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 |
|---|---|---|---|---|
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $4,164.26 – $4,580.69 | 5 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $497.80 – $547.59 | 5 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $6,595.01 – $8,894.51 | 5 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $6,550.31 – $8,894.51 | 5 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $3,882.78 – $3,882.78 | 1 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $4,164.26 – $4,580.69 | 5 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $4,164.26 – $4,580.69 | 5 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $882.79 – $882.79 | 1 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $1,458.98 – $1,458.98 | 1 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $7,794.59 – $7,794.59 | 1 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $9,222.30 – $9,222.30 | 1 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $6,210.29 – $6,210.29 | 1 |
| Rocker bottom, contact afo HCPCS L2232 | not published | not published | $119.38 – $131.32 | 5 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $7.40 – $7.40 | 1 |
| Romiplostim injection HCPCS J2796 | not published | not published | $215.27 – $215.27 | 1 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $70.66 | $100.94 | $0.24 – $0.24 | 1 |
| Rotation wrst with cable lock HCPCS L6625 | not published | not published | $753.94 – $829.33 | 5 |
| Rotavirus antibody CPT 86759 | not published | not published | $18.23 – $20.05 | 5 |
| Round caliper and plate atta HCPCS L2240 | not published | not published | $97.01 – $106.71 | 5 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $223.58 – $245.93 | 5 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | not published | not published | $1,754.15 – $1,929.57 | 5 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | not published | not published | $129.64 – $490.03 | 5 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | not published | not published | $1,754.15 – $1,929.57 | 5 |
| Rpl tun-cvad w subq port CPT 36582 | not published | not published | $3,518.52 – $3,870.37 | 5 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $6,200.75 – $6,820.83 | 5 |
| Rpl tun cvc wo subq port CPT 36581 | not published | not published | $3,518.52 – $3,870.37 | 5 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $5,155.29 – $5,155.29 | 1 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $6,200.75 – $6,820.83 | 5 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $6,200.75 – $6,820.83 | 5 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $4,470.72 – $4,470.72 | 1 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $4,724.16 – $4,724.16 | 1 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $5,230.02 – $5,230.02 | 1 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $5,535.24 – $5,535.24 | 1 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $4,497.02 – $4,497.02 | 1 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $5,763.92 – $5,763.92 | 1 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $3,547.02 – $3,547.02 | 1 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $3,037.90 – $3,037.90 | 1 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $2,737.26 – $2,737.26 | 1 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $3,989.80 – $4,388.78 | 5 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $5,915.62 – $5,915.62 | 1 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $4,517.27 – $4,517.27 | 1 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $5,974.89 – $6,572.38 | 5 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $3,989.80 – $4,388.78 | 5 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $3,989.80 – $4,388.78 | 5 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $3,989.80 – $4,388.78 | 5 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $7,214.07 – $7,935.47 | 5 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $3,989.80 – $4,388.78 | 5 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $5,542.78 – $5,542.78 | 1 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $65.74 – $72.31 | 5 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $3,989.80 – $4,388.78 | 5 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $7,577.27 – $7,577.27 | 1 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $6,658.00 – $6,658.00 | 1 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $6,300.61 – $6,300.61 | 1 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $5,809.17 – $5,809.17 | 1 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $6,102.22 – $6,102.22 | 1 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $8,106.29 – $8,106.29 | 1 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $7,963.44 – $7,963.44 | 1 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $7,925.22 – $7,925.22 | 1 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $7,241.94 – $7,241.94 | 1 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $7,464.57 – $7,464.57 | 1 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $9,218.03 – $9,218.03 | 1 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $260.02 – $286.02 | 5 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $10,548.90 – $11,603.79 | 5 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $6,674.09 – $8,894.51 | 5 |
| Rsv assay w/optic CPT 87807 | not published | not published | $13.10 – $14.41 | 5 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $25.96 – $28.56 | 5 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $25.62 – $28.18 | 5 |
| Rubella antibody igg CPT 86762 | not published | not published | $14.39 – $15.83 | 5 |
| Rubeola ag if CPT 87283 | not published | not published | $52.93 – $66.88 | 5 |
| Rubeola antibody igg CPT 86765 | not published | not published | $12.88 – $14.17 | 5 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $362.46 | 5 |
| Russell viper venom diluted CPT 85613 | $62.37 | $89.10 | $9.58 – $10.54 | 5 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $917.08 – $1,008.79 | 5 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $300.30 – $330.33 | 5 |
| Safety plan interven HCPCS G0560 | not published | not published | $39.95 – $43.95 | 5 |
| Salivary gland function exam CPT 78232 | not published | not published | $64.46 – $490.03 | 5 |
| Salivary gland imaging CPT 78230 | not published | not published | $74.29 – $490.03 | 5 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $84.72 – $490.03 | 5 |
| Salmonella antibody CPT 86768 | not published | not published | $13.19 – $14.51 | 5 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $148.36 – $163.20 | 5 |
| Sargramostim injection HCPCS J2820 | not published | not published | $61.89 – $68.08 | 5 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $51.43 – $56.57 | 5 |
| Sarscov coronavirus ag ia CPT 87426 | $98.28 | $140.40 | $35.33 – $38.86 | 5 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $70.29 – $77.32 | 5 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $6,765.07 – $7,441.58 | 5 |
| Sbrt management CPT 77435 | not published | not published | $2,044.60 – $2,044.60 | 1 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $454.64 – $454.64 | 1 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $440.02 – $440.02 | 1 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $223.53 – $223.53 | 1 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $295.95 – $295.95 | 1 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $144.48 – $144.48 | 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.