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 |
|---|---|---|---|---|
| Repair rotator cuff chronic CPT 23412 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | not published | not published | $263.93 – $290.33 | 5 |
| Repair rpr lip full thickness vermilion only CPT 40650 | not published | not published | $601.00 – $661.10 | 5 |
| Repair ruptd popliteal art CPT 35152 | not published | not published | $4,493.61 – $4,493.61 | 1 |
| Repair salivary duct CPT 42500 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Repair salivary duct CPT 42505 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Repair sciatic nerve CPT 64858 | not published | not published | $2,176.01 – $2,393.61 | 5 |
| Repair septal defect CPT 33813 | not published | not published | $4,193.31 – $4,193.31 | 1 |
| Repair shoulder capsule CPT 23450 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Repair shoulder capsule CPT 23455 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Repair shoulder capsule CPT 23460 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Repair shoulder capsule CPT 23462 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Repair shoulder capsule CPT 23465 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Repair shoulder capsule CPT 23466 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Repair single ventricle CPT 33617 | not published | not published | $6,977.36 – $6,977.36 | 1 |
| Repair single ventricle CPT 33619 | not published | not published | $8,796.56 – $8,796.56 | 1 |
| Repair skull cavity lesion CPT 62120 | not published | not published | $5,436.42 – $5,436.42 | 1 |
| Repair spigelian hernia 49590 CPT 49590 | not published | not published | $9,218.03 – $9,218.03 | 1 |
| Repair spinal fluid leakage 63707 CPT 63707 | not published | not published | $2,967.27 – $2,967.27 | 1 |
| Repair stern/nuss without scope CPT 21742 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Repair sternum/nuss w/scope CPT 21743 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Repair stomach-bowel fistula 43880 CPT 43880 | not published | not published | $5,147.33 – $5,147.33 | 1 |
| Repair stomach opening CPT 43870 | not published | not published | $4,296.32 – $4,725.96 | 5 |
| Repair tear ducts CPT 68700 | not published | not published | $2,649.34 – $2,914.27 | 5 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Repair testis injury CPT 54670 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Repair throat esophagus 42953 CPT 42953 | not published | not published | $3,274.07 – $3,274.07 | 1 |
| Repair throat wound CPT 42900 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Repair toe dislocation CPT 28645 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | not published | not published | $263.93 – $290.33 | 5 |
| Repair/transpose mp nerve 64856 CPT 64856 | not published | not published | $9,779.32 – $10,757.25 | 5 |
| Repair umbil hern incar > 5 yr 49587 CPT 49587 | not published | not published | $9,218.03 – $9,218.03 | 1 |
| Repair umbil hern reduc < 5 yr 49580 CPT 49580 | not published | not published | $9,218.03 – $9,218.03 | 1 |
| Repair umbil hern reduc > 5 yr 49585 CPT 49585 | not published | not published | $9,218.03 – $9,218.03 | 1 |
| Repair umbilical lesion CPT 49600 | not published | not published | $3,989.80 – $4,388.78 | 5 |
| Repair umbilical lesion CPT 49606 | not published | not published | $3,643.59 – $3,643.59 | 1 |
| Repair umbilical lesion CPT 49605 | not published | not published | $15,867.97 – $15,867.97 | 1 |
| Repair umbilical lesion CPT 49610 | not published | not published | $2,129.13 – $2,129.13 | 1 |
| Repair umbilical lesion CPT 49611 | not published | not published | $1,833.69 – $1,833.69 | 1 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Repair upper jaw fistula CPT 30580 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Repair urethrovaginal lesion CPT 57311 | not published | not published | $1,717.16 – $1,717.16 | 1 |
| Repair urethrovaginal lesion 57310 CPT 57310 | not published | not published | $8,263.35 – $9,089.68 | 5 |
| Repair uro sphincter CPT 53449 | not published | not published | $10,548.90 – $11,603.79 | 5 |
| Repair vagina CPT 57335 | not published | not published | $5,574.45 – $6,131.90 | 5 |
| Repair vagina/perineum CPT 57210 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Repair valve femoral vein CPT 34501 | not published | not published | $6,200.75 – $6,820.83 | 5 |
| Repair venous anomaly CPT 33724 | not published | not published | $4,969.01 – $4,969.01 | 1 |
| Repair ventral hern init incar 49561 CPT 49561 | not published | not published | $9,218.03 – $9,218.03 | 1 |
| Repair ventral hern init reduc 49560 CPT 49560 | not published | not published | $9,218.03 – $9,218.03 | 1 |
| Repair vessel defect 33802 CPT 33802 | not published | not published | $3,504.07 – $3,504.07 | 1 |
