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 |
|---|---|---|---|---|
| Revision of neck muscle CPT 21700 | not published | not published | $7,851.46 – $8,894.51 | 5 |
| Revision of neck muscle CPT 21720 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Revision of neck muscle CPT 21725 | not published | not published | $789.10 – $868.01 | 5 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $1,763.05 – $8,894.51 | 5 |
| Revision of nose CPT 30120 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Revision of nose CPT 30430 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Revision of nose CPT 30435 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Revision of nose CPT 30450 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Revision of nose CPT 30460 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Revision of nose CPT 30462 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Revision of pelvis CPT 27158 | not published | not published | $4,543.81 – $8,894.51 | 5 |
| Revision of penis CPT 54300 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Revision of penis CPT 54304 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Revision of penis CPT 54420 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Revision of penis CPT 54430 | not published | not published | $2,098.34 – $2,098.34 | 1 |
| Revision of penis CPT 54435 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $7,877.25 – $7,877.25 | 1 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $5,214.66 – $5,214.66 | 1 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $7,024.24 – $7,024.24 | 1 |
| Revision of radius CPT 25350 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Revision of radius CPT 25355 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $2,176.01 – $2,393.61 | 5 |
| Revision of scrotum CPT 55175 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Revision of scrotum CPT 55180 | not published | not published | $5,974.89 – $6,572.38 | 5 |
| Revision of spinal shunt CPT 63744 | not published | not published | $3,806.77 – $4,187.44 | 5 |
| Revision of testis CPT 54660 | not published | not published | $5,974.89 – $6,572.38 | 5 |
| Revision of thigh muscles CPT 27430 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Revision of toe CPT 28312 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $7,901.59 – $7,901.59 | 1 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $7,798.62 – $7,798.62 | 1 |
| Revision of ulna CPT 25360 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Revision of ureter CPT 50700 | not published | not published | $3,029.67 – $3,029.67 | 1 |
| Revision of urethra CPT 53450 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Revision of urethra CPT 53460 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Revision of urethra CPT 57220 | not published | not published | $5,574.45 – $6,131.90 | 5 |
| Revision of urinary tract CPT 51820 | not published | not published | $3,805.53 – $3,805.53 | 1 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $6,200.75 – $6,820.83 | 5 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Revision tips CPT 37183 | not published | not published | $6,342.36 – $6,976.60 | 5 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $14,306.71 – $15,737.38 | 5 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $5,691.41 – $15,737.38 | 5 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $6,200.75 – $6,820.83 | 5 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $6,200.75 – $6,820.83 | 5 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $6,190.64 – $6,190.64 | 1 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $5,974.89 – $6,572.38 | 5 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $3,895.87 – $4,285.45 | 5 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $3,895.87 – $4,285.45 | 5 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $3,895.87 – $4,285.45 | 5 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $6,321.92 – $21,492.58 | 5 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $6,900.04 – $21,492.58 | 5 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $926.20 – $926.20 | 1 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $6.14 – $6.75 | 5 |
| Rheumatoid factor quantitative CPT 86431 | $134.44 | $192.05 | $5.67 – $6.24 | 5 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $15.50 – $15.50 | 1 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $79.56 – $79.56 | 1 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $34.26 – $37.68 | 5 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $254.60 – $254.60 | 1 |
| Rhythm ecg with report CPT 93040 | not published | not published | $41.18 – $41.18 | 1 |
| Rib cartilage graft CPT 21230 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $103.13 – $113.44 | 5 |
| Right heart cath congenital CPT 93530 | not published | not published | $673.62 – $673.62 | 1 |
| Right ventric recording CPT 93603 | not published | not published | $375.58 – $1,492.43 | 5 |
| Rilonacept injection HCPCS J2793 | not published | not published | $77.58 – $77.58 | 1 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $18.29 – $18.29 | 1 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $343.46 – $377.81 | 5 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $207.57 – $228.33 | 5 |
| Ring fx reform 11-13x17mm HCPCS L8610 | not published | not published | $2,042.80 – $2,042.80 | 1 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $18.29 – $18.29 | 1 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $10.80 – $11.88 | 5 |
| R & l heart cath congenital CPT 93531 | not published | not published | $1,397.25 – $1,397.25 | 1 |
| R & l heart cath congenital CPT 93532 | not published | not published | $1,721.12 – $1,721.12 | 1 |
| R & l heart cath congenital CPT 93533 | not published | not published | $1,149.48 – $1,149.48 | 1 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $3,565.48 – $8,894.51 | 5 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $789.10 – $868.01 | 5 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $1,333.47 – $1,466.82 | 5 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $4,164.26 – $4,580.69 | 5 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $24,787.00 – $27,265.71 | 5 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $34,978.01 – $38,475.81 | 5 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $24,787.00 – $27,265.71 | 5 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $4,164.26 – $4,580.69 | 5 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $1,596.15 – $1,596.15 | 1 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $7,538.18 – $7,538.18 | 1 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $699.03 – $768.93 | 5 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $9,221.63 – $10,143.80 | 5 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $21,464.16 – $23,610.57 | 5 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $9,221.63 – $10,143.80 | 5 |
| Rmvl pq iabp CPT 33968 | not published | not published | $108.90 – $108.90 | 1 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $646.19 – $646.19 | 1 |
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.