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PROVIDENCE HOLY FAMILY HOSPITAL

Acute Care Hospitals

3 out of 5 (CMS)

5633 NORTH LIDGERWOOD

SPOKANE, WA, 99208

View on Google Maps →
Emergency Services: Yes
Voluntary non-profit - Private
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Procedure Prices at PROVIDENCE HOLY FAMILY HOSPITAL

HC LEGAL BLOOD COLLECTION

CPT 36415

$39.2

Mechanical Traction

CPT 97012

$67.2

Therapeutic Activities

CPT 97530

$69.3

HC CBC WITH DIFF AUTO

CPT 85025

$76.3

Therapeutic Exercises

CPT 97110

$81.2

HC COMPREHEN METABOLIC PANEL

CPT 80053

$171.5

HC 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES

CPT 90837

$184.1

EKG Tracing

CPT 93005

$191.8

Chest X-Ray (1 view)

CPT 71045

$261.8

HC ESTAB PT VISIT - LEVEL 3

CPT 99213

$285.6

Chest X-Ray (2 views)

CPT 71046

$411.6

Diagnostic Mammogram (unilateral)

CPT 77065

$425.6

ER Visit — Low-Moderate Complexity

CPT 99283

$646.8

Diagnostic Mammogram (bilateral)

CPT 77066

$658

Thoracic Spine X-Ray

CPT 72072

$740.6

OB Ultrasound

CPT 76805

$996.8

Abdominal Ultrasound — Limited

CPT 76705

$998.2

CT Chest

CPT 71250

$1,038.1

ER Visit — Moderate Complexity

CPT 99284

$1,040.2

HC INJ FORAMEN EPIDURAL L/S

CPT 64483

$1,117.2

Echocardiogram w/ Doppler

CPT 93306

$1,291.5

Retroperitoneal Ultrasound

CPT 76770

$1,320.2

Abdominal Ultrasound

CPT 76700

$1,530.9

ER Visit — High Complexity

CPT 99285

$2,305.8

MRI Brain w/o Contrast

CPT 70551

$2,401.7

MRI Joint of Lower Extremity

CPT 73721

$2,808.4

MRI Brain w/ Contrast

CPT 70553

$3,311

CT Abdomen & Pelvis

CPT 74177

$5,147.1

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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.