Visits & medical services prices at San Luis Valley Health Conejos County Hospital
La Jara, CO · every code in this section with a posted price and a Medicare benchmark.
55 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $24.75 | $45 | 0.6× |
| Airway Inhalation Treatment (94640) | $106.15 | $193 | 0.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $44 | $80 | 3.1× |
| Canalith repositioning proc (95992) | $50.60 | $92 | 1.2× |
| Cbt 1st hour (94644) | $113.85 | $207 | 0.8× |
| Color/duplex Doppler, complete (93975) | $689.70 | $1,254 | 2.7× |
| Continuous Pulse Ox (94762) | $184.25 | $335 | 1.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$779.90–$1,062.60 | $1,418–$1,932 | varies |
| Critical care first hour (99291) | $1,488.30 | $2,706 | 1.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $573.65 | $1,043 | 2.3× |
| Dup-scan xtr veins unilateral/limited study (93971) | $349.80 | $636 | 3.2× |
| Electrical Stimulation Ea 15 Min (97032) | $58.85 | $107 | 4.0× |
| Electrocardiogram Tracing (93005) | $146.85 | $267 | 2.4× |
| Emergency Dept Visit Level 2 (99282) | $208.45 | $379 | 1.3× |
| Emergency Dept Visit Level 3 (99283) | $343.75 | $625 | 1.2× |
| Emergency Dept Visit Level 4 (99284) | $605.55 | $1,101 | 1.4× |
| Er level 1 (99281) | $71.50 | $130 | 0.8× |
| Er level v (99285) | $940.50 | $1,710 | 1.5× |
| Evaluate pt use of inhaler (94664) | $80.30 | $146 | 0.3× |
| Evaluate Swallowing Function (92610) | $260.15 | $473 | 3.1× |
| External Ecg Scanning Analysis Report (93226) | $168.30 | $306 | 2.7× |
| Extracranial Bilat Study (93880) | $481.80 | $876 | 1.9× |
| Immunization administration (90471) | $26.95 | $49 | 0.4× |
| Irrig Drug Delivery Device (96523) | $96.80 | $176 | 1.6× |
| IV infusion hydration each additional hour (96361) | $68.20 | $124 | 1.4× |
| IV infusion hydration initial 31 min-1 hour (96360) | $197.45 | $359 | 0.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$72.60–$102.85 | $132–$187 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $70.95 | $129 | 1.4× |
| IV push initial (96374) | $276.65 | $503 | 1.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $42.90 | $78 | 1.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $55.55 | $101 | 1.5× |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$53.35–$80.85 | $97–$147 | varies |
| Oral Function Therapy (92526) | $144.65 | $263 | 1.7× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $15.40 | $28 | 0.7× |
| Ot eval high complexity (97167) | $131.45 | $239 | 1.3× |
| Ot Eval Low Complex (97165) | $163.90 | $298 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $163.90 | $298 | 1.6× |
| Ot manual therapy 15 min (97140) | $111.65 | $203 | 4.0× |
| Phlebotomy therapeutic (99195) | $171.05 | $311 | 1.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 4 matching MRF lines |
$970.75–$2,192.30 | $1,765–$3,986 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $2,185.15 | $3,973 | 2.4× |
| Pt Eval High Complex (97163) | $169.40 | $308 | 1.7× |
| Pt eval low complex 20 min (97161) | $169.95 | $309 | 1.7× |
| Pt Eval Mod Complex (97162) | $169.40 | $308 | 1.7× |
| Pt gait training 15 min (97116) | $52.80 | $96 | 1.8× |
| Pt mechanical traction (97012) | $39.60 | $72 | 2.8× |
| Pt Re-Eval Est Plan Care (97164) | $92.40 | $168 | 1.4× |
| Self Care Mngment Training (97535) | $58.85 | $107 | 1.8× |
| Standardized Cognitive Performance Testing (96125) | $188.10 | $342 | 1.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $42.90 | $78 | 1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $95.70 | $174 | 1.3× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$345.95–$379.50 | $629–$690 | varies |
| Therapeutic Activities (97530) | $64.90 | $118 | 1.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $102.85 | $187 | 2.1× |
| Vasopneumatic device (97016) | $29.70 | $54 | 2.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.