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Providence Holy Family Hospital

5633 North Lidgerwood, Spokane, WA 99208 · (509) 482-0111

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 3/5Spokane, WA metroPart of Providence Health & Services - Washington · 5 hospitalsWebsite ↗

Price file

Prices published

File dated 2026-04-01

3,716 price rows for 67 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 4 lines · metro median $52

$20
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 5 lines · metro median $1,159

$955
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 5 lines · metro median $764

$347
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 4 lines · metro median $1,104

$610
cash
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cash
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cash
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cash
Chlamydia test (DNA)

CPT 87491 · lowest of 20 lines · metro median $34

$34
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines · metro median $443

$1,621
cash
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cash
—
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 15 lines · metro median $36

$36
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines · metro median $27

$27
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 3 lines · metro median $314

$160
cash
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cash
—
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 7 lines · metro median $146

$207
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 22 lines · metro median $118

$118
cash
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cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 24 lines · metro median $34

$34
cash
Group psychotherapy

CPT 90853 · lowest of 23 lines · metro median $34

$52
cash
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cash
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cash
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cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 2 lines · metro median $6,199

$8,385
cash
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cash
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cash
Left heart catheterization

CPT 93452 · lowest of 4 lines · metro median $5,903

$6,091
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 28 lines · metro median $38

$38
cash
Liver function panel

CPT 80076 · lowest of 4 lines · metro median $62

$20
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 5 lines · metro median $2,817

$1,219
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 6 lines · metro median $1,724

$758
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 7 lines · metro median $1,184

$758
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 7 lines · metro median $1,691

$642
cash
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cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $834

$1,548
cash
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cash
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cash
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PSA test (prostate)

CPT 84153 · lowest of 23 lines · metro median $35

$35
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 26 lines · metro median $15

$15
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 4 lines · metro median $55

$49
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 4 lines · metro median $205

$205
cash
Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $358

$3,086
cash
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cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 26 lines · metro median $11

$12
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 7 lines · metro median $92

$92
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 7 lines · metro median $130

$139
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 7 lines · metro median $184

$184
cash
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cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $326

$326
cash
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cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 14 lines · metro median $1,698

$1,698
cash
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cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 4 lines · metro median $176

$1,608
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 4 lines · metro median $1,128

$1,656
cash
TSH test (thyroid)

CPT 84443 · lowest of 31 lines · metro median $27

$85
cash
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cash
Transvaginal ultrasound

CPT 76830 · lowest of 4 lines · metro median $205

$205
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 5 lines · metro median $431

$205
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $298

$1,583
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $351

$1,610
cash
Urinalysis with microscope

CPT 81001 · lowest of 12 lines · metro median $23

$6
cash
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 4 lines · metro median $198

$104
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.