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 |
|---|---|---|---|---|
| Optx post ankle fx CPT 27769 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $14,306.71 – $15,737.38 | 5 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $19,538.71 – $21,492.58 | 5 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $7,851.46 – $8,894.51 | 5 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Optx sho dislc fx CPT 23670 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $14,306.71 – $15,737.38 | 5 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Optx thigh fx CPT 27269 | not published | not published | $4,027.96 – $8,894.51 | 5 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $7,851.46 – $8,894.51 | 5 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Oral aprepitant HCPCS J8501 | not published | not published | $24.67 – $24.67 | 1 |
| Oral busulfan HCPCS J8510 | not published | not published | $10.12 – $11.13 | 5 |
| Oral everolimus HCPCS J7527 | not published | not published | $26.20 – $26.20 | 1 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.98 – $13.18 | 5 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $397.79 – $437.57 | 5 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $9,106.45 – $9,106.45 | 1 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $10,141.48 – $10,141.48 | 1 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $10,175.91 – $10,175.91 | 1 |
| Orchiectomy partial CPT 54522 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $3,989.80 – $4,388.78 | 5 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $3,989.80 – $4,388.78 | 5 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $23.60 – $25.96 | 5 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $28.57 – $31.42 | 5 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $22.24 – $22.24 | 1 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | not published | not published | $315.21 – $346.73 | 5 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | not published | $545.90 – $600.49 | 5 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $1,399.76 – $1,539.74 | 5 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | not published | not published | $807.09 – $887.80 | 5 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $408.10 | $583.00 | $295.66 – $325.23 | 5 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | not published | not published | $350.66 – $385.73 | 5 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $115.37 – $126.91 | 5 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | not published | not published | $295.66 – $325.23 | 5 |
| Orthopantogram CPT 70355 | not published | not published | $31.23 – $106.67 | 5 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $35.09 – $38.60 | 5 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $58.76 – $58.76 | 1 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $65.74 – $72.31 | 5 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $61.04 – $67.14 | 5 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $38.11 – $41.92 | 5 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $35.09 – $38.60 | 5 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $50.33 – $55.36 | 5 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $156.26 – $171.89 | 5 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $554.63 – $610.09 | 5 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $109.09 – $120.00 | 5 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | not published | not published | $393.37 – $432.71 | 5 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $1,082.62 – $1,190.88 | 5 |
| Oscillation chest wall mechanical per session CPT 94669 | $62.37 | $89.10 | $244.02 – $268.42 | 5 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $38.11 – $41.92 | 5 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $27.48 – $30.23 | 5 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $102.26 – $112.49 | 5 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $77.81 – $85.59 | 5 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $10.65 – $11.72 | 5 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $64.07 – $70.48 | 5 |
| Osmolality blood CPT 83930 | $61.11 | $87.30 | $6.61 – $7.27 | 5 |
| Osmolality urine CPT 83935 | $56.70 | $81.00 | $6.82 – $7.50 | 5 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $14,306.71 – $15,737.38 | 5 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $24.06 – $26.47 | 5 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $24.06 – $26.47 | 5 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $24.06 – $26.47 | 5 |
| Osteoplasty humerus CPT 24420 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $5,157.57 – $8,894.51 | 5 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $1,168.03 – $1,168.03 | 1 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $5,123.82 – $8,894.51 | 5 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $4,887.74 – $8,894.51 | 5 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $3,585.30 – $15,737.38 | 5 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $8.50 – $8.50 | 1 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $158.81 – $158.81 | 1 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $9.78 – $9.78 | 1 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $12.85 – $12.85 | 1 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $17.06 – $17.06 | 1 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $6.22 – $6.22 | 1 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $32.43 – $32.43 | 1 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $30.53 – $30.53 | 1 |
| Ot evaluation high complexity patient/family CPT 97167 | $307.97 | $439.96 | $103.71 – $114.08 | 5 |
| Ot evaluation low complexity patient/family CPT 97165 | $299.90 | $428.43 | $114.12 – $125.53 | 5 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $304.30 | $434.72 | $114.12 – $125.53 | 5 |
| Other bone graft microvasc CPT 20962 | not published | not published | $7,058.76 – $8,894.51 | 5 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $23.13 – $25.44 | 5 |
| Oth resp proc, group HCPCS G0239 | $190.26 | $271.80 | $41.62 – $45.78 | 5 |
| Oth resp proc, indiv HCPCS G0238 | not published | not published | $32.23 – $35.45 | 5 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $63.06 | $90.09 | $58.50 – $64.35 | 5 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $108.52 | $155.03 | $47.77 – $52.55 | 5 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $85.06 | $121.51 | $31.34 – $34.47 | 5 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $30.97 – $30.97 | 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.