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 |
|---|---|---|---|---|
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $2,538.29 – $2,538.29 | 1 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $2,549.02 – $2,549.02 | 1 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $3,669.51 – $3,669.51 | 1 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $7,851.46 – $8,894.51 | 5 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $8,085.92 – $8,894.51 | 5 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $7,851.46 – $8,894.51 | 5 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $5,974.89 – $6,572.38 | 5 |
| Surgical opening esophagus CPT 43351 | not published | not published | $4,460.63 – $4,460.63 | 1 |
| Surgical opening esophagus CPT 43352 | not published | not published | $3,451.59 – $3,451.59 | 1 |
| Surgical opening of stomach CPT 43510 | not published | not published | $1,010.69 – $1,111.76 | 5 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $2,537.32 – $2,537.32 | 1 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,729.00 – $1,901.90 | 5 |
| Surgical pathology level 1 gross examination only CPT 88300 | not published | not published | $14.71 – $35.45 | 5 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | not published | not published | $24.02 – $45.78 | 5 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | not published | not published | $39.09 – $63.88 | 5 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | not published | not published | $58.07 – $63.88 | 5 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | not published | not published | $282.91 – $439.38 | 5 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | not published | not published | $500.06 – $987.58 | 5 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $4,333.50 – $4,333.50 | 1 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $4,835.19 – $4,835.19 | 1 |
| Surgical revision intestine CPT 44680 | not published | not published | $3,439.93 – $3,439.93 | 1 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $3,093.04 – $3,402.35 | 5 |
| Susceptibility agar dilution per agent CPT 87181 | $189.63 | $270.90 | $4.75 – $5.22 | 5 |
| Susceptibility enzyme detection per enzyme CPT 87185 | not published | not published | $4.75 – $5.22 | 5 |
| Susceptibility mic per plate CPT 87186 | $79.38 | $113.40 | $8.65 – $9.52 | 5 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.64 – $7.30 | 5 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $3,305.01 – $3,305.01 | 1 |
| Suspension of testis CPT 54620 | not published | not published | $3,928.04 – $4,320.85 | 5 |
| Suspension of uterus CPT 58410 | not published | not published | $2,596.51 – $2,596.51 | 1 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $1,422.73 – $1,422.73 | 1 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $151.86 – $167.05 | 5 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $3,410.73 – $3,410.73 | 1 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $4,419.97 – $4,419.97 | 1 |
| Svc venogram s&i CPT 75827 | not published | not published | $180.35 – $1,929.57 | 5 |
| Sweat collection by iontophoresis CPT 89230 | $105.21 | $150.30 | $58.07 – $63.88 | 5 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $2,999.78 – $3,299.76 | 5 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $4,379.14 – $4,817.05 | 5 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $384.84 – $423.32 | 5 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $431.78 – $474.96 | 5 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $362.44 – $398.68 | 5 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $620.03 – $682.03 | 5 |
| Sympathectomy cervical CPT 64802 | not published | not published | $2,176.01 – $2,393.61 | 5 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $2,176.01 – $2,393.61 | 5 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $1,870.04 – $1,870.04 | 1 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $2,902.41 – $2,902.41 | 1 |
| Synthetic sentence id test CPT 92576 | not published | not published | $41.62 – $45.78 | 5 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $6.96 – $7.66 | 5 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $121.56 | $173.65 | $4.40 – $4.84 | 5 |
| T3 (triiodothyronine) free CPT 84481 | not published | not published | $16.94 – $18.63 | 5 |
| T3 (triiodothyronine) total CPT 84480 | $85.05 | $121.50 | $14.18 – $15.60 | 5 |
| T4 (thyroxine) free CPT 84439 | $108.36 | $154.80 | $9.02 – $9.92 | 5 |
| T4 (thyroxine) total CPT 84436 | $37.80 | $54.00 | $6.87 – $7.56 | 5 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $1.39 – $1.39 | 1 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $3.98 – $3.98 | 1 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $12.95 | $18.50 | $1.96 – $1.96 | 1 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $259.96 – $285.95 | 5 |
| Tacrolimus therapeutic drug level CPT 80197 | $42.21 | $60.30 | $13.73 – $15.10 | 5 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $7,112.33 – $7,112.33 | 1 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $6,550.64 – $6,550.64 | 1 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $4,023.52 – $4,023.52 | 1 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $73.94 – $81.34 | 5 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $256.63 – $256.63 | 1 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $220.38 – $220.38 | 1 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $1.29 – $1.29 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $759.53 – $835.48 | 5 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,919.60 – $3,211.56 | 5 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $597.91 – $657.70 | 5 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $823.58 – $905.94 | 5 |
| Tavr perq femoral CPT 33361 | not published | not published | $4,379.65 – $4,379.65 | 1 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.25 – $0.27 | 5 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $150.70 | 5 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $100.00 – $110.00 | 5 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $503.93 | $719.90 | $61.98 – $68.18 | 5 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $32.20 – $32.20 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $823.58 – $905.94 | 5 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $116.50 – $128.15 | 5 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $116.50 – $128.15 | 5 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $167.15 – $167.15 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $491.62 – $540.78 | 5 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $138.46 | $197.80 | $46.98 – $51.68 | 5 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $26.78 – $29.46 | 5 |
| T cells total count CPT 86359 | $229.43 | $327.75 | $37.73 – $41.50 | 5 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $240.61 – $264.67 | 5 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $240.61 – $264.67 | 5 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $240.61 – $264.67 | 5 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $1,429.01 – $1,429.01 | 1 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $3,349.54 – $3,349.54 | 1 |
| Team conf without pat by hc pro CPT 99368 | $51.52 | $73.60 | not published | 0 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $873.56 – $960.91 | 5 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $873.56 – $960.91 | 5 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $60.36 – $66.40 | 5 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.03 – $7.74 | 5 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $417.24 – $458.97 | 5 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $236.80 – $458.97 | 5 |
| Temozolomide HCPCS J8700 | not published | not published | $4.71 – $4.71 | 1 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.40 – $11.44 | 5 |
| Temperature gradient studies CPT 93740 | not published | not published | $143.39 – $157.72 | 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.