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 |
|---|---|---|---|---|
| Oncology colon mrna CPT 81525 | not published | not published | $3,116.00 – $3,427.60 | 5 |
| Oncology colorectal scr CPT 81528 | not published | not published | $508.87 – $559.76 | 5 |
| Oncology gynecologic CPT 81535 | not published | not published | $579.46 – $637.41 | 5 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $195.32 | 5 |
| Oncology lung CPT 81538 | not published | not published | $2,871.00 – $3,158.10 | 5 |
| Oncology prostate prob score CPT 81539 | not published | not published | $760.00 – $836.00 | 5 |
| Oncology thyroid CPT 81545 | not published | not published | $10,376.13 – $10,376.13 | 1 |
| Oncology tissue of origin CPT 81504 | not published | not published | $520.00 – $572.00 | 5 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,750.00 – $4,125.00 | 5 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $897.00 – $986.70 | 5 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $260.50 – $286.55 | 5 |
| Oncoprotein dcp CPT 83951 | not published | not published | $64.41 – $70.85 | 5 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $64.41 – $70.85 | 5 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $2,030.00 – $2,233.00 | 5 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $3,873.00 – $4,260.30 | 5 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,873.00 – $4,260.30 | 5 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,600.00 – $3,960.00 | 5 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $7,776.00 – $8,553.60 | 5 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $8.65 | $12.36 | $0.09 – $0.09 | 1 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $70.66 | $100.94 | $0.28 – $0.28 | 1 |
| One way chest drain valve HCPCS A7040 | not published | not published | $141.52 – $141.52 | 1 |
| Oocyte identification CPT 89254 | not published | not published | $189.85 – $208.84 | 5 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $3,773.91 – $3,773.91 | 1 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $4,519.10 – $4,519.10 | 1 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $4,642.56 – $4,642.56 | 1 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $5,808.65 – $5,808.65 | 1 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $6,111.52 – $6,111.52 | 1 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $6,145.56 – $6,145.56 | 1 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $2,453.74 – $2,453.74 | 1 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $739.40 – $739.40 | 1 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $4,363.14 – $4,799.46 | 5 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $6,651.75 – $6,651.75 | 1 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $6,200.75 – $6,820.83 | 5 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $4,533.86 – $7,256.40 | 5 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $2,335.82 – $8,894.51 | 5 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $7,851.46 – $8,894.51 | 5 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $3,920.09 – $8,894.51 | 5 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $1,741.99 – $8,894.51 | 5 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $2,592.14 – $2,592.14 | 1 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $2,586.59 – $2,586.59 | 1 |
| Ophthalmic biometry CPT 92136 | not published | not published | $103.00 – $163.09 | 5 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $294.47 – $294.47 | 1 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $41.62 – $45.78 | 5 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $148.26 – $163.09 | 5 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $116.50 – $128.15 | 5 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $116.50 – $128.15 | 5 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $3,967.78 – $3,967.78 | 1 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $1,964.68 – $1,964.68 | 1 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $49,082.95 – $53,991.24 | 5 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $21,618.41 – $23,780.25 | 5 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $12,416.80 – $13,658.48 | 5 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $7,101.71 – $7,811.88 | 5 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $3,683.52 – $7,256.40 | 5 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $3,980.88 – $7,256.40 | 5 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $3,728.89 – $7,256.40 | 5 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $3,924.60 – $7,256.40 | 5 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $464.97 – $511.47 | 5 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $1,504.44 – $1,504.44 | 1 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $65.74 – $72.31 | 5 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $65.74 – $72.31 | 5 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $150.11 – $150.11 | 1 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $5,662.69 – $7,256.40 | 5 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $2,224.64 – $7,256.40 | 5 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $6,185.07 – $7,256.40 | 5 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $4,129.81 – $7,256.40 | 5 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Optx lunate dislocation CPT 25695 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Optx medial ankle fx CPT 27766 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $2,216.84 – $7,256.40 | 5 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $2,582.11 – $7,256.40 | 5 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $14,306.71 – $15,737.38 | 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.