Peak One Surgery Center is excited to provide our customers with pricing estimates for our 25 most commonly performed procedures. Colorado’s Transparency in Healthcare Pricing Act of 2017 requires health care providers to provide this information to help consumers make more informed decisions about their health care. If you are interested in learning more about our self-pay rate for a procedure that is not listed below, please contact our business office at (970) 668-1458 for a pricing estimate.
If you are covered by health insurance, the prices below are not be applicable to you. We strongly encourage you to consult with your health insurer to obtain accurate information about your financial responsibility for a particular health care service provided at Peak One Surgery Center.
If you are not covered by health insurance, please contact our business office at (970) 668-1458 to discuss payment options prior to receiving services from Peak One Surgery Center since posted health care prices may not reflect the actual amount of your financial responsibility.
|CPT Code||Gastrointestinal Procedures||Description||Estimated Self-Pay Cost|
|43239||Upper Gastrointestinal Endoscopy||An upper endoscopy or EGD (esophagogastroduodenoscopy) is a test performed with an endoscope, which is a long, flexible tube that is thinner than most food you swallow. The test allows your physician to examine the lining of the esophagus, stomach and duodenum (the first portion of the small intestine).||$1,318.10|
|45378| 45380| 45385|||Colonoscopy||A colonoscopy is an examination of the entire colon (large intestine) using a long, thin, flexible tube (colonoscope) with a camera on the tip.||$1,512.00|
|CPT Code||Orthopaedic Procedures||Description||Estimated Self-Pay Cost|
|20610||Arthrocentesis, Aspiration And/Or Injection; Major Joint Or Bursa (i.e. Shoulder, Hip, Knee Joint, etc.)||Pain injection or removal of fluids in a major joint (I.e. shoulder, knee, hip, etc).||$1,463.70|
|20680||Removal Of Implant; Deep (i.e. Buried Wire, Pin, Screw, Metal Band, Nail, Rod Or Plate).||Removal of implant/hardware of a specific region (I.e. pin, screw, nail, etc.).||$2,846.90|
|23515||Open Treatment of Clavicular Fracture, Includes Internal Fixation.||Open treatment of broken collar bone/ Open reduction of fracture of collar bone.||$6,215.30|
|25608||Open Treatment Of Distal Radial IntraArticular Fracture Or Epiphyseal Separation; With Internal Fixation.||Treatment/Correction of broken or injured wrist(s).||$5,610.50|
|25609||Open Treatment Of Distal Radial IntraArticular Fracture Or Epiphyseal Separation; With Internal Fixation.||Treatment/Correction of broken or injured wrist(s).||$7,168.70|
|26055||Tendon Sheath Incision (i.e. For Trigger Finger).||A surgery involving cutting the fibrous tissue that connects the muscle to the bone of the finger (trigger finger).||$1,806.00|
|26540||Repair Of Collateral Ligament, Metacarpophalangeal Or Interphalangeal Joint.||Diagnosis and repair of the ligament located on the outside side part of one’s knee joint, also known as lateral collateral ligament (LCL).||$3,026.10|
|29827||Arthroscopy: Shoulder, Surgical: With Rotator Cuff Repair.||Minimally invasive surgical procedure (arthroscopy) of the shoulder with repair of the shoulder’s fibrous bundles of collagen and/or joint clean up (debridement).||$5,074.30|
|29846||Arthroscopy, Wrist, Surgical; Excision And/Or Repair Of Triangular Fibrocartilage And/Or Joint Debridement.||Minimally invasive surgical procedure (arthroscopy) of the wrist with repair of the wrist’s fibrous bundles of collagen and/or joint clean up (debridement).||$4,391.80|
|29880||Arthroscopy, Knee, Surgical; with Meniscectomy (Medial and Lateral, Including Any Meniscal Shaving) Including Debridement/Shaving of Articular Cartilage (Chondroplasty), Same or Separate Compartment(s).||Removal or shaving of both knee cartilages using a scope.||$4,391.80|
|29881||Arthroscopy, Knee, Surgical; With Meniscectomy (Medial and Lateral, Including Any Meniscal Shaving) Including Debridement/Shaving of Articular Cartilage (Chondroplasty), Same or Separate Compartment(s).||Removal or shaving of one knee cartilage using a scope.||$4,391.80|
|29882||Arthroscopy, Knee, Surgical; With Meniscus Repair (Medial Or Lateral).||Minimally invasive surgical procedure (arthroscopy) of the knee with meniscus removal outer aspect OR inner aspect of knee.||$4,391.80|
|29888||Arthroscopically Aided Anterior Cruciate Ligament Repair/Augmentation or Reconstruction.||Diagnosis and repair of the ligament located in knee joint, also known as anterior collateral ligament (ACL).||$8,620.50|
|64718||Neuroplasty And/Or Transposition; Median Nerve At Elbow.||Repair of the elbow’s damaged nerves.||$2,732.10|
|64721||Neuroplasty And/Or Transposition; Median Nerve At Carpal Tunnel.||Repair of the wrist’s damaged nerves (carpal tunnel).||$2,537.10|
|CPT Code||Pain Management||Description||Estimated Self-Pay Cost|
|27096||Injection Procedure for Sacroiliac Joint, Arthrography and/or Anesthetic Steroid with Image Quidance (Fluoroscopy) Including Arthrography When Performed.||Injection of anesthetic or steroid into sacroiliac joint using x-ray guidance.||$1,171.10|
|64483||Injection, Anesthetic Agent And/Or Steroid, Transforaminal Epidural, with Imaging Guidance (Fluoroscopy); Lumbar or Sacral, Single Level.||Joint pain management via injection with x-ray guidance.||$1,171.10|
|64490||Injection(s), Diagnostic or Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint (or Nerves Innervating that Joint) with Image Guidance (Fluoroscopy), Cervical or Thoracic; Single Level.||Injection of long acting steroid into the opening at the side of the spine where a nerve roots exits.||$1,171.10|
|64493||Injection(s), Diagnostic or Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint (or Nerves Innervating that Joint) with Image Guidance (Fluoroscopy), Lumbar or Sacral; Single Level.||Injection of long acting steroid into the opening at the side of the spine where a nerve roots exits.||$1,171.10|
|CPT Code||General Surgery||Description||Estimated Self-Pay Cost|
|49505||Repair Initial Inguinal Hernia, Age 5 Years Or Older; Reducible.||Repair of groin hernia (intestinal bulge) in a patient 5 years or older.||$3,927.70|
|CPT Code||Ophthalmology Procedures||Description||Estimated Self-Pay Cost|
|66821||Discission Of Secondary Membranous Cataract (Opacified Posterior Lens Capsule And/Or Anterior Hyaloid) ; Laser Surgery (i.e. YAG Laser).||Procedure to cut the cataract in one’s eye, which causes blurred vision.||$1,029.70|
|66984||Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1 Stage Procedure), Manual or Mechanical Technique.||Procedure to cut the cataract in one’s eye, and implantation of a lens prosthesis to improve blurred vision.||$3,312.40|
The procedure pricing tool on this page is to learn more about the average price patients pay at Peak One Surgery Center. Prices are estimates and subject to change. Actual charges for health care services are dependent on the procedural circumstances at the time the service is rendered. Factors affecting health care service price include, but are not limited to, medical supplies used and/or additional procedure (CPT) codes billed in conjunction with the primary procedure (CPT) code.