Procedures & surgery prices at San Luis Valley Health Regional Medical Center

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $284.90–$1,146.75 $518–$2,085 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $125.95 $229 0.1×
Acne surgery (10040) $175.45 $319 0.8×
Application cast elbow finger short arm (29075) $235.40 $428 0.8×
Application finger splint static (29130) $155.10 $282 1.1×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $137.50–$227.70 $250–$414 varies
Application Long Leg Splint (29505) $136.95 $249 0.8×
Application short arm splint forearm-hand static (29125) $210.10 $382 1.5×
Application short leg splint calf foot (29515) $66 $120 0.4×
Apply long arm cast (29065) $235.40 $428 0.8×
Apply Multlay Comprs Lwr Leg (29581) $137.50 $250 0.8×
Apply Short Leg Cast (29405) $235.40 $428 0.8×
Arterial puncture (36600) $129.80 $236 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $254.10–$394.35 $462–$717 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $39.05–$314.60 $71–$572 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $254.10 $462 0.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $254.10 $462 0.8×
Aspirate pleura w/ imaging (32555) $1,146.75 $2,085 1.7×
Aspirate Pleura W/O Imaging (32554) $212.30 $386 0.3×
Aspirate/Inj Ganglion Cyst (20612) $254.10 $462 0.8×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $33.55–$175.45 $61–$319 varies
Biopsy bone trocar/needle deep (20225) $299.75 $545 0.2×
Biopsy external ear (69100) $45.65 $83 0.2×
Biopsy of lip (40490) $206.25 $375 0.8×
Biopsy of liver, needle; percutaneous (47000) $1,644.50 $2,990 0.9×
Biopsy Tongue Anterior Two-Thirds (41100) $440.55 $801 0.8×
Biopsy, vestibule of mouth (40808) $440.55 $801 0.8×
Bladder instillation anticarcinogenic agent (51720) $163.90 $298 0.2×
Bladder Irrigation (51700) $259.60 $472 1.0×
Bladder Scan (51798)
range across 2 matching MRF lines		 $17.05–$88 $31–$160 varies
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $273.35–$386.65 $497–$703 varies
Bx breast 1st lesion strtctc (19081) $2,122.45 $3,859 1.2×
Bx breast 1st lesion us imag (19083) $2,046.55 $3,721 1.2×
Bx Cervix (57500) $73.15 $133 0.1×
Change Cystostomy Tube Simple (51705) $60.50 $110 0.2×
Chemical Cautery Tissue (17250) $175.45 $319 0.8×
Circumcision Neonate (54160) $282.70 $514 0.4×
Cl Tx Tib Shft Fx W Manip (27752) $2,631.75 $4,785 1.6×
Clear outer ear canal (69200) $52.80 $96 0.4×
Closed Treat Vert Body Fract (22310) $218.90 $398 0.8×
Closed Treatment Ulnar Styloid Fracture (25650) $219.45 $399 0.8×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,091.75 $1,985 0.6×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $201.30 $366 0.8×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $334.40 $608 1.3×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $200.75 $365 0.8×
Closed tx metatarsal fracture w/o manipulation (28470) $201.30 $366 0.8×
Closed tx patellar dislocation w/o anesthesia (27560) $212.85 $387 0.8×
Closed Tx Patellar Fracture W/O Manipulation (27520) $210.65 $383 0.8×
Closed tx radial head/neck fx w/o manipulation (24650) $201.30 $366 0.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,354.65 $2,463 0.8×
Closed tx radial&ulnar shaft fractures w/o man (25560) $201.30 $366 0.8×
Closed Tx Scapular Fracture W/O Manipulation (23570) $201.30 $366 0.8×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $162.80 $296 0.6×
Closed tx ulnar shaft fracture w/o manipulation (25530) $201.30 $366 0.8×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $200.75–$201.30 $365–$366 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $446.05 $811 1.7×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $201.30 $366 0.8×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $200.75–$201.30 $365–$366 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $201.30 $366 0.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $201.30–$273.35 $366–$497 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $1,212.75–$1,354.65 $2,205–$2,463 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $201.30 $366 0.8×
Cltx fx grt toe phlx/phlg w/o manj (28490) $335.50 $610 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $200.75–$201.30 $365–$366 varies
Cltx greater humeral tuberosity fx w/o manj (23620) $201.30 $366 0.8×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $218.90 $398 0.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $339.90 $618 1.3×
Cltx Medial Ankle Fx (27760) $200.75 $365 0.8×
Cltx metacarpal fx w/manipulation each bone (26605) $219.45 $399 0.8×
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $201.30–$242.55 $366–$441 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $497.75 $905 1.9×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $201.30 $366 0.8×
Cltx post hip arthrp dislc req anes (27266) $2,061.95 $3,749 1.2×
Cltx post hip arthrp dislc w/o anes (27265) $364.10 $662 1.4×
Cltx prox fibula/shft fx w/o manj (27780) $200.75 $365 0.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $219.45 $399 0.8×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $219.45 $399 0.8×
Cltx tibial fx proximal w/o manipulation (27530) $201.30 $366 0.8×
Cltx trimalleolar ankle fx w/manipulation (27818) $970.20 $1,764 0.6×
Cltx trimalleolar ankle fx w/o manipulation (27816) $200.75 $365 0.8×
Collect Blood From Catheter Venous Nos (36592) $80.85 $147 0.6×
