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Costs for Common Procedures

San Luis Valley Health believes in being transparent in its pricing.

Our goal is to provide meaningful, comprehensive and reliable information to help you understand prices in advance of your procedure. We have created a list of the top inpatient and outpatient procedure costs for self-pay patients to give you an estimate of the expected amount for a commonly provided healthcare service. Actual prices on the final hospital bill may vary from this information based on the particular service, the patient's medical condition, unknown circumstances or complications, final diagnosis, and recommended treatment ordered by the attending physician.

About Listed Costs & Pricing

The pricing only covers the specific service listed and provided through the hospital. These estimates do not include complicating factors or professional fees for services such as those provided by a physician, surgeon, pathologist, anesthesiologist, radiologist, nurse practitioner or other independent practitioners. Also, the pricing does not include fees associated with implants, high-cost drugs, or second procedures. The pricing is for patients who have pre-scheduled the service and are not applicable to patients who receive services in the emergency department.

The pricing information is not a guarantee of insurance coverage or availability of services. This pricing does not apply to patients who have health insurance coverage through Medicare, Medicaid, other government insurance programs, or an insurance company.

There are certain chronic conditions or long-term care that SLV Health may not be able to provide customized pricing without additional clinical information from your physician.

SLV Health reserves the right to update or change any price at any time.

How Insurance Affects Pricing

If a patient has health insurance, the patient's health insurance policy (including deductibles, co-pay, co-insurance, and out-of-pocket maximums) will apply and the amount the patient owes for health care services will depend on the patient's insurance coverage. It is the patient's responsibility to communicate with their insurance company for information regarding coverage of a procedure.

Additional Information

If you do not see the procedure or service you are looking for, or wish to receive a customized quote on a specific procedure, please request a quote by calling (719) 587-6364. To view the chargemaster file, click here.

Charges are listed using the Current Procedural Terminology (CPT) codes for the level of service. Please contact Patient Accounts at (719) 587-6364 or email patientaccounts@slvrmc.org with any questions.

SVL Health Regional Medical Center Pricing

The following estimates are averages after applying the prompt-pay discount for SLV Health's Regional Medical Center and clinics for the most common services that had more than 11 cases in the past fiscal year.

  • Self-Pay Discounted Costs for Common Procedures at SLV Health

    Regional Medical Center and Clinics

  • INPATIENT PROCEDURES

  • DRG (Code)

  • Average Self-Pay Cost

    with Discount

  • Deliveries

  • Vaginal Delivery without Complications

  • 775

  • $7,132

  • Vaginal Delivery with Sterilization or D&C

  • 767

  • $9,059

  • Vaginal Delivery with Complicating Diagnosis

  • 774

  • $8,821

  • Cesarean Section without Medical Complications

  • 766

  • $12,824

  • Cesarean Section with Complications

  • 765

  • $16,474

  • Newborns

  • Normal Newborn

  • 795

  • $1,992

  • Newborn with Problems

  • 794

  • $2,880

  • Newborn - Death or Transfer

  • 789

  • $5,243

  • Orthopedic

  • Major Joint Replacement (Hip or Knee)

  • 470

  • $39,361

  • Major Joint Replacement (Shoulder)

  • 483

  • $48,249

  • Hip and Femur Fracture Procedure

  • 481

  • $34,528

  • Cardiology

  • Heart Failure & Shock with other medical Complications

  • 291

  • $21,825

  • Heart Failure & Shock with Complications

  • 292

  • $16,128

  • Cardiac Arrhythmia & Conduction Disorder

  • 309

  • $9,650

  • Diabetes

  • Diabetes with Medical Complications

  • 638

  • $16,479

  • Gastrointestinal

  • GI Hemorrhage

  • 378

  • $11,555

  • GI Obstruction

  • 389

  • $10,189

  • Other Medical Procedures

  • Severe Sepsis without Mechanical Ventilation (assisted breathing) with Complications

  • 871

  • $48,968

  • Severe Sepsis without Mechanical Ventilation (assisted breathing) without Complications

  • 872

  • $22,756

  • Simple Pneumonia & Pleurisy with Major Complications

  • 193

  • $16,906

  • Simple Pneumonia & Pleurisy with Complications

  • 194

  • $14,530

  • Esophagitis (Gastrointestinal & Digestive Disorder)

  • 392

  • $17,091

  • Pulmonary Edema & Respiratory Failure

  • 189

  • $35,251

  • Cellulitis without Complications

  • 603

  • $12,899

  • Alcohol/Drug Abuse or Dependence

  • 897

  • $18,489

  • Chronic Obstructive Pulmonary Disease (COPD) with Major Complications

  • 190

  • $24,206

  • Poisoning & Toxic Effects of Drugs

  • 918

  • $6.693

  • Nutrition and Metabolic Disorders

  • 641

  • $14,079

  • Pancreatic Disorders (not Malignancy)

  • 439

  • $15,838

  • Small & Large Bowel Procedures

  • 330

  • $35,461

  • OUTPATIENT SERVICES

  • CPT CODE

  • Average Self-Pay

    Cost With Discount

  • Laboratory & Pathology

  • Venipuncture - routine blood sample drawn

  • 36415

  • $18

  • Complete Blood Count (CBC)

