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 |
|---|---|---|---|---|
| Otoplasty 69300 CPT 69300 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Ot re-evaluation patient/family CPT 97168 | $148.86 | $212.65 | $78.20 – $86.02 | 5 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $99.72 | $142.46 | $36.24 – $39.86 | 5 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $93.12 | $133.03 | $18.70 – $20.57 | 5 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $93.12 | $133.03 | $19.99 – $21.99 | 5 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $90.92 | $129.89 | $29.90 – $32.89 | 5 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $96.05 | $137.22 | $37.07 – $40.78 | 5 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $99.72 | $142.46 | $36.96 – $40.66 | 5 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $5,076.39 – $5,076.39 | 1 |
| Outrigger HCPCS L1080 | not published | not published | $72.34 – $79.57 | 5 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $188.84 – $207.72 | 5 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $5,574.45 – $6,131.90 | 5 |
| Ovulation tests CPT 84830 | not published | not published | $12.70 – $13.97 | 5 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $307.74 | $439.63 | $5.45 – $5.45 | 1 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.63 – $0.63 | 1 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $9.18 – $9.18 | 1 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $229.07 – $229.07 | 1 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $182.38 – $306.06 | 5 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $137.00 – $150.70 | 5 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $6.73 – $6.73 | 1 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.38 – $0.38 | 1 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $6.02 – $6.62 | 5 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $676.50 – $744.15 | 5 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $301.35 – $331.49 | 5 |
| Palifermin injection HCPCS J2425 | not published | not published | $36.72 – $40.39 | 5 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $15.08 – $16.58 | 5 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $436.75 – $480.42 | 5 |
| Palonosetron hcl HCPCS J2469 | not published | not published | $67.30 – $67.30 | 1 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | not published | not published | $27.12 – $27.12 | 1 |
| Pancreatectomy CPT 48146 | not published | not published | $6,036.34 – $6,036.34 | 1 |
| Pancreatectomy CPT 48152 | not published | not published | $9,283.17 – $9,283.17 | 1 |
| Pancreatectomy CPT 48154 | not published | not published | $9,280.36 – $9,280.36 | 1 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $9,961.87 – $9,961.87 | 1 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $5,032.47 – $5,032.47 | 1 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $4,325.17 – $4,325.17 | 1 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $174.39 – $191.82 | 5 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $70.66 | $100.94 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $208.53 | $297.90 | $41.28 – $45.41 | 5 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $4,481.73 – $4,481.73 | 1 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $250.17 – $665.56 | 5 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $782.58 – $782.58 | 1 |
| Parathyroid planar imaging CPT 78070 | not published | not published | $128.42 – $490.03 | 5 |
| Parathyroid planar img w/tomo spect CPT 78071 | not published | not published | $191.46 – $490.03 | 5 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $5,574.45 – $6,131.90 | 5 |
| Parenteral 50% dextrose solu HCPCS B4164 | not published | not published | $63.25 – $63.25 | 1 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $7,399.43 – $8,139.38 | 5 |
| Paricalcitol HCPCS J2501 | not published | not published | $3.54 – $3.54 | 1 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | not published | not published | $223.58 – $245.93 | 5 |
| Parotid duct diversion CPT 42507 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Parotid duct diversion CPT 42509 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Parotid duct diversion CPT 42510 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $7,851.46 – $8,894.51 | 5 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $4,146.88 – $4,146.88 | 1 |
| Partial exc bone humerus CPT 24140 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Partial excision of lip CPT 40500 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Partial hip replacement CPT 27125 | not published | not published | $3,675.53 – $15,737.38 | 5 |
| Partial hysterectomy CPT 58180 | not published | not published | $3,102.24 – $3,102.24 | 1 |
| Partial proctectomy CPT 45113 | not published | not published | $6,287.11 – $6,287.11 | 1 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $3,644.20 – $3,644.20 | 1 |
| Partial removal donor liver CPT 47140 | not published | not published | $10,950.12 – $10,950.12 | 1 |
| Partial removal donor liver CPT 47141 | not published | not published | $13,728.73 – $13,728.73 | 1 |
| Partial removal donor liver CPT 47142 | not published | not published | $15,079.13 – $15,079.13 | 1 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Partial removal foot fascia CPT 28060 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Partial removal of bladder CPT 51550 | not published | not published | $3,153.25 – $3,153.25 | 1 |
| Partial removal of esophagus CPT 43116 | not published | not published | $17,173.29 – $17,173.29 | 1 |
| Partial removal of esophagus CPT 43118 | not published | not published | $12,187.74 – $12,187.74 | 1 |
| Partial removal of esophagus CPT 43121 | not published | not published | $9,178.12 – $9,178.12 | 1 |
| Partial removal of esophagus CPT 43123 | not published | not published | $15,142.54 – $15,142.54 | 1 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $7,934.73 – $7,934.73 | 1 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $8,250.89 – $8,250.89 | 1 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $2,571.71 – $2,828.88 | 5 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $2,571.71 – $2,828.88 | 5 |
| Partial removal of fibula CPT 27641 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Partial removal of foot bone CPT 28288 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Partial removal of hand bone CPT 26230 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $6,437.68 – $6,437.68 | 1 |
| Partial removal of larynx CPT 31367 | not published | not published | $7,269.54 – $7,269.54 | 1 |
| Partial removal of larynx CPT 31368 | not published | not published | $8,086.45 – $8,086.45 | 1 |
| Partial removal of larynx CPT 31370 | not published | not published | $6,846.36 – $6,846.36 | 1 |
| Partial removal of larynx CPT 31375 | not published | not published | $6,492.36 – $6,492.36 | 1 |
| Partial removal of larynx CPT 31380 | not published | not published | $6,408.22 – $6,408.22 | 1 |
| Partial removal of larynx CPT 31382 | not published | not published | $7,042.20 – $7,042.20 | 1 |
| Partial removal of lip CPT 40530 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Partial removal of liver CPT 47125 | not published | not published | $9,885.02 – $9,885.02 | 1 |
| Partial removal of liver CPT 47130 | not published | not published | $10,618.24 – $10,618.24 | 1 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $4,749.08 – $4,749.08 | 1 |
| Partial removal of nose CPT 30150 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Partial removal of pancreas CPT 48145 | not published | not published | $5,225.12 – $5,225.12 | 1 |
| Partial removal of pancreas CPT 48150 | not published | not published | $10,017.42 – $10,017.42 | 1 |
| Partial removal of penis CPT 54120 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Partial removal of radius CPT 25151 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Partial removal of radius CPT 25230 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Partial removal of rectum CPT 45111 | not published | not published | $3,518.46 – $3,518.46 | 1 |
| Partial removal of rectum CPT 45114 | not published | not published | $5,818.02 – $5,818.02 | 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.