Visits & medical services prices at San Luis Valley Health Regional Medical Center
Alamosa, CO · every code in this section with a posted price and a Medicare benchmark.
114 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $65.45 | $119 | 1.7× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $24.75 | $45 | 0.6× |
| Aep threshold estimation mlt frequencies i&r (92652) | $394.35 | $717 | 1.7× |
| Airway Inhalation Treatment (94640) | $106.15 | $193 | 0.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $44 | $80 | 3.1× |
| Application Modality 1/> Areas Infrared (97026) | $25.85 | $47 | 3.9× |
| Application on-body injector (96377) | $41.25 | $75 | 0.8× |
| Brief Emotional/Behav Assmt (96127) | $3.85 | $7 | 0.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $319.55 | $581 | 0.8× |
| Canalith repositioning proc (95992) | $50.60 | $92 | 1.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $652.30 | $1,186 | 2.9× |
| Cardiopulmonary resuscitation (92950) | $270.05 | $491 | 1.2× |
| Cardioversion (92960) | $218.35 | $397 | 0.3× |
| Cbt 1st hour (94644) | $113.85 | $207 | 0.8× |
| Chemo Anti-Neopl Sq/Im (96401) | $178.75 | $325 | 2.4× |
| Chemo Hormon Antineopl Sq/Im (96402) | $133.65 | $243 | 1.8× |
| Chemo IV infusion addl hr (96415) | $190.30 | $346 | 2.5× |
| Chemo IV push addl drug (96411) | $200.20 | $364 | 2.6× |
| Chemother Prolong Infuse W/Pump (96416) | $568.15 | $1,033 | 1.6× |
| Chemotherapy Unspecified (96549) | $222.20 | $404 | 4.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $234.85 | $427 | 3.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$303.05–$657.80 | $551–$1,196 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $373.45 | $679 | 1.1× |
| 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× |
| Debridement Open Wound 20 Sq Cm< (97597) | $26.95 | $49 | 0.1× |
| 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× |
| Echo Heart Xthoracic,Limited (93308) | $570.90 | $1,038 | 2.3× |
| Echo r-t 2d w/probe placement only (93313) | $1,505.90 | $2,738 | 2.6× |
| EEG awake and asleep (95819) | $681.45 | $1,239 | 3.0× |
| 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 Speech Production (92522) | $207.90 | $378 | 1.9× |
| Evaluate Swallowing Function (92610) | $260.15 | $473 | 3.1× |
| External ECG rec>7d<15d recording (93246) | $138.05 | $251 | 3.5× |
| External Ecg Scanning Analysis Report (93226) | $168.30 | $306 | 2.7× |
| Extracranial Bilat Study (93880) | $481.80 | $876 | 1.9× |
| Flexible endoscopic eval swallow c/v rec (92612) | $112.20 | $204 | 0.6× |
| Holter monitor recording (93225) | $348.15 | $633 | 2.5× |
| Immunization administration (90471) | $26.95 | $49 | 0.4× |
| Iontophoresis 15 min (97033) | $40.70 | $74 | 2.1× |
| 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× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$207.90–$260.15 | $378–$473 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $175.45 | $319 | 0.8× |
| Neuromuscular Reeducation (97112) | $80.85 | $147 | 2.5× |
| Newborn resuscitation (99465) | $572 | $1,040 | 0.8× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $38.50 | $70 | 1.5× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $59.95 | $109 | 1.7× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $19.80 | $36 | 1.4× |
| Oral Function Therapy (92526) | $144.65 | $263 | 1.7× |
| 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× |
| Ot paraffin bath (97018) | $25.85 | $47 | 4.3× |
| Ot Re-Eval Est Plan Care (97168) | $88.55 | $161 | 1.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $165 | $300 | 1.2× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $142.45 | $259 | 0.6× |
| Phlebotomy therapeutic (99195) | $171.05 | $311 | 1.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$1,940.95–$2,192.30 | $3,529–$3,986 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $6.60 | $12 | 0.1× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $28.60 | $52 | 0.6× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $28.05 | $51 | 0.6× |
| Pt Eval High Complex (97163) | $169.40 | $308 | 1.7× |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$135.85–$169.95 | $247–$309 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$169.40–$169.95 | $308–$309 | varies |
| 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× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $26.40 | $48 | 0.7× |
| Pulm function test by gas (94727) | $135.85 | $247 | 0.6× |
| Pulmonary Stress Testing (94618) | $48.40 | $88 | 0.3× |
| Pure Tone Audiometry Air (92552) | $113.85 | $207 | 0.8× |
| Refill/Maint Portable Pump (96521) | $350.90 | $638 | 1.6× |
| Refill/Maint Pump/Resvr Syst (96522) | $215.60 | $392 | 1.0× |
| Remote 30 Day Ecg Rev/Report (93270) | $290.40 | $528 | 7.4× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$45.10–$58.85 | $82–$107 | varies |
| Sleep study unattended (95806) | $72.60 | $132 | 0.3× |
| Speech sound lang comprehen (92523) | $260.15 | $473 | 1.1× |
| Spirometry (94010) | $135.85 | $247 | 0.6× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$151.80–$188.10 | $276–$342 | varies |
| Stress Tte Only (93350) | $1,208.35 | $2,197 | 2.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $52.25 | $95 | 2.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $52.25 | $95 | 2.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $42.90 | $78 | 1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$95.70–$152 | $174–$276.37 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$345.95–$379.50 | $629–$690 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$53.35–$64.90 | $97–$118 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$7.70–$18.70 | $14–$34 | varies |
| Tte w/doppler, complete (93306) | $1,383.80 | $2,516 | 2.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $144.65 | $263 | 1.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $102.85 | $187 | 2.1× |
| Tympanometry (92567) | $59.95 | $109 | 1.5× |
| Unlisted allergy/clinical immunologic srvc/px (95199) | $10.45 | $19 | 0.3× |
| Upr/L Xtremity Art 2 Levels (93922) | $287.10 | $522 | 2.0× |
| Vasopneumatic device (97016) | $29.70 | $54 | 2.5× |
| Vent Mgmt Inpat Init Day (94002) | $1,208.35 | $2,197 | 1.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $974.60 | $1,772 | 1.5× |
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.