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 |
|---|---|---|---|---|
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $2,812.32 | $4,017.60 | $187.66 – $292.47 | 5 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | not published | not published | $116.50 – $128.15 | 5 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | not published | not published | $127.71 – $292.47 | 5 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | not published | not published | $80.11 – $128.15 | 5 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | not published | not published | $80.92 – $128.15 | 5 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,032.57 | $1,475.10 | $71.97 – $128.15 | 5 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $2,375.73 | $3,393.90 | $127.68 – $292.47 | 5 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $1,430.10 | $2,043.00 | $78.15 – $128.15 | 5 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | not published | not published | $79.31 – $128.15 | 5 |
| Scan proc cranial extra CPT 61782 | not published | not published | $570.39 – $570.39 | 1 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $754.10 – $754.10 | 1 |
| Scan proc spinal CPT 61783 | not published | not published | $744.85 – $744.85 | 1 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $6,489.23 – $7,138.15 | 5 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $1,735.93 – $2,024.49 | 5 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $18.54 – $20.39 | 5 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $106.32 – $106.32 | 1 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $31.94 – $35.13 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $43.97 – $48.37 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $26.49 – $29.14 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $27.05 – $29.76 | 5 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $20.26 – $22.29 | 5 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $106.32 – $106.32 | 1 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $308.50 – $1,139.92 | 5 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $307.74 – $1,139.92 | 5 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $18.05 – $19.86 | 5 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $31.10 | 5 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $46.35 – $50.99 | 5 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $26.49 | 5 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $106.32 – $106.32 | 1 |
| Screening prostate cancer PSA HCPCS G0103 | not published | not published | $19.31 – $21.24 | 5 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $18.54 – $20.39 | 5 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $80.23 – $88.26 | 5 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $2,634.12 – $2,634.12 | 1 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | not published | not published | $801.49 – $801.49 | 1 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $17.84 – $17.84 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $5.67 | $8.10 | $2.70 – $2.97 | 5 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $4,608.76 – $4,608.76 | 1 |
| Select picture audiometry CPT 92583 | not published | not published | $65.74 – $72.31 | 5 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $2.80 – $2.80 | 1 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $32.23 – $35.45 | 5 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $7.15 | 5 |
| Semen analysis presence/motility CPT 89321 | $42.84 | $61.20 | $12.05 – $13.26 | 5 |
| Semen analysis w/count CPT 89310 | not published | not published | $8.61 – $9.47 | 5 |
| Sensorimotor examination CPT 92060 | not published | not published | $65.74 – $72.31 | 5 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $41.62 – $45.78 | 5 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $2,649.34 – $2,914.27 | 5 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $192.00 – $211.20 | 5 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Serial tonometry CPT 92100 | not published | not published | $111.89 – $111.89 | 1 |
| Serpina1 gene CPT 81332 | not published | not published | $43.65 – $48.02 | 5 |
| Set radiation therapy field CPT 77280 | not published | not published | $118.40 – $164.76 | 5 |
| Set radiation therapy field CPT 77285 | not published | not published | $178.38 – $458.97 | 5 |
| Set radiation therapy field CPT 77290 | not published | not published | $264.30 – $458.97 | 5 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $342.26 – $376.48 | 5 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $82.75 – $82.75 | 1 |
| Sever cranial nerve CPT 64771 | not published | not published | $2,176.01 – $2,393.61 | 5 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $1,834.09 – $2,017.50 | 5 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $2,165.46 – $2,382.01 | 5 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $2,055.53 – $2,261.08 | 5 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $1,834.09 – $2,017.50 | 5 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $2,165.46 – $2,382.01 | 5 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $2,165.46 – $2,382.01 | 5 |
| Sewho cap design without jnts cf HCPCS L3961 | not published | not published | $1,834.09 – $2,017.50 | 5 |
| Sewho cap design w/jnt(s) cf HCPCS L3971 | not published | not published | $2,055.53 – $2,261.08 | 5 |
| Sewho erbs palsey design abd HCPCS L3962 | not published | not published | $1,004.17 – $1,104.59 | 5 |
| Sex chromatin identification CPT 88130 | not published | not published | $17.98 – $19.78 | 5 |
| Sex chromatin identification CPT 88140 | not published | not published | $7.99 – $8.79 | 5 |
| Sex transformation f to m CPT 55980 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Sex transformation m to f CPT 55970 | not published | not published | $5,574.45 – $6,131.90 | 5 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $193.25 – $212.58 | 5 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $1,333.47 – $1,466.82 | 5 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $223.58 – $245.93 | 5 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $223.58 – $245.93 | 5 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $453.00 – $498.30 | 5 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $453.00 – $498.30 | 5 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $223.58 – $245.93 | 5 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $223.58 – $245.93 | 5 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $223.58 – $245.93 | 5 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $453.00 – $498.30 | 5 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $453.00 – $498.30 | 5 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $223.58 – $245.93 | 5 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $223.58 – $245.93 | 5 |
| Sheath above knee HCPCS L8410 | not published | not published | $32.40 – $35.64 | 5 |
| Sheath below knee HCPCS L8400 | not published | not published | $22.73 – $25.00 | 5 |
| Sheath upper limb HCPCS L8415 | not published | not published | $33.23 – $36.55 | 5 |
| Shigella antibody CPT 86771 | not published | not published | $24.48 – $26.93 | 5 |
| Shlder disart int lock elbow HCPCS L6300 | not published | not published | $5,688.70 – $6,257.57 | 5 |
| Shldr disar prosth tiss shap HCPCS L6550 | not published | not published | $5,821.44 – $6,403.58 | 5 |
| Shldr disartic myoelectronic HCPCS L6965 | not published | not published | $17,983.62 – $19,781.98 | 5 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $3,646.14 – $4,010.75 | 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.