Collection of venous blood by venipuncture (36415) $15.40 $28 1.6×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $78.65 $143 0.2×
Colposcopy entire vagina w/cervix if present (57420) $66.55 $121 0.2×
Colposcopy of vulva (56820) $50.60 $92 0.2×
Control Nasal Hemorrhage Anterior Complex (30903) $113.30 $206 0.8×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $83.05–$109.45 $151–$199 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,368.95 $2,489 0.8×
Create Eardrum Opening (69433) $449.35 $817 0.8×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $109.45 $199 0.8×
Cysto W/Simple Removal Stone & Stent (52310) $182.05 $331 0.1×
Cystourethroscopy (52000) $559.35 $1,017 0.8×
Deb Musc/Fascia 20 Sq Cm/< (11043) $637.45 $1,159 0.8×
Debride nail 1-5 (11720) $54.45 $99 0.9×
Debride nail 6 or more (11721) $54.45 $99 0.9×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,368.95 $2,489 0.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $337.15 $613 0.8×
Declot vascular device (36593)
range across 2 matching MRF lines		 $67.10–$127.60 $122–$232 varies
Destruct B9 Lesion 1-14 (17110) $175.45 $319 0.8×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $170.50 $310 0.8×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $337.15 $613 0.8×
Destruction Premalignant Lesion 15/> (17004) $337.15 $613 0.8×
Destruction premalignant lesion 1st (17000) $175.45 $319 0.8×
Drainage of gum lesion (41800) $224.40 $408 1.6×
Drainage of hematoma/fluid (10140) $256.85 $467 0.1×
Drainage of scrotum (54700) $1,744.05 $3,171 0.8×
Draw Blood Off Venous Device (36591) $107.80 $196 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $343.75 $625 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $216.70 $394 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $216.70 $394 1.0×
Dx lmbr spi pnxr w/fluor/CT (62328) $419.10 $762 0.6×
Electro-Uroflowmetry First (51741) $135.85 $247 0.6×
Endometrial Biopsy (58100) $61.60 $112 0.3×
Evacuation of subungual hematoma (11740) $20.90 $38 0.1×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $605.55 $1,101 0.8×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,368.95 $2,489 0.8×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $605.55 $1,101 0.8×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $2,098.25 $3,815 1.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $605.55 $1,101 0.8×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $86.90 $158 0.1×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $605.55 $1,101 0.8×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,368.95 $2,489 0.8×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $605.55 $1,101 0.8×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,368.95 $2,489 0.8×
Exc Skin Malig >4 Cm Remaindr Body (11626) $2,305.05 $4,191 0.8×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,368.95 $2,489 0.8×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $337.15 $613 0.8×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $605.55 $1,101 0.8×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,368.95 $2,489 0.8×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,371.87 $2,494.31 0.8×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $605.55 $1,101 0.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $235.95 $429 0.6×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $605.55 $1,101 0.8×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $2,113.65 $3,843 0.7×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $605.55 $1,101 0.8×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,368.95 $2,489 0.8×
External cephalic version (59412) $485.10 $882 0.1×
Fetal non-stress test (59025) $364.10 $662 1.7×
Fluid Pressure Muscle (20950) $652.30 $1,186 0.9×
Fluoro exam of g/colon tube (49465) $500.50 $910 2.0×
Fna bx w/us gdn 1st les (10005) $875.05 $1,591 1.2×
Guide Cathet Fluid Drainage (10030) $2,094.95 $3,809 2.8×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $242.55–$772.20 $441–$1,404 varies
I&d abscess peritonsillar (42700) $206.25 $375 0.8×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $170.50–$218.90 $310–$398 varies
I&d perianal abscess superficial (46050) $1,619.20 $2,944 1.7×
I&d pilonidal cyst simple (10080) $73.15 $133 0.1×
Incise external hemorrhoid (46083) $96.80 $176 0.4×
Incision & drainage abscess complicated/multiple (10061) $273.90 $498 0.6×
Incision & removal foreign body subq tiss simple (10120) $337.15 $613 0.8×
Incision and drainage of bartholin's gland abscess (56420) $326.70 $594 1.5×
Incision and drainage of vulva or perineal abscess (56405) $273.90 $498 0.9×
Incisional biopsy skin single lesion (11106) $401.50 $730 0.5×
Initial Tx 1st Degree Burn Local Tx (16000) $170.50 $310 0.8×
Injection 1 tendon sheath/ligament aponeurosis (20550) $317.90 $578 1.0×
Injection Anes Agent Sphenopalatine Ganglion (64505) $235.40 $428 0.7×
Injection single/mlt trigger point 1/2 muscles (20552) $254.10 $462 0.8×
Injection single/mlt trigger point 3/> muscles (20553) $254.10 $462 0.8×
Injection therapeutic carpal tunnel (20526) $254.10 $462 0.8×
Injection, anesthetic agent; femoral nerve, single (64447) $168.85 $307 0.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $145.75 $265 0.2×
Injection, intralesional; up to and including 7 lesions (11900) $175.45 $319 0.8×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $135.85–$631.95 $247–$1,149 varies
