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 |
|---|---|---|---|---|
| Radical resection of elbow CPT 24149 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $3,925.44 – $8,894.51 | 5 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $6,551.60 – $7,206.76 | 5 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $969.67 – $1,066.64 | 5 |
| Radiology port images(s) CPT 77417 | not published | not published | $35.90 – $35.90 | 1 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $1,348.44 – $1,696.64 | 5 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $171.09 – $188.20 | 5 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | not published | not published | $136.53 – $665.56 | 5 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $169.79 – $665.56 | 5 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | not published | not published | $169.75 – $665.56 | 5 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $109.16 – $490.03 | 5 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $75.47 – $83.02 | 5 |
| Range of motion measurements CPT 95852 | not published | not published | $5.03 – $5.53 | 5 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $67.85 – $74.64 | 5 |
| Rapid desensitization CPT 95180 | not published | not published | $497.80 – $547.59 | 5 |
| Rapid Strep Test CPT 87880 | not published | not published | $16.53 – $18.18 | 5 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $382.19 – $420.41 | 5 |
| Rbc count only automated CPT 85041 | $34.02 | $48.60 | $3.02 – $3.32 | 5 |
| Rbc deglycerolized each unit HCPCS P9039 | $509.12 | $727.32 | $313.00 – $344.30 | 5 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $491.62 – $540.78 | 5 |
| Rbc irradiated each unit HCPCS P9038 | $313.36 | $447.66 | $145.22 – $159.74 | 5 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $8.60 – $9.46 | 5 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $7.47 – $8.22 | 5 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $91.38 – $547.59 | 5 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $522.25 – $522.25 | 1 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $265.94 – $265.94 | 1 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $91.38 – $91.38 | 1 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $114.34 – $114.34 | 1 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $144.16 – $144.16 | 1 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $137.17 – $137.17 | 1 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $5,122.32 – $7,256.40 | 5 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $4,439.80 – $7,256.40 | 5 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $5,228.06 – $7,256.40 | 5 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $5,443.60 – $7,256.40 | 5 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $6,156.28 – $7,256.40 | 5 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $6,585.32 – $7,256.40 | 5 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Realignment of knee CPT 27457 | not published | not published | $3,066.51 – $8,894.51 | 5 |
| Realignment of knee CPT 27455 | not published | not published | $3,048.89 – $8,894.51 | 5 |
| Realignment of tendons CPT 26437 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Realignment of thigh bone CPT 27454 | not published | not published | $4,206.77 – $8,894.51 | 5 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Rechanneling of artery CPT 35361 | not published | not published | $4,924.67 – $4,924.67 | 1 |
| Rechanneling of artery CPT 35306 | not published | not published | $1,434.74 – $1,434.74 | 1 |
| Rechanneling of artery CPT 35311 | not published | not published | $5,043.45 – $5,043.45 | 1 |
| Rechanneling of artery CPT 35363 | not published | not published | $5,720.59 – $5,720.59 | 1 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $3,987.93 – $3,987.93 | 1 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $4,437.67 – $4,437.67 | 1 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $4,171.77 – $4,171.77 | 1 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $4,704.29 – $4,704.29 | 1 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $3,181.26 – $6,820.83 | 5 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $4,019.59 – $4,019.59 | 1 |
| Recipient nephrectomy CPT 50340 | not published | not published | $3,054.36 – $3,054.36 | 1 |
| Recon, cta for surg plan HCPCS G0288 | not published | not published | $116.05 – $116.05 | 1 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $4,870.70 – $7,256.40 | 5 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $4,830.84 – $7,256.40 | 5 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $4,531.92 – $4,531.92 | 1 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $3,296.15 – $8,894.51 | 5 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $3,129.04 – $33,260.31 | 5 |
| Reconstruct bronchus CPT 31775 | not published | not published | $4,206.90 – $4,206.90 | 1 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $6,419.55 – $7,256.40 | 5 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $19,538.71 – $21,492.58 | 5 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $14,306.71 – $15,737.38 | 5 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $8,085.92 – $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.