  • 85025

  • $52

  • Comprehensive Metabolic Panel - full panel of blood tests

  • 80053

  • $98

  • Capillary Draw (Finger or Heel)

  • 36416

  • $13

  • Basic Metabolic Panel - basic panel of blood tests

  • 80048

  • $71

  • Urinalysis - Complete

  • 81001

  • $47

  • Lactate - measures level of lactate in the blood

  • 83605

  • $99

  • TSH - Thyroid-Stimulating Hormone level blood test

  • 84443

  • $89

  • Assay of lipase (Lipase level as blood test of pancreas)

  • 83690

  • $78

  • Blood Culture (microbiology procedure)

  • 87040

  • $111

  • Urine Colony Count (urine test for bacteria with number of cells counted)

  • 87086

  • $59

  • Troponin I Level - blood test to measure troponin level to check for heart muscle damage as with a heart attack

  • 84484

  • $114

  • Therapy

  • Therapeutic Exercises - includes Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibility

  • 97110GP

  • $67 per 15 min

  • Manual therapy techniques (connective tissue massage, joint mobilization & manipulation, manual traction, etc.)

  • 97140GP

  • $70 per 15 min

  • Cardiology & Respiratory Therapy

  • Pulse Oximetry (Multiple)

  • 94761

  • $182

  • Routine 12 Lead ECG

  • 93000

  • $48

  • Radiology & Imaging

  • Chest X-Ray, single view

  • 71045

  • $205

  • Chest X-Ray with 2 views, from the front and side

  • 71046

  • $205

  • Clinic Visits

  • Office visit that does not require a physician, normally lasting less than 5 minutes

  • 99211

  • $41

  • Level 2 Office/outpatient visit with established patient, normally lasting at least 10 minutes

  • 99212

  • $73

  • Level 3 Office/outpatient visit with established patient

  • 99213

  • $118

  • Level 4 Office/outpatient visit with established patient

  • 99214

  • $167

  • Office Visit, new patient, level 3

  • 99203

  • $166

  • Coumadin (prothrombin time fingerstick)

  • 85610

  • $9

  • Chiropractic Manipulative Treatment

  • 98940

  • $40

  • Chiropractic Manipulative Treatment (spinal 3-4)

  • 98941

  • $48

  • Chiropractic Manipulative Treatment

  • Pediatric less than one year old preventative with established patient

  • 99391

  • $114

  • Pediatric one-four year old preventative with established patient

  • 99392

  • $126

  • Vaccine

  • 90471

  • $60

  • Behavioral Health (at least 45 minutes)

  • 90834

  • $72

  • Orthopedic arthrocentesis asp&/Inj Major JT

  • 20610

  • $165

  • ENT/Allergy Clinic Visits & Procedures

  • Intracutaneous (Intradermal) tests, sequential and incremental with allergenic extracts, immediate type reaction, including tests interpretation and report by a physician, specific number of tests

  • 95024

  • $12

  • Prep & Allergen Immunotherapy 1/mlt an

  • 95165

  • $19

  • Percutaneous tests with allergenic extracts

  • 95004

  • $13

  • Professional Services allergy immntx x w prv allegic xtr

  • 95117

  • $35

  • Professional Services allergy immntx x w prv allgic xtr

  • 95115

  • $28

Conejos County Hospital Pricing

The following estimates are averages after applying the prompt-pay discount for Conejos County Hospital for the most common services that had more than 11 cases in the past fiscal year.

  • PROCEDURES

  • CPT CODE

  • Average Self-Pay

    Cost with Discount

  • Radiology

  • Routine Chest X-Ray, 2 Views

  • 71046

  • $205

  • CT Scan Head/Brain without Contrast

  • 70450

  • $1,432

  • Chest X-Ray, Single View

  • 71045

  • $205

  • CT Abdomen/Pelvis with Contrast

  • 74177

  • $2,631

  • Physical Therapy

  • Neuromuscular Re-Ed

  • 97112

  • $67

  • PT Eval Low Comp 1-2 Elements

  • 97161

  • $148

  • Therapy Exercise

  • 97110

  • $71

  • Gait Training

  • 97116

  • $62

  • Laboratory

  • Comprehensive Metabolic Panel - full panel of blood tests

  • 80053

  • $98

  • Complete Blood Count (CBC)

  • 85025

  • $52

  • Urinalysis-Complete

  • 81001

  • $47

  • Fingerstick-Glucose-Nursing

  • 82948

  • $17

  • CBC; Automated hemogram

  • 85027

  • $37

  • Manual Diff

  • 85007

  • $31

  • TSH (lab test of the Thyroid Stimulating Hormone)

  • 84443

  • $89

  • Cardiology

  • EKG, includes tracing, report and interpretation

  • 93000

  • $205

  • Respiratory

  • Respiratory Therapy

  • 9464076

  • $70

We Welcome Your Feedback

Please let us know what we’re doing well, and what we can improve. Quality, safety, and service are our top priorities.

If you would like to share your patient experience, expectations, concerns or complaints with your experience at San Luis Valley Health or to file a Patient or Visitor Grievance using our email link: patientadvocates@slvrmc.org, or call our Patient & Visitor Grievance Line: (719) 587-5702.

You are welcome to call our Public Relations Director, Donna Wehe, at (719) 587-1209 or the Administrator on Call at (719) 589-2511.