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 |
|---|---|---|---|---|
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.83 – $6.41 | 5 |
| Potassium serum/plasma/whole blood CPT 84132 | $97.65 | $139.50 | $4.76 – $5.24 | 5 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $7.40 – $7.40 | 1 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $12.65 – $12.65 | 1 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $19.73 – $19.73 | 1 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $15.65 – $15.65 | 1 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $7.48 – $7.48 | 1 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $12.88 – $12.88 | 1 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $12.91 – $12.91 | 1 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $137.00 – $150.70 | 5 |
| Pq biliary strict dil s&i CPT 74363 | not published | not published | $139.62 – $139.62 | 1 |
| Pq dr cath chg w cont s&i CPT 75984 | not published | not published | $113.31 – $113.31 | 1 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Pq thr inj ext pse CPT 36002 | not published | not published | $699.03 – $768.93 | 5 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | not published | not published | $682.86 – $682.86 | 1 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $392.72 – $431.99 | 5 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $282.01 – $282.01 | 1 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Pr application of long arm splint CPT 29105 | not published | not published | $181.08 – $199.19 | 5 |
| Pr application splint static short arm CPT 29125 | not published | not published | $148.26 – $163.09 | 5 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $40.63 – $45.78 | 5 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $14,306.71 – $15,737.38 | 5 |
| Pr correction hammertoe CPT 28285 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | not published | not published | $41.75 – $45.93 | 5 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $90.72 | $129.60 | $223.58 – $245.93 | 5 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $235.06 – $235.06 | 1 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $348.53 – $348.53 | 1 |
| Prealbumin CPT 84134 | $110.88 | $158.40 | $14.59 – $16.05 | 5 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $27.47 – $27.47 | 1 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $87.42 – $87.42 | 1 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $18.87 | $26.95 | $0.26 – $0.26 | 1 |
| Prednisone 1 mg tablet HCPCS J7512 | $7.36 | $10.51 | $0.03 – $0.03 | 1 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $227.33 – $250.06 | 5 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $15.05 – $16.56 | 5 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | not published | not published | $116.50 – $128.15 | 5 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | not published | not published | $116.50 – $128.15 | 5 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $1,142.03 – $1,142.03 | 1 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $2,018.68 – $2,018.68 | 1 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $240.61 – $264.67 | 5 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $415.83 – $457.41 | 5 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $415.83 – $457.41 | 5 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $2,783.38 – $3,061.72 | 5 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $3,093.82 – $3,403.20 | 5 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $2,646.28 – $2,910.91 | 5 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $3,188.52 – $3,507.37 | 5 |
| Preparation for bladder xray CPT 51605 | not published | not published | $126.36 – $126.36 | 1 |
| Preparation palate mold CPT 42280 | not published | not published | $601.00 – $661.10 | 5 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $58.07 – $63.88 | 5 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $5,654.67 – $5,654.67 | 1 |
| Prepare penis study CPT 54230 | not published | not published | $261.62 – $261.62 | 1 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $615.79 – $615.79 | 1 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $2,708.70 – $2,979.57 | 5 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $2,537.72 – $2,791.49 | 5 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $1,931.32 – $2,124.45 | 5 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $2,456.85 – $2,702.54 | 5 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $1,234.96 – $1,234.96 | 1 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $993.53 – $993.53 | 1 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $1,231.00 – $1,231.00 | 1 |
| Prep donor liver/venous CPT 47146 | not published | not published | $1,059.35 – $1,059.35 | 1 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $753.67 – $753.67 | 1 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $956.93 – $1,052.63 | 5 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $611.74 – $611.74 | 1 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $579.44 – $579.44 | 1 |
| Prep renal graft/venous CPT 50327 | not published | not published | $698.16 – $698.16 | 1 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $453.00 – $498.30 | 5 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $823.58 – $905.94 | 5 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $147.70 – $147.70 | 1 |
| Pressure max expiratory/inspiratory CPT 94799 | $123.48 | $176.40 | $143.39 – $157.72 | 5 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $708.78 – $708.78 | 1 |
| Pressure velocity wire add ves CPT 93572 | not published | not published | $248.03 – $248.03 | 1 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $634.17 – $697.59 | 5 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $359.86 | $514.08 | $189.85 – $208.84 | 5 |
| Pretreat rbc absorption reference CPT 86978 | $282.24 | $403.20 | $40.63 – $72.31 | 5 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $189.85 – $208.84 | 5 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $124.74 | $178.20 | $65.74 – $72.31 | 5 |
| Pretreat rbc w enzyme reference CPT 86971 | $359.86 | $514.08 | $189.85 – $208.84 | 5 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $197.79 – $217.57 | 5 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $148.36 – $163.20 | 5 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | not published | not published | $453.00 – $498.30 | 5 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $4,296.32 – $4,725.96 | 5 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $41.59 – $45.75 | 5 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $41.59 – $45.75 | 5 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $41.59 – $45.75 | 5 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $41.59 – $45.75 | 5 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $41.59 – $45.75 | 5 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $41.59 – $45.75 | 5 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $517.17 – $517.17 | 1 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $654.11 – $654.11 | 1 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $441.27 – $441.27 | 1 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $325.96 – $325.96 | 1 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $337.11 – $337.11 | 1 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $233.35 – $233.35 | 1 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $126.54 – $126.54 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $12,636.19 – $22,470.53 | 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.