Supplies, drugs & other prices at San Luis Valley Health Regional Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Admin influenza virus vac (G0008) $43.45 $79 0.9×
Admin pneumococcal vaccine (G0009) $6.05 $11 0.1×
Drug test def 1-7 classes (G0480) $80.30 $146 0.7×
Hospital outpt clinic visit (G0463) $36.30 $66 0.3×
Inj for sacroiliac jt anesth (G0260) $617.65 $1,123 0.8×
Prostate biopsy, any mthd (G0416) $1,597.75 $2,905 4.2×
Psa screening (G0103) $95.15 $173 4.9×
Therapeutic procd strg endur (G0237) $47.85 $87 1.6×
Trauma respons w/hosp criti (G0390) $1,386 $2,520 1.0×
Tte w or w/o contr, cont ecg (C8930) $1,414.60 $2,572 1.7×
Tte w or wo fol wcon,doppler (C8929) $1,817.20 $3,304 2.2×