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 |
|---|---|---|---|---|
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | not published | not published | $453.00 – $498.30 | 5 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | not published | not published | $223.58 – $245.93 | 5 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | not published | not published | $223.58 – $245.93 | 5 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $379.89 | $542.70 | $223.58 – $245.93 | 5 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | not published | not published | $223.58 – $245.93 | 5 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $144.35 – $144.35 | 1 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $491.62 – $540.78 | 5 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $7,851.46 – $8,894.51 | 5 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $7,851.46 – $8,894.51 | 5 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | not published | not published | $1,754.15 – $1,929.57 | 5 |
| PSA (Prostate) Test CPT 84153 | $139.86 | $199.80 | $18.39 – $20.23 | 5 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $32.23 – $35.45 | 5 |
| Psychoanalysis CPT 90845 | not published | not published | $197.79 – $217.57 | 5 |
| Psychotherapy group therapy CPT 90853 | $179.90 | $257.00 | $113.21 – $124.53 | 5 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $218.40 | $312.00 | $197.79 – $217.57 | 5 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $296.80 | $424.00 | $197.79 – $217.57 | 5 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $311.50 | $445.00 | $197.79 – $217.57 | 5 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $154.70 | $221.00 | not published | 0 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $154.70 | $221.00 | not published | 0 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $90.30 | $129.00 | not published | 0 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $90.30 | $129.00 | not published | 0 |
| Psytx complex interactive CPT 90785 | $37.10 | $53.00 | $44.79 – $44.79 | 1 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $210.52 – $210.52 | 1 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $266.91 – $266.91 | 1 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $352.68 – $352.68 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $66.00 | $94.28 | $15.04 – $16.54 | 5 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $31.53 | $45.04 | not published | 0 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $66.00 | $94.28 | $21.69 – $23.86 | 5 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $66.00 | $94.28 | $14.75 – $16.23 | 5 |
| Pt application of modality traction mechanical CPT 97012 | $66.00 | $94.28 | $16.07 – $17.68 | 5 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $283.61 – $330.00 | 5 |
| Pten gene full sequence CPT 81321 | not published | not published | $600.00 – $660.00 | 5 |
| Pten gene known fam variant CPT 81322 | not published | not published | $46.60 – $51.26 | 5 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Pt evaluation high complexity patient/family CPT 97163 | $307.97 | $439.96 | $110.84 – $121.92 | 5 |
| Pt evaluation low complexity patient/family CPT 97161 | $299.90 | $428.43 | $110.84 – $121.92 | 5 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $304.30 | $434.72 | $100.90 – $110.99 | 5 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $41.75 – $45.93 | 5 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $25.15 – $27.66 | 5 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $1,320.72 – $1,452.79 | 5 |
| Pt re-evaluation patient/family CPT 97164 | $123.19 | $175.98 | $69.67 – $76.64 | 5 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $122.36 | $174.80 | $30.13 – $33.14 | 5 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $239.40 | $342.00 | $14.37 – $15.81 | 5 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $80.66 | $115.23 | $29.90 – $32.89 | 5 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $74.80 | $106.85 | $30.74 – $33.81 | 5 |
| Pt wheelchair management each 15 minutes CPT 97542 | $86.53 | $123.61 | $31.97 – $35.17 | 5 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $12,864.20 – $14,150.62 | 5 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $1,038.55 – $1,038.55 | 1 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,409.60 – $5,950.56 | 5 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $13,484.81 – $13,484.81 | 1 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $3,195.82 – $3,195.82 | 1 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $78.11 – $490.03 | 5 |
| Pulse ox continuous overnight monitoring CPT 94762 | $305.55 | $436.50 | $143.39 – $157.72 | 5 |
| Pulse ox multiple CPT 94761 | $94.50 | $135.00 | $14.85 – $14.85 | 1 |
| Pulse ox single CPT 94760 | not published | not published | $10.18 – $10.18 | 1 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $786.59 – $865.25 | 5 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $270.27 | $386.10 | $148.26 – $163.09 | 5 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | not published | not published | $453.00 – $498.30 | 5 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Puncture spinal lumbar diagnostic CPT 62270 | not published | not published | $786.59 – $865.25 | 5 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $178.03 – $178.03 | 1 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $786.59 – $865.25 | 5 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $786.59 – $865.25 | 5 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $824.68 – $907.15 | 5 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $19,535.67 – $21,489.24 | 5 |
| Pyelotomy complicated CPT 50135 | not published | not published | $3,678.11 – $3,678.11 | 1 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $3,355.91 – $3,355.91 | 1 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $3,150.52 – $3,150.52 | 1 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $3,385.44 – $3,385.44 | 1 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $2,995.72 – $2,995.72 | 1 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $33.23 – $33.23 | 1 |
| Pyruvate CPT 84210 | not published | not published | $14.48 – $15.93 | 5 |
| Pyruvate kinase CPT 84220 | not published | not published | $9.44 – $10.38 | 5 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $372.89 – $410.18 | 5 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $135.37 – $665.56 | 5 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $115.98 – $490.03 | 5 |
| Quest t3 uptake CPT 84479 | $37.80 | $54.00 | $6.47 – $7.12 | 5 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $708.02 – $778.82 | 5 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $1,380.15 – $1,380.15 | 1 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $352.44 – $387.68 | 5 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $275.18 – $302.70 | 5 |
| Rabies vaccine id CPT 90676 | not published | not published | $236.86 – $260.55 | 5 |
| Radiation handling CPT 77790 | not published | not published | $48.78 – $48.78 | 1 |
| Radiation physics consult CPT 77336 | not published | not published | $149.78 – $164.76 | 5 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $105.65 – $164.76 | 5 |
| Radiation therapy management CPT 77431 | not published | not published | $331.89 – $331.89 | 1 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $77.02 – $164.76 | 5 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $126.51 – $164.76 | 5 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $194.23 – $458.97 | 5 |
| Radiation treatment delivery CPT 77401 | not published | not published | $368.21 – $368.21 | 1 |
| Radiation treatment delivery CPT 77402 | not published | not published | $113.70 – $125.07 | 5 |
| Radiation treatment delivery CPT 77412 | not published | not published | $615.72 – $677.29 | 5 |
| Radiation tx management x5 CPT 77427 | not published | not published | $602.88 – $602.88 | 1 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $5,942.48 – $5,942.48 | 1 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $4,894.37 – $8,894.51 | 5 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $6,305.76 – $8,894.51 | 5 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $5,715.72 – $8,894.51 | 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.