Colorado / San Luis Valley Health
CMS certification 060008 · Alamosa, CO
San Luis Valley Health: charges and Medicare payments
San Luis Valley Health reported 46 Medicare inpatient stays across 2 DRGs in 2024. Across them it charged 2.94 times what it was paid. Its most frequent stay was DRG 470, Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC: 25 stays at an average charge of $49,930, 46% below the national average. It also billed 416 outpatient services, charging 4.17 times what Medicare paid.
- 1Medicare inpatient stays 46
- 2Charge ÷ paid, inpatient 2.94×
- 3Rank in CO (highest ratio = 1) –
- 4CMS price-transparency actions 0
Inpatient stays
For the 2 DRGs that can be compared with the national average, San Luis Valley Health charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 25 | $49,930 | -46% | $16,442 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 21 | $50,397 | -44% | $17,797 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 2 Urology and Related Services | 71 | $1,060 | $696 |
| Level 1 Intraocular Procedures | 66 | $5,933 | $2,376 |
| Comprehensive Observation Services | 59 | $17,011 | $2,791 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 42 | $6,469 | $1,653 |
| Level 4 Musculoskeletal Procedures | 29 | $23,047 | $7,294 |
| Level 3 Musculoskeletal Procedures | 20 | $9,812 | $3,300 |
| Level 1 Laparoscopy and Related Services | 19 | $17,467 | $5,883 |
| Level 2 Musculoskeletal Procedures | 18 | $7,558 | $1,639 |
| Level 1 Nerve Procedures | 18 | $3,697 | $1,968 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 16 | $10,080 | $3,528 |
| Level 5 Musculoskeletal Procedures | 15 | $46,640 | $13,396 |
| Level 3 Vascular Procedures | 15 | $14,689 | $3,250 |
| Level 3 Urology and Related Services | 15 | $2,786 | $2,077 |
| Level 5 Urology and Related Services | 13 | $9,074 | $5,276 |
Against the Colorado average
For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), San Luis Valley Health charged $49,930 on average, 65% less than the Colorado average of $142,147, and was paid $16,442 against a state average of $16,315. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), San Luis Valley Health charged $50,397 on average, 55% less than the Colorado average of $113,091, and was paid $17,797 against a state average of $16,848. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,060 was 74% below the state average of $4,079. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $5,933 was 43% below the state average of $10,331. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,011 was 50% below the state average of $34,074. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,469 was 53% below the state average of $13,898.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.