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 |
|---|---|---|---|---|
| Peripheral vascular rehab CPT 93668 | $161.81 | $231.15 | $65.74 – $72.31 | 5 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $44.12 – $44.12 | 1 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $39.42 – $39.42 | 1 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $6,200.75 – $6,820.83 | 5 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $76.61 – $669.78 | 5 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $139.62 – $490.03 | 5 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $21.34 – $23.47 | 5 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,760.53 – $1,936.58 | 5 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $2,525.83 – $2,525.83 | 1 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $2,581.86 – $2,581.86 | 1 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $789.10 – $868.01 | 5 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $789.10 – $868.01 | 5 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $10,548.90 – $11,603.79 | 5 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $10,548.90 – $11,603.79 | 5 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $3,981.91 – $3,981.91 | 1 |
| Perq transcath closure each CPT 93592 | not published | not published | $1,403.50 – $1,403.50 | 1 |
| Perq transcath closure pda CPT 93582 | not published | not published | $20,427.76 – $22,470.53 | 5 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $20,427.76 – $22,470.53 | 5 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $20,427.76 – $22,470.53 | 5 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $2,392.98 – $2,392.98 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Perq tx malar fracture CPT 21355 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Pertussis ag if CPT 87265 | not published | not published | $11.98 – $13.18 | 5 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $17.02 – $18.72 | 5 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $178.06 – $178.06 | 1 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $71.51 – $71.51 | 1 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $389.84 – $1,752.80 | 5 |
| Pet CT whole body initial CPT 78816 | not published | not published | $394.45 – $1,752.80 | 5 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $233.94 – $1,752.80 | 5 |
| Pet image full body CPT 78813 | not published | not published | $318.68 – $1,752.80 | 5 |
| Pet image ltd area CPT 78811 | not published | not published | $251.06 – $1,586.95 | 5 |
| Pet image skull-thigh CPT 78812 | not published | not published | $306.29 – $1,752.80 | 5 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $353.94 – $1,752.80 | 5 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $44.28 | $63.25 | $20.24 – $22.26 | 5 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $66.01 | $94.30 | $29.40 – $32.34 | 5 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $24.96 | $35.65 | $11.09 – $12.20 | 5 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Ph body fluid CPT 83986 | $48.51 | $69.30 | $3.58 – $3.94 | 5 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $64.95 – $64.95 | 1 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $115.47 – $115.47 | 1 |
| Phenobarbital therapeutic drug level CPT 80184 | $94.50 | $135.00 | $15.30 – $16.83 | 5 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $257.45 – $283.19 | 5 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $1.93 – $1.93 | 1 |
| Phenytoin total therapeutic drug level CPT 80185 | $73.08 | $104.40 | $13.25 – $14.58 | 5 |
| Phlebotomy therapeutic CPT 99195 | $315.00 | $450.00 | $148.26 – $163.09 | 5 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $3,518.52 – $3,870.37 | 5 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $3,518.52 – $3,870.37 | 5 |
| Phosphorus CPT 84100 | $66.78 | $95.40 | $4.74 – $5.21 | 5 |
| Phosphorus 24 hour urine CPT 84105 | $34.65 | $49.50 | $5.78 – $6.36 | 5 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $65.74 – $72.31 | 5 |
| Photochemotherapy puva CPT 96912 | not published | not published | $65.74 – $72.31 | 5 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $453.00 – $498.30 | 5 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $85.45 – $85.45 | 1 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $182.05 – $182.05 | 1 |
| Photo patch test CPT 95052 | not published | not published | $65.74 – $72.31 | 5 |
| Photopheresis CPT 36522 | $345.51 | $493.59 | $4,853.53 – $5,338.88 | 5 |
| Photosensitivity tests CPT 95056 | not published | not published | $148.26 – $163.09 | 5 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $58.07 – $63.88 | 5 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $189.85 – $208.84 | 5 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $32.23 – $35.45 | 5 |
| Phys review of motion tests CPT 96004 | not published | not published | $380.25 – $380.25 | 1 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $70.66 | $100.94 | $13.35 – $13.35 | 1 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.83 – $302.31 | 5 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | not published | $929.25 – $1,022.18 | 5 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $823.58 – $905.94 | 5 |
| Pin finger dislocation CPT 26776 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Pin finger fracture each CPT 26756 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Pin hand dislocation CPT 26676 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Pinworm exam CPT 87172 | not published | not published | $4.27 – $4.70 | 5 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $4.27 – $4.70 | 5 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $111.85 | $159.79 | $9.53 – $9.53 | 1 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $579.48 – $637.43 | 5 |
| Place breast cath for rad CPT 19297 | not published | not published | $304.00 – $304.00 | 1 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $14,230.66 – $16,892.40 | 5 |
| Place cath intracranial art CPT 36228 | not published | not published | $764.75 – $764.75 | 1 |
| Place cath xtrnl carotid CPT 36227 | not published | not published | $373.81 – $373.81 | 1 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $1,333.47 – $1,466.82 | 5 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $1,542.40 – $1,696.64 | 5 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Place endorectal app HCPCS C9725 | not published | not published | $1,036.29 – $1,139.92 | 5 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $3,341.49 – $3,341.49 | 1 |
| Place gastrostomy tube perc CPT 49440 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Placement bile duct support CPT 47801 | not published | not published | $3,278.21 – $3,278.21 | 1 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | not published | not published | $1,735.93 – $2,024.49 | 5 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | not published | not published | $167.22 – $167.22 | 1 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | not published | not published | $789.10 – $868.01 | 5 |
| Placement nephrostomy catheter (both sides) CPT 50432 | not published | not published | $2,329.41 – $2,562.35 | 5 |
| Placement of drain pancreas CPT 48001 | not published | not published | $7,430.05 – $7,430.05 | 1 |
| Placement of seton CPT 46020 | not published | not published | $3,093.04 – $3,402.35 | 5 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | not published | not published | $12,864.20 – $14,150.62 | 5 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $3,646.14 – $4,010.75 | 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.