| Repair vessel graft defect CPT 35870 | not published | not published | $4,025.12 – $4,025.12 | 1 |
| Repair webbed toe(s) CPT 28345 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Repair windpipe opening CPT 31614 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Repeat thyroid surgery CPT 60260 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Replac av w/bypas/other pros valve 33405 CPT 33405 | not published | not published | $7,298.39 – $7,298.39 | 1 |
| Replace afo soft interface HCPCS L4392 | not published | not published | $27.75 – $30.52 | 5 |
| Replace aortic valve allograft freehand 33406 CPT 33406 | not published | not published | $9,253.32 – $9,253.32 | 1 |
| Replace aortic valve annulus enlgment 33411 CPT 33411 | not published | not published | $10,790.73 – $10,790.73 | 1 |
| Replace aortic valve open axillry 33363 CPT 33363 | not published | not published | $5,035.24 – $5,035.24 | 1 |
| Replace aortic valve open femoral 33362 CPT 33362 | not published | not published | $4,777.67 – $4,777.67 | 1 |
| Replace aortic valve open iliac 33364 CPT 33364 | not published | not published | $5,216.20 – $5,216.20 | 1 |
| Replace aortic valve open transaortic 33365 CPT 33365 | not published | not published | $5,737.85 – $5,737.85 | 1 |
| Replace aortic valve w/byp cntrl aprch 33369 CPT 33369 | not published | not published | $3,168.87 – $3,168.87 | 1 |
| Replace aortic valve w/byp open aprch 33368 CPT 33368 | not published | not published | $2,397.13 – $2,397.13 | 1 |
| Replace aortic valve w/byp prq aprch 33367 CPT 33367 | not published | not published | $2,010.50 – $2,010.50 | 1 |
| Replace brain cavity shunt CPT 62258 | not published | not published | $3,586.08 – $3,586.08 | 1 |
| Replace duod/jej tube perc CPT 49451 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Replace elbow joint CPT 24363 | not published | not published | $19,538.71 – $21,492.58 | 5 |
| Replace eye fluid CPT 67025 | not published | not published | $2,571.71 – $2,828.88 | 5 |
| Replace foot drop spint HCPCS L4394 | not published | not published | $20.22 – $22.24 | 5 |
| Replace g/c tube perc CPT 49450 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Replace g-j tube perc CPT 49452 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Replace high roll cuff HCPCS L4060 | not published | not published | $464.32 – $510.75 | 5 |
| Replace/irrigate catheter CPT 62194 | not published | not published | $2,176.01 – $2,393.61 | 5 |
| Replace/irrigate catheter CPT 62225 | not published | not published | $3,806.77 – $4,187.44 | 5 |
| Replacement aortic valve opn CPT 33410 | not published | not published | $8,181.41 – $8,181.41 | 1 |
| Replacement of aortic valve CPT 33412 | not published | not published | $10,187.15 – $10,187.15 | 1 |
| Replacement of aortic valve CPT 33413 | not published | not published | $10,642.81 – $10,642.81 | 1 |
| Replacement of contact lens CPT 92326 | not published | not published | $65.74 – $72.31 | 5 |
| Replacement pulmonary valve 33475 CPT 33475 | not published | not published | $7,497.06 – $7,497.06 | 1 |
| Replacement tricuspid valve 33465 CPT 33465 | not published | not published | $8,869.59 – $8,869.59 | 1 |
| Replacemnt lithium ionbatter HCPCS L7367 | not published | not published | $467.90 – $514.69 | 5 |
| Replace molded calf lacer HCPCS L4050 | not published | not published | $571.58 – $628.74 | 5 |
| Replace molded thigh lacer HCPCS L4040 | not published | not published | $625.42 – $687.96 | 5 |
| Replace non-molded calf lace HCPCS L4055 | not published | not published | $311.64 – $342.80 | 5 |
| Replace non-molded thigh lac HCPCS L4045 | not published | not published | $380.26 – $418.29 | 5 |
| Replace picvad cath CPT 36585 | not published | not published | $3,518.52 – $3,870.37 | 5 |
| Replace pretibial shell HCPCS L4130 | not published | not published | $760.15 – $836.17 | 5 |
| Replace prox & dist upright HCPCS L4070 | not published | not published | $382.80 – $421.08 | 5 |
| Replace quadlat socket brim HCPCS L4020 | not published | not published | $1,101.14 – $1,211.25 | 5 |
| Replace/revise brain shunt CPT 62230 | not published | not published | $9,779.32 – $10,757.25 | 5 |
| Replace skull plate/flap CPT 62143 | not published | not published | $3,341.01 – $3,341.01 | 1 |
| Replace socket above knee HCPCS L5701 | not published | not published | $5,432.25 – $5,975.48 | 5 |
| Replace socket below knee HCPCS L5700 | not published | not published | $4,470.21 – $4,917.23 | 5 |
| Replace socket brim cust fit HCPCS L4030 | not published | not published | $759.28 – $835.21 | 5 |
| Replace socket hip HCPCS L5702 | not published | not published | $6,504.64 – $7,155.10 | 5 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Replace trilateral socket br HCPCS L4010 | not published | not published | $919.71 – $1,011.68 | 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.