Insert cath pleura w/o image (32556) $227.70 $414 0.1×
Insert cervical dilator (59200) $297 $540 0.9×
Insert Drug Implant Device (11981) $109.45 $199 0.8×
Insert non-tunnel cv cath (36556) $1,832.60 $3,332 0.6×
Insert pessary/other device (57160) $36.85 $67 0.2×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $34.10–$133.10 $62–$242 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $88–$272.80 $160–$496 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,562 $2,840 0.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,364.55 $2,481 0.8×
Intubation endotracheal emergency procedure (31500) $207.90 $378 0.8×
Laryngoscopy flexible diagnostic (31575) $160.05 $291 0.8×
Nasal Endoscopy Dx (31231) $160.05 $291 0.8×
Nasal/Orogastric W/Tube Plmt (43752) $263.45 $479 0.6×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $1,101.65 $2,003 0.6×
Needle insertion w/o injection 1 or 2 muscles (20560) $57.75 $105 1.9×
Needle insertion w/o injection 3 or more muscles (20561) $64.35 $117 2.1×
Neuroeltrd Stim Post Tibial (64566) $45.65 $83 0.1×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $748 $1,360 1.8×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $73.15 $133 0.2×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $435.05 $791 0.1×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $188.10 $342 0.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,419.55 $2,581 1.9×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $485.10 $882 0.5×
Perq dev breast 1st strtctc (19283) $970.20 $1,764 1.3×
Perq dev breast 1st us imag (19285) $425.70 $774 0.6×
Placement of needle for intraosseous infusion (36680) $354.20 $644 0.8×
Punch biopsy skin single lesion (11104) $642.20 $1,167.63 1.5×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $56.65–$337.15 $103–$613 varies
Puncture Aspiration Cyst Breast (19000) $661.65 $1,203 0.9×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $23.10–$54.45 $42–$99 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $53.90–$54.45 $98–$99 varies
Removal Implant Superficial Separate Procedure (20670) $1,368.95 $2,489 0.8×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $178.75–$337.15 $325–$613 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200) $175.45 $319 0.8×
Removal/bivalving gauntlet boot/body cast (29700) $235.40 $428 0.8×
Remove drug implant device (11982) $263.45 $479 0.6×
Remove foreign body from eye (65205) $42.90 $78 0.3×
Remove Intrauterine Device (58301) $273.90 $498 0.9×
Remove Nasal Foreign Body (30300) $68.75 $125 0.5×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $520.85 $947 0.7×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $510.40 $928 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $311.30 $566 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $343.20 $624 0.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $510.40 $928 1.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $78.65–$337.15 $143–$613 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $337.15 $613 0.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $337.15 $613 0.8×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $337.15 $613 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $136.95–$337.15 $249–$613 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $94.05–$337.15 $171–$613 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $278.85 $507 0.1×
Repair of nail bed (11760) $510.40 $928 0.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $55 $100 0.1×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $109.45 $199 0.8×
Rplc Gtube No Revj Trc (43762) $229.35 $417 0.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $175.45 $319 0.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $63.80 $116 0.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $86.35 $157 0.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $175.45 $319 0.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $56.10–$175.45 $102–$319 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $178.20 $324 0.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $246.95 $449 1.2×
Skin sub graft face/nk/hf/g (15275) $1,668.70 $3,034 2.1×
Skin sub graft trnk/arm/leg (15271) $1,578.50 $2,870 2.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $246.95 $449 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $138.05 $251 0.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $163.90 $298 0.4×
Spinal puncture lumbar diagnostic (62270) $608.30 $1,106 0.8×
Strapping Unna Boot (29580) $137.50 $250 0.8×
Tangential biopsy skin single lesion (11102) $175.45 $319 0.4×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,354.65 $2,463 0.8×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $515.90 $938 1.6×
Treat humerus fracture (24500) $158.40 $288 0.6×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $200.75–$201.30 $365–$366 varies
Treat Knuckle Dislocation (26700) $394.90 $718 1.5×
Treatment closed elbow dislocation w/o anes (24600) $455.40 $828 1.8×
Trim skin lesion (11055) $175.45 $319 0.8×
Trim skin lesions 2 to 4 (11056) $175.45 $319 0.8×
Trimming Nondystrophic Nails Any Number (11719) $54.45 $99 0.9×
Vasectomy uni/bi spx w/postop semen exams (55250) $256.30 $466 0.1×

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.