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. 

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. Facility fee costs for self-pay emergency patients are explained here.

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.  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.

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.

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 719-587-8080. 

Charges are listed using the Current Procedural Terminology (CPT) codes for the level of service. The Self-Pay Discount (20%) is automatically applied when the charges are applied to your account. For a Prompt-Pay Discount (40% paid in full within 30 days of billing), please contact Patient Accounts at  719-587-6364 or email patientaccounts@slvrmc.org.

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 tst 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
     

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.  

Self-Pay Discounted Costs for Common Procedures at SLV Health

Conejos County Hospital

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
     

   

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

We welcome your feedback

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 719-587-2511.