Transparency in Health Care Prices Act

Senate Bill 17-065

Effective January 1, 2018

If you have health insurance coverage, 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 by a health care provider at this office. If you do not have health insurance coverage, you are strongly encouraged to contact our business office personnel at (720) 979-0010 to discuss payment options and/or financial resources prior to receiving a health care service from a health care provider at this office since posted health care prices may not reflect the actual amount of your financial responsibility. Actual services provided during a surgical procedure may vary from the scheduled procedure and price quote, including but not limited to the medically necessary use of high cost drugs, implants, supplies and any procedures other than the original quote based on individual circumstances for each patient case.

Pricing Transparency List

Billed CPT Code

Billed CPT Name

Self Pay Rate

64493 JOINT INJECTION MIDDLE OR LOW SPINE-SINGLE LEVEL 760.00
64483 INJECTION EPIDURAL MIDDLE OR LOW SPINE 1,288.48
G0260 INJECTION FOR SACROILIAC (SI) JOINT 1,288.48
64494 JOINT INJECTION MIDDLE OR LOW SPINE-2ND LEVEL 760.00
62323 SPINAL INJECTION MIDDLE AND LOW SPINE 1,405.60
64490 JOINT INJECTION NECK OR UPPER SPINE-SINGLE LEVEL 760.00
64635 DESTROY MIDDLE/LOWER SPINE JOINT NERVES-SINGLE JOINT 1,288.48
64636 DESTROY MIDDLE/LOWER SPINE JOINT NERVES-EACH ADDITIONAL JOINT 1,288.48
64484 INJECTION TRANSFORAMINAL LUMBAR ADD'L LEVEL 1,288.48
62321 SPINAL INJECTION NECK OR UPPER SPINE 1,405.60
30140 NASAL SURGERY/REMOVAL OF INFERIOR TURBINATE 2,338.56
64491 JOINT INJECTION NECK OR UPPER SPINE-2ND LEVEL 760.00
19325 ENLARGE BREAST WITH IMPLANT $1300/hour
64495 JOINT INJECTION MIDDLE OR LOW SPINE-3RD OR ADDL LEVEL 760.00
64634 DESTROY NECK/UPPER SPINE JOINT NERVES-ADDL JOINTS 1,288.48