If you are covered by health insurance you are strongly encouraged to consult with your health insurer to determine accurate information about your financial responsibility for a particular health care service provided at this health care facility. If you are not covered by health insurance, you are strongly encouraged to contact OrthoONE at (720) 990-2570 to discuss payment options prior to receiving a health care service from this health care facility since posted health care prices may not reflect the actual amount of your financial responsibility. The health care price for any given health care service is an estimate and the actual charges for the health care service are dependent on the circumstances at the time the service is rendered.

Price list descriptions
Procedure Code Description Self-Pay Price
20550 Pain Management $107.90
20610 Drain/Injection Joint $147.55
20611 Drain/ Inject Joint $180.05
20680 Fractures (Casting/Fixation) $1,150.50
20930 Sp bone algrft morsel add-on $520.00
20937 Sp Bone Agrft Morsel Add-on $322.40
22853 Insj Biomechanical Device $543.40
27130 Hip Surgery $2,735.85
27447 Total Knee Arthoplasty $2,924.35
29823 Shoulder Surgery $1,182.35
29880 Knee Surgery $1,302.60
29881 Knee Surgery $1,218.10
72040 X-Ray of Neck Spine (2-3 views) $76.05
72081 X-Ray of Spine $77.35
72170 X-Ray of Pelvis $53.30
73030 X-Ray of Shoulder $60.45
73090 X-Ray of Forearm $54.60
73100 X-Ray of Wrist $60.45
73501 X-Ray of Hip $59.80
73502 X-Ray of Hip (2-3 views) $81.90
73523 X-Ray of Hips (5 views) $112.45
73552 X-Ray of Femur $64.35
73560 X-Ray of Knee (1 or 2) $59.80
73562 X-Ray of Knee $71.50
73564 X-Ray of Knee (4 or more) $82.55
73590 X-Ray of Lower Leg $53.95
73610 X-Ray of Ankle $63.70
73630 X-Ray of Foot $62.40
77071 X-Ray Stress View $90.35
93970 Non Invasive Vascular Studies $501.15
96132 Office - Other Visits $262.60
97110 Physical Therapy $57.85
97112 Physical Therapy $60.45
97140 Physical Therapy $54.60
99024 Postop Follow Up Visit -
99203 New Patient Office Visit Level 3 $132.60
99204 New Patient Office Visit Level 4 $203.45
99205 New Patient Office Visit Level 5 $253.50
99212 Established Office Visit Level 2 $53.95
99213 Established Patient Office Visits Level 3 $89.05
99214 Established Patient Office Visit Level 4 $131.95
99215 Established Patient Office Visit Level 5 $177.45
99221 Initial Hospital Visit Level 1 $124.80
99222 Initial Hospital Care Level 2 $169.65
99223 Initial Hospital Visit Level 3 $248.95
A4467 Other Services $39.00
CXLED Quality Code -
E0114 Other Services $73.45
J0702 Betamethasone Acetate and Sodium Phosphate $11.05
J1040 Methylprednisolone 80mg $16.25
J3301 Triamcinolone Acetonide Drug $3.25
J3304 Triamcinolone Acetate $42.25
J7318 Durolane 1 MG $38.35
J7325 Synvic One Drug $24.05