Procedures & surgery prices at Arkansas Valley Regional Medical Center

La Junta, CO · every code in this section with a posted price and a Medicare benchmark.

94 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abd paracentesis (49082) $1,067 $1,779 1.1×
Abd paracentesis w/imaging (49083) $1,197 $1,995 1.3×
Application Finger Splint Dynamic (29131) $156 $260 2.5×
Application finger splint static (29130) $156 $260 1.1×
Application of short arm splint (forearm to hand); static (29125) $190 $316 1.4×
Apply splint short arm dynamic (29126) $193 $322 1.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $476 $793 1.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $571 $952 1.8×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $571 $952 1.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $396 $660 1.2×
Aspirate pleura w/o imaging (32554) $956 $1,593 1.4×
Biopsy liver needle percutaneous (47000) $1,464 $2,440 0.8×
Biopsy muscle percutaneous needle (20206) $2,350 $3,917 1.3×
Biopsy pleura percutaneous needle (32400) $1,464 $2,440 0.8×
Biopsy thyroid percutaneous core needle (60100) $693 $1,155 0.9×
Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) $1,464 $2,440 0.8×
Bladder irrigation (51700) $501 $835 1.9×
Bx breast 1st lesion strtctc (19081) $1,129 $1,882 0.6×
Bx breast 1st lesion us imag (19083) $1,001 $1,669 0.6×
Bx pancreas ndl perc (48102) $1,464 $2,440 0.8×
Change Cystostomy Tube Simple (51705) $286 $476 1.1×
Chest tube placement (32551) $960 $1,600 0.6×
Circumcision, Newborn (54150) $1,949 $3,248 0.9×
Collect blood from implant venous access device (36591) $98 $163 0.7×
Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) $4,219 $7,032 1.2×
Core needle bx lung/mediastinum perq w/img (32408) $1,464 $2,440 0.8×
Declot vascular device (36593) $524 $874 1.5×
Delivery of placenta (59414) $3,930 $6,550 1.2×
Destruction neurolytic agt genicular nerve w/img (64624) $1,207 $2,011 0.6×
Drain neck/chest lesion (21501) $3,106 $5,176 1.0×
Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) $1,207 $2,011 0.6×
Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) $1,207 $2,011 0.6×
Ed proc insert intraosseous IV (36680) $358 $596 0.8×
Ed proc insj temp ndwellg bladder catheter complicated (51703) $183 $305 1.3×
Ed prof artl pnxr w/drawal bld dx (36600) $89 $148 0.6×
Ed prof catheterization/straight (51701) $102 $170 0.7×
Ed prof insert foley cath simple (51702) $103 $172 0.7×
Ed prof insert non tunnel cv cath >5 (36556) $2,213 $3,689 0.7×
Ed prof insertion of heart electr (33210) $7,675 $12,792 0.9×
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck Age Under 21 (51715) $6,124 $10,207 1.6×
Er inj anesthetic agent, peripheral nerve or branch (64450) $1,070 $1,783 1.4×
Excision of tongue fold (41115) $2,180 $3,633 1.3×
Ganglion impar nerve block (64999) $182 $304 0.6×
Gastric lavage (43753) $193 $321 0.8×
Image-guide fluid collxn drainage cath visc perq (49405) $2,322 $3,870 1.3×
Img-guide fluid collxn drainag cath periton perq (49406) $2,322 $3,870 1.3×
Inj epidural blood or clot patch (62273) $1,070 $1,783 1.4×
Inj paravert f jnt c/t 1 lev (64490) $1,376 $2,293 1.5×
Inj paravert f jnt l/s 1 lev (64493) $1,376 $2,293 1.5×
Inj tx nerve (64640) $1,356 $2,260 1.5×
Inj,Anes Agent,Femoral Nerve,Single (64447) $1,076 $1,793 1.4×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,366 $2,276.50 1.5×
Injection aa&/strd brachial plexus w/img gdn (64415) $1,376 $2,293 1.5×
Injection aa&/strd genicular nrv branches w/img (64454) $1,070 $1,783 1.4×
Injection aa&/strd greater occipital nerve (64405) $456 $760 1.4×
Injection aa&/strd ilioinguinal ih nerves (64425) $1,070 $1,783 1.4×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,076 $1,793 1.4×
Injection aa&/strd sciatic nerve w/img gdn (64445) $1,070 $1,783 1.4×
Injection aa&/strd suprascapular nerve (64418) $1,070 $1,783 1.4×
Injection aa&/strd trigeminal nerve each branch (64400) $456 $760 1.4×
Injection anes lmbr/thrc paravertbrl sympathetic (64520) $1,070 $1,783 1.1×
Injection for identification of sentinel node (38792) $648 $1,080 1.5×
Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) $456 $760 1.4×
Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) $456 $760 1.4×
Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) $182 $304 0.6×
Insert non-tunnel cv cath < 5 y/o (36555) $1,531 $2,551 0.5×
Insertion of tube into airway for aspiration of secretions (31720) $274 $457 1.2×
Insertion picc w/o img gdn 5 yr/> (36569) $2,225 $3,708 1.3×
Intubation endotracheal (31500) $487 $811 1.9×
Lithotripsy, extracorporeal shock wave Age Under 21 (50590) $9,440 $15,734 2.5×
Lumbar puncture (62270) $589 $981 0.8×
Njx anes stellate ganglion crv sympathetic (64510) $1,376 $2,293 1.5×
Njx cholangio prq w/img gid rs&i existing access (47531) $2,181 $3,635 0.6×
Njx cholangio prq w/img gid rs&i new access (47532) $2,181 $3,635 0.6×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,070 $1,783 1.4×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $254 $423 0.3×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) $1,129 $1,882 1.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $749.50 $1,249 1.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) $1,376 $2,293 1.5×
Non stress test (59025) $262 $437 1.2×
Perq device breast 1st imag (19281) $1,001 $1,669 0.6×
Puncture aspiration of cyst of breast (19000) $693 $1,155 0.9×
Push transfusion, blood, 2 years or younger (36440) $593 $989 1.3×
Pvb thoracic single injection site w/img gid (64461) $1,070 $1,783 1.4×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,993 $4,988 1.5×
Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) $1,464 $2,440 0.8×
Revision of iris (66761) $2,464 $4,107 4.2×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $2,115 $3,525 1.3×
Tenotomy, hip flexor(s), open (separate procedure) (27005) $125 $209 0.0×
Therapeutic spinal puncture drainage csf (62272) $614 $1,024 0.8×
Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) $956 $1,593 1.4×
Transfusion, blood or blood components (36430) $623 $1,038 1.3×
Vaginal delivery (59409) $4,912 $8,187 1.4×
Venipuncture (36415) $14 $24 1.5×