(303) 301-7700
3455 Lutheran Pkwy, Suite 150
Wheat Ridge, CO 80033
View Map
Menu

Procedure Pricing

The Surgery Center at Lutheran 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 (303) 301-7700 for a pricing estimate.

If you are covered by health insurance, the prices below are not 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 The Surgery Center at Lutheran.

If you are not covered by health insurance, please contact our business office at (303) 301-7700 to discuss payment options prior to receiving services from The Surgery Center at Lutheran since posted health care prices may not reflect the actual amount of your financial responsibility.

CPT Otolaryngology/ENT Description  Cost
30520 Septoplasty or Submucous Resection, with or without Cartilage Scoring, Contouring or Replacement with Graft Reshaping of nasal cartilage.  $1,459.00
CPT Gynecology Description  Cost
58558 Hysteroscopy, Surgical; with Sampling (Biopsy) of Endometrium and/or Polypectomy, with or without D & C Inspection of the uterine cavity using an endoscope.  $1,719.00
CPT Hand Description  Cost
25111 Excision of Ganglion, Wrist (Dorsal or Volar); Primary Removal of cyst at wrist.  $1,089.00
25447 Arthroplasty, Interposition, Intercarpal or Carpometacarpal Joints Removal of bone joints between wrist and fingers.  $1,912.00
26055 Tendon Sheath Incision (e.g. for Trigger Finger) A surgery involving cutting the fibrous tissue that connects the muscle to the bone of the finger (trigger finger).  $1,089.00
26160 Excision of Lesion of Tendon Sheath or Joint Capsule (e.g. Cyst, Mucous Cyst, or Ganglion), Hand or Finger Removal of a cyst, growth, or lesion on the hand or finger.  $1,089.00
26593 Release, Intrinsic Muscles of Hand, Each Muscle Release of the interior muscles at the hand.  $1,912.00
64721 Neuroplasty And/Or Transposition; Median Nerve at Carpal Tunnel Repair of the wrist’s damaged nerves. (Carpal Tunnel repair.)  $1,232.00
CPT Pain Management Description  Cost
64483 Injection, Anesthetic Agent And/Or Steroid, Transforaminal Epidural, with Imaging Guidance (Fluoroscopy or CT); Lumbar or Sacral, Single Level Joint pain management via spinal injection with x-ray guidance.  $543.00
64490 Injection(s), Diagnostic or Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint (or Nerves Innervating that Joint) with Image Guidance (Fluoroscopy or CT), Cervical or Thoracic; Single Level Injection of long acting steroid into the opening at the side of the spine where a nerve roots exits.  $543.00
64493 Injection(s), Diagnostic or Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint (or Nerves Innervating that Joint) with Image Guidance (Fluoroscopy or CT), Lumbar or Sacral; Single Level Injection of long acting steroid into the opening at the side of the spine where a nerve roots exits.  $543.00
64635 Destruction by Neurolytic Agent, Paravertebral Facet Joint Nerve(s), with Imaging Guidance (Fluoroscopy or CT); Lumbar or Sacral, Single Facet Joint Joint pain management via spinal injection with x-ray guidance.  $1,232.00
CPT Podiatry Description  Cost
20680 Removal of Implant; Deep (e.g. Buried Wire, Pin, Screw, Metal Band, Nail, Rod or Plate) Removal of hardware requiