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 |
|---|---|---|---|---|
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $695.23 – $695.23 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | not published | not published | $265.78 – $427.64 | 5 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | not published | not published | $220.93 – $292.47 | 5 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | not published | not published | $351.65 – $427.64 | 5 |
| MRI orbit/face/neck without contrast CPT 70540 | not published | not published | $219.73 – $292.47 | 5 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | not published | not published | $350.50 – $427.64 | 5 |
| MRI orbit fac&nck w IV cont CPT 70542 | not published | not published | $265.78 – $427.64 | 5 |
| MRI tmj CPT 70336 | not published | not published | $240.63 – $292.47 | 5 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | not published | not published | $222.08 – $292.47 | 5 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $836.01 | $1,194.30 | $351.65 – $427.64 | 5 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $265.78 – $427.64 | 5 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $388.77 – $427.64 | 5 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $195.46 – $215.00 | 5 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $388.77 – $427.64 | 5 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $388.77 – $427.64 | 5 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $65.74 – $72.31 | 5 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $32.23 – $35.45 | 5 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $234.63 | 5 |
| Msh2 gene full seq CPT 81295 | not published | not published | $381.70 – $419.87 | 5 |
| Msh2 gene known variants CPT 81296 | not published | not published | $337.73 – $371.50 | 5 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $238.00 – $261.80 | 5 |
| Msh6 gene full seq CPT 81298 | not published | not published | $641.85 – $706.04 | 5 |
| Msh6 gene known variants CPT 81299 | not published | not published | $308.00 – $338.80 | 5 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $7,444.54 – $8,894.51 | 5 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $65.34 – $71.87 | 5 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $29.57 | 5 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $47.12 | 5 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $6.45 | 5 |
| Mucopolysaccharides CPT 83864 | not published | not published | $28.50 – $31.35 | 5 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.00 – $16.50 | 5 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $4,941.29 – $5,435.42 | 5 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $936.06 – $1,029.67 | 5 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $138.75 – $138.75 | 1 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $92.96 – $92.96 | 1 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $626.84 – $689.52 | 5 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $745.01 – $819.51 | 5 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $197.79 – $217.57 | 5 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $143.39 – $157.72 | 5 |
| Multiple sleep latency test CPT 95805 | $2,627.80 | $3,754.00 | $193.00 – $1,052.63 | 5 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $3,790.61 – $4,169.67 | 5 |
| Mumps antibody igg CPT 86735 | not published | not published | $13.05 – $14.36 | 5 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $3,948.93 – $4,343.82 | 5 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $3,948.93 – $4,343.82 | 5 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $136.63 – $264.67 | 5 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $143.39 – $157.72 | 5 |
| Muscle test larynx CPT 95865 | not published | not published | $148.26 – $163.09 | 5 |
| Muscle test one fiber CPT 95872 | not published | not published | $138.95 – $264.67 | 5 |
| Muscle transfers CPT 23397 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $48.24 – $53.06 | 5 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $20.05 – $22.06 | 5 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $42.84 – $47.12 | 5 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $18.12 | $25.88 | $2.99 – $2.99 | 1 |
| Mycophenolic acid HCPCS J7518 | $16.03 | $22.90 | $8.61 – $8.61 | 1 |
| Mycoplasma antibody igm CPT 86738 | not published | not published | $13.24 – $14.56 | 5 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $175.40 – $192.94 | 5 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $197.45 – $960.91 | 5 |
| Myelography l-s spine CPT 72265 | not published | not published | $135.02 – $960.91 | 5 |
| Myelography neck spine CPT 72240 | not published | not published | $147.76 – $960.91 | 5 |
| Myelography thoracic spine CPT 72255 | not published | not published | $152.08 – $960.91 | 5 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | not published | not published | $873.56 – $960.91 | 5 |
| Myelography via inj w/s&i cervical CPT 62302 | not published | not published | $873.56 – $960.91 | 5 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | not published | not published | $873.56 – $960.91 | 5 |
| Myelography via inj w/s&i thoracic CPT 62303 | not published | not published | $873.56 – $960.91 | 5 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $75.60 | $108.00 | $11.53 – $12.68 | 5 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $8,440.75 – $8,440.75 | 1 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $233.13 – $1,752.80 | 5 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $293.09 – $1,752.80 | 5 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $3,716.62 – $3,716.62 | 1 |
| Myomectomy abdom method CPT 58140 | not published | not published | $2,958.93 – $2,958.93 | 1 |
| Myomectomy vag method CPT 58145 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Myringoplasty CPT 69620 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Nabilone oral HCPCS J8650 | not published | not published | $122.98 – $122.98 | 1 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $72.49 | $103.55 | not published | 0 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | not published | not published | $8.70 – $8.70 | 1 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $70.66 | $100.94 | not published | 0 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $4.25 – $4.67 | 5 |
| Nandrolone decanoate 50 mg HCPCS J2320 | not published | not published | $429.42 – $429.42 | 1 |
| Narcosynthesis CPT 90865 | not published | not published | $197.79 – $217.57 | 5 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | not published | not published | $222.43 – $244.67 | 5 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $263.93 – $290.33 | 5 |
| Nasal function studies CPT 92512 | not published | not published | $240.61 – $264.67 | 5 |
| Nasal septal prosthesis HCPCS L8047 | not published | not published | $1,668.54 – $1,835.39 | 5 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $7,864.44 – $8,650.88 | 5 |
| Nasal/sinus endoscopy surg CPT 31290 | not published | not published | $3,732.36 – $3,732.36 | 1 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $3,969.49 – $3,969.49 | 1 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $1,983.42 – $2,181.76 | 5 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $7,864.44 – $8,650.88 | 5 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $1,983.42 – $2,181.76 | 5 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $7,864.44 – $8,650.88 | 5 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $7,864.44 – $8,650.88 | 5 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $7,864.44 – $8,650.88 | 5 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $435.84 – $479.42 | 5 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $1,983.42 – $2,181.76 | 5 |
| Nasal sinus therapy CPT 30210 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Nasopharyngoscopy w/endoscope CPT 92511 | not published | not published | $222.43 – $244.67 | 5 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | not published | not published | $24.32 – $26.75 | 5 |
| Natriuretic peptide CPT 83880 | $73.08 | $104.40 | $39.26 – $43.19 | 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.