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 |
|---|---|---|---|---|
| Sling pelv split sam med HCPCS L0621 | not published | not published | $33.70 – $37.07 | 5 |
| Slitting of prepuce CPT 54000 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Slitting of prepuce CPT 54001 | not published | not published | $2,329.41 – $2,562.35 | 5 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $65.74 – $72.31 | 5 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,159.80 – $3,475.78 | 5 |
| Small animal inoculation CPT 87003 | not published | not published | $16.84 – $18.52 | 5 |
| Small bowel endoscopy CPT 44360 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Small bowel endoscopy CPT 44364 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Small bowel endoscopy CPT 44366 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Small bowel endoscopy CPT 44369 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Small bowel endoscopy CPT 44376 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Small bowel endoscopy CPT 44378 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Small bowel endoscopy CPT 44382 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Small bowel endoscopy CPT 44384 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $2,138.32 – $2,352.16 | 5 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $6,765.07 – $7,441.58 | 5 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $101.43 | $144.90 | $5.39 – $5.93 | 5 |
| Smear gram stain CPT 87205 | $127.89 | $182.70 | $4.27 – $4.70 | 5 |
| Smear nasal eosinophil CPT 89190 | $68.04 | $97.20 | $5.79 – $6.37 | 5 |
| Smear special stain inclusion bodies/parasites CPT 87207 | not published | not published | $5.99 – $6.59 | 5 |
| Smear wet mount CPT 87210 | $114.66 | $163.80 | $5.82 – $6.40 | 5 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $331.49 | 5 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $203.72 | 5 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $51.70 | 5 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $51.07 – $56.18 | 5 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $1,290.37 – $1,419.41 | 5 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $983.68 – $1,082.05 | 5 |
| Socket insert above knee HCPCS L5658 | not published | not published | $593.51 – $652.86 | 5 |
| Socket insert below knee HCPCS L5655 | not published | not published | $424.99 – $467.49 | 5 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $605.51 – $666.06 | 5 |
| Socket insert symes HCPCS L5654 | not published | not published | $474.31 – $521.74 | 5 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $730.77 – $803.85 | 5 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $876.96 – $964.66 | 5 |
| Sock fracture or equal each HCPCS L3995 | not published | not published | $40.82 – $44.90 | 5 |
| Sock wool above knee HCPCS L8430 | not published | not published | $28.04 – $30.84 | 5 |
| Sodium 24 hour urine CPT 84300 | $50.40 | $72.00 | $5.06 – $5.57 | 5 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $109.12 | $155.89 | $7.10 – $7.10 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $104.34 | $149.06 | $3.56 – $3.56 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $105.71 | $151.01 | $1.76 – $1.76 | 1 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $7.81 | $11.16 | not published | 0 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $324.49 | $463.56 | $6.87 – $6.87 | 1 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $282.21 – $282.21 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $41.58 | $59.40 | $4.81 – $5.29 | 5 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $70.66 | $100.94 | not published | 0 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $99.79 – $109.77 | 5 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,345.31 – $1,479.84 | 5 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $1,315.41 | 5 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $3,617.36 | 5 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $1,150.98 | 5 |
| Solid skin barrier HCPCS A4362 | not published | not published | $12.42 – $12.42 | 1 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $26.73 – $26.73 | 1 |
| Somatosensory testing CPT 95927 | not published | not published | $89.38 – $264.67 | 5 |
| Somatropin injection HCPCS J2941 | not published | not published | $262.72 – $262.72 | 1 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,989.55 – $3,288.51 | 5 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $986.56 | 5 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $32.15 – $32.15 | 1 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $191.58 – $210.74 | 5 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $542.09 – $542.09 | 1 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $594.77 – $594.77 | 1 |
| Special physics consult CPT 77370 | not published | not published | $149.78 – $164.76 | 5 |
| Special radiation dosimetry CPT 77331 | not published | not published | $62.85 – $164.76 | 5 |
| Special radiation treatment CPT 77470 | not published | not published | $128.38 – $677.29 | 5 |
| Special teletx port plan CPT 77321 | not published | not published | $144.77 – $458.97 | 5 |
| Specific gravity body fluid CPT 84315 | $25.83 | $36.90 | $3.28 – $3.61 | 5 |
| Specimen fat stain CPT 89125 | $169.47 | $242.10 | $5.88 – $6.47 | 5 |
| Speech audiometry complete CPT 92556 | not published | not published | $65.74 – $72.31 | 5 |
| Speech evaluation complex CPT 70371 | not published | not published | $136.56 – $292.47 | 5 |
| Speech recep thresh CPT 92555 | not published | not published | $65.74 – $72.31 | 5 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $11.74 | 5 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $21.55 | 5 |
| Sperm identification CPT 89257 | not published | not published | $58.07 – $63.88 | 5 |
| Sperm isolation complex CPT 89261 | not published | not published | $58.07 – $63.88 | 5 |
| Sperm isolation simple CPT 89260 | not published | not published | $58.07 – $63.88 | 5 |
| Sperm washing 58323 CPT 58323 | not published | not published | $225.29 – $247.82 | 5 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $6,596.73 – $7,256.40 | 5 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $3,093.04 – $3,402.35 | 5 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $359.58 – $359.58 | 1 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $240.61 – $264.67 | 5 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | not published | not published | $42.53 – $457.41 | 5 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $143.39 – $157.72 | 5 |
| Spleen imaging CPT 78185 | not published | not published | $65.37 – $490.03 | 5 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $3,713.66 – $3,713.66 | 1 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $7,020.89 – $7,020.89 | 1 |
| Splicing of ureters CPT 50770 | not published | not published | $3,836.44 – $3,836.44 | 1 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $642.60 | $918.00 | $466.00 – $512.60 | 5 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | not published | not published | $69.78 – $76.76 | 5 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $107.51 – $118.26 | 5 |
| Splint finger frog med HCPCS L3927 | not published | not published | $38.17 – $41.99 | 5 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $6.76 – $6.76 | 1 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $148.40 | $212.00 | $107.51 – $118.26 | 5 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $3,948.93 – $4,343.82 | 5 |
| Split blood or products CPT 86985 | $556.92 | $795.60 | $189.85 – $208.84 | 5 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $108.27 – $119.10 | 5 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $433.09 – $433.09 | 1 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $881.59 – $969.75 | 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.