | 5 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $38.61 – $42.48 | 5 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $8,999.61 – $8,999.61 | 1 |
| Mlh1 gene CPT 81288 | not published | not published | $192.32 – $211.55 | 5 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $222.64 | 5 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $742.94 | 5 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $331.00 – $364.10 | 5 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $18.63 – $20.49 | 5 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.30 – $5.83 | 5 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $14,306.71 – $15,737.38 | 5 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $96.98 – $106.67 | 5 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $24.25 – $26.68 | 5 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $781.39 – $859.53 | 5 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $391.16 – $391.16 | 1 |
| Modification of contact lens CPT 92325 | not published | not published | $148.26 – $163.09 | 5 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $4,390.38 – $4,390.38 | 1 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $1,879.16 – $1,879.16 | 1 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $37.73 – $41.50 | 5 |
| Molded inner boot HCPCS L2280 | not published | not published | $521.13 – $573.24 | 5 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $3,420.57 – $3,762.63 | 5 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $4,991.70 – $5,490.87 | 5 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,490.45 – $1,639.50 | 5 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $6,090.02 – $6,699.02 | 5 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $59.96 – $59.96 | 1 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $351.65 – $386.82 | 5 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $422.47 – $464.72 | 5 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $22,533.92 – $24,787.31 | 5 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $655.34 – $720.87 | 5 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $63.96 – $70.36 | 5 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $150.33 – $165.36 | 5 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $274.83 – $302.31 | 5 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $301.35 – $331.49 | 5 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $282.88 – $311.17 | 5 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $930.90 | 5 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $2,000.00 – $2,200.00 | 5 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $75.71 | $108.16 | $4.56 – $4.56 | 1 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $75.71 | $108.16 | not published | 0 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $39.93 – $39.93 | 1 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $275.94 | $394.20 | $148.86 – $208.84 | 5 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $196.10 – $439.38 | 5 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | not published | not published | $184.89 – $208.84 | 5 |
| Motion analysis video/3d CPT 96000 | not published | not published | $415.83 – $457.41 | 5 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $956.93 – $1,052.63 | 5 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $8.92 – $547.59 | 5 |
| Mouth piece HCPCS A4617 | not published | not published | $11.10 – $11.10 | 1 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $92.41 – $92.41 | 1 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $189.85 – $208.84 | 5 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $107.45 – $107.45 | 1 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $189.85 – $208.84 | 5 |
| Mpl gene analysis common variants CPT 81338 | $157.50 | $225.00 | $150.33 – $165.36 | 5 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $22.06 | 5 |
| M.pneumon dna quant CPT 87582 | not published | not published | $184.45 – $332.88 | 5 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $292.06 – $292.06 | 1 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $292.41 – $292.41 | 1 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $388.77 – $427.64 | 5 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $265.88 – $292.47 | 5 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $388.77 – $427.64 | 5 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $294.37 – $294.37 | 1 |
| MRA pelvis CPT 72198 | not published | not published | $292.06 – $292.06 | 1 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $388.77 – $427.64 | 5 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $265.88 – $292.47 | 5 |
| MRA spinal canal CPT 72159 | not published | not published | $295.56 – $295.56 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $280.46 – $280.46 | 1 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $388.77 – $427.64 | 5 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $388.77 – $427.64 | 5 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $388.77 – $427.64 | 5 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $388.77 – $427.64 | 5 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $265.88 – $292.47 | 5 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $265.88 – $292.47 | 5 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $265.88 – $292.47 | 5 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $265.88 – $292.47 | 5 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $388.77 – $427.64 | 5 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $388.77 – $427.64 | 5 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $388.77 – $427.64 | 5 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $388.77 – $427.64 | 5 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $388.77 – $427.64 | 5 |
| MRI brain w/dye CPT 70558 | not published | not published | $195.46 – $215.00 | 5 |
| MRI brain without dye CPT 70557 | not published | not published | $479.39 – $669.78 | 5 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $195.46 – $215.00 | 5 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $265.88 – $292.47 | 5 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $388.77 – $427.64 | 5 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $480.33 – $960.91 | 5 |
| MRI chest without contrast CPT 71550 | not published | not published | $238.31 – $292.47 | 5 |
| MRI chest without & w/contrast CPT 71552 | not published | not published | $369.85 – $427.64 | 5 |
| MRI chest w IV cont CPT 71551 | not published | not published | $282.81 – $960.91 | 5 |
| MRI compatible system HCPCS L0859 | not published | not published | $1,399.89 – $1,539.88 | 5 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $303.71 – $303.71 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $265.88 – $292.47 | 5 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $242.57 – $242.57 | 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.