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PROV SACRED HRT MED CTR & CHILDS HOSP.

Hospital

101 WEST 8TH AVENUE

SPOKANE, WA, 99204

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Procedure Prices at PROV SACRED HRT MED CTR & CHILDS HOSP.

HC BLOOD DRAW VENIPUNCTURE

CPT 36415

$14.7

Mechanical Traction

CPT 97012

$25.9

HC CBC WITH DIFF AUTO

CPT 85025

$35.7

HC COMPREHEN METABOLIC PANEL

CPT 80053

$45.5

Therapeutic Exercises

CPT 97110

$49

Therapeutic Activities

CPT 97530

$53.9

EKG Tracing

CPT 93005

$79.1

Chest X-Ray (1 view)

CPT 71045

$80.5

Chest X-Ray (2 views)

CPT 71046

$80.5

Thoracic Spine X-Ray

CPT 72072

$160.3

Diagnostic Mammogram (bilateral)

CPT 77066

$160.3

HC 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES

CPT 90837

$184.1

Abdominal Ultrasound

CPT 76700

$205.1

Abdominal Ultrasound — Limited

CPT 76705

$205.1

Retroperitoneal Ultrasound

CPT 76770

$205.1

OB Ultrasound

CPT 76805

$205.1

HC CRISIS TELEH 99213 LACTATION EDUCATION ESTAB PT VISIT CDM

CPT 99213

$298.9

Screening Mammogram (bilateral)

CPT 77067

$325.5

CT Chest

CPT 71250

$425.6

Echocardiogram

CPT 93307

$592.9

ER Visit — Low-Moderate Complexity

CPT 99283

$599.2

MRI Brain w/o Contrast

CPT 70551

$991.9

Echocardiogram w/ Doppler

CPT 93306

$1,028.3

ER Visit — Moderate Complexity

CPT 99284

$1,078.7

MRI Joint of Lower Extremity

CPT 73721

$1,157.1

CT Abdomen & Pelvis

CPT 74177

$1,274.7

MRI Brain w/ Contrast

CPT 70553

$1,656.9

ER Visit — High Complexity

CPT 99285

$2,339.4

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.