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 |
|---|---|---|---|---|
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Shoe clubfoot wedge HCPCS L3380 | not published | not published | $59.46 – $65.41 | 5 |
| Shoe dennis browne splint bo HCPCS L3640 | not published | not published | $51.86 – $57.05 | 5 |
| Shoe heel new leather standa HCPCS L3455 | not published | not published | $48.83 – $53.71 | 5 |
| Shoe heel new rubber standar HCPCS L3460 | not published | not published | $41.16 – $45.28 | 5 |
| Shoe heel pad & depress for HCPCS L3480 | not published | not published | $74.74 – $82.21 | 5 |
| Shoe heel sach cushion type HCPCS L3450 | not published | not published | $126.64 – $139.30 | 5 |
| Shoe heel thomas extend to b HCPCS L3470 | not published | not published | $74.74 – $82.21 | 5 |
| Shoe heel thomas with wedge HCPCS L3465 | not published | not published | $70.16 – $77.18 | 5 |
| Shoe lift elev heel/sole neo HCPCS L3310 | not published | not published | $97.63 – $107.39 | 5 |
| Shoe metatarsal bar between HCPCS L3410 | not published | not published | $111.35 – $122.48 | 5 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | not published | not published | $48.83 – $53.71 | 5 |
| Shoe outflare wedge HCPCS L3390 | not published | not published | $59.46 – $65.41 | 5 |
| Shoe sole wedge between sole HCPCS L3370 | not published | not published | $59.46 – $65.41 | 5 |
| Shoe sole wedge outside sole HCPCS L3360 | not published | not published | $42.72 – $46.99 | 5 |
| Shoe wedge sach HCPCS L3340 | not published | not published | $102.26 – $112.49 | 5 |
| Sho heel count plast reinfor HCPCS L3430 | not published | not published | $192.22 – $211.44 | 5 |
| Sho insert w arch toe filler HCPCS L5000 | not published | not published | $618.56 – $680.42 | 5 |
| Sho lift taper to metatarsal HCPCS L3300 | not published | not published | $62.55 – $68.81 | 5 |
| Shortening of hand tendon CPT 26479 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Shortening of thigh bone CPT 27465 | not published | not published | $3,994.64 – $8,894.51 | 5 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $4,352.28 – $4,352.28 | 1 |
| Shorten radius or ulna CPT 25390 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Shorten radius & ulna CPT 25392 | not published | not published | $7,851.46 – $8,894.51 | 5 |
| Shoulder abduction joint pai HCPCS L6640 | not published | not published | $421.76 – $463.94 | 5 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $485.36 – $533.90 | 5 |
| Shoulder harness HCPCS L5699 | not published | not published | $300.95 – $331.04 | 5 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $624.04 – $686.44 | 5 |
| Shoulder MRI (with and without contrast) CPT 73223 | not published | not published | $352.85 – $427.64 | 5 |
| Shoulder MRI (with contrast) CPT 73222 | not published | not published | $265.78 – $960.91 | 5 |
| Shoulder MRI (without contrast) CPT 73221 | $1,404.90 | $2,007.00 | $223.25 – $292.47 | 5 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $6,919.49 – $8,894.51 | 5 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $4,149.58 – $8,894.51 | 5 |
| Shoulder universal joint HCPCS L6650 | not published | not published | $418.58 – $460.44 | 5 |
| Shoulder X-ray CPT 73030 | $194.67 | $278.10 | $30.97 – $106.67 | 5 |
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $106.83 – $117.51 | 5 |
| Shrinker prosth below knee HCPCS L8440 | not published | not published | $51.20 – $56.32 | 5 |
| Shrinker upper limb HCPCS L8465 | not published | not published | $59.71 – $65.68 | 5 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $4,451.00 – $4,451.00 | 1 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $4,254.33 – $4,254.33 | 1 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $4,350.32 – $4,350.32 | 1 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $77.76 – $128.15 | 5 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $4,282.86 – $4,282.86 | 1 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $4,524.84 – $4,524.84 | 1 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $4,591.18 – $4,591.18 | 1 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $12.22 – $13.44 | 5 |
| Sialography s&i CPT 70390 | not published | not published | $61.88 – $292.47 | 5 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Sickling rbc CPT 85660 | $42.84 | $61.20 | $5.51 – $6.06 | 5 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $1,036.29 – $1,139.92 | 5 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $1,036.29 – $1,139.92 | 5 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $1,333.47 – $1,466.82 | 5 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $1,036.29 – $1,139.92 | 5 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,333.47 – $1,466.82 | 5 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $1,333.47 – $1,466.82 | 5 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $6,765.07 – $7,441.58 | 5 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $2,825.87 – $3,402.35 | 5 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,333.47 – $1,466.82 | 5 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $1,036.29 – $1,139.92 | 5 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,333.47 – $1,466.82 | 5 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $1,036.29 – $1,139.92 | 5 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $40.22 – $72.31 | 5 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,333.47 – $1,466.82 | 5 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $684.63 – $753.09 | 5 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $250.42 – $306.26 | 5 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $339.85 – $339.85 | 1 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $36.74 – $128.15 | 5 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $234.74 – $258.21 | 5 |
| Single transfer toe-hand CPT 26553 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,551.06 | $2,215.80 | $195.46 – $215.00 | 5 |
| Sinus CT scan (with contrast) CPT 70487 | $1,178.10 | $1,683.00 | $184.54 – $215.00 | 5 |
| Sinus CT scan (without contrast) CPT 70486 | $959.49 | $1,370.70 | $116.50 – $128.15 | 5 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $181.06 – $3,870.37 | 5 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $3,694.56 – $4,064.02 | 5 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $368.55 – $405.40 | 5 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $56,269.19 – $61,896.11 | 5 |
| Sirolimus, oral HCPCS J7520 | $27.72 | $39.60 | $24.92 – $24.92 | 1 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $324.91 – $357.40 | 5 |
| Skin and muscle repair face CPT 15845 | not published | not published | $3,948.93 – $4,343.82 | 5 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $22.48 – $22.48 | 1 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $362.54 – $362.54 | 1 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $3,948.93 – $4,343.82 | 5 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $2,299.21 – $2,529.13 | 5 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $359.71 – $359.71 | 1 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $32.23 – $35.45 | 5 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $7,956.78 – $7,956.78 | 1 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $11,126.42 – $11,126.42 | 1 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $174.81 – $192.29 | 5 |
| Sleep study attended CPT 95807 | not published | not published | $203.03 – $457.41 | 5 |
| Sleep Study (Polysomnography) CPT 95810 | $3,572.10 | $5,103.00 | $397.15 – $1,052.63 | 5 |
| Sleep study unattended CPT 95806 | $340.90 | $487.00 | $199.93 – $264.67 | 5 |
| Sleeve fing rolyan med HCPCS L3933 | not published | not published | $232.89 – $256.18 | 5 |
| Sleeve irr assura 1pc disp HCPCS A4397 | not published | not published | $17.17 – $17.17 | 1 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $9,846.89 – $9,846.89 | 1 |
| Sling arm deluxe w/pad xs HCPCS A4565 | not published | not published | $27.59 – $27.59 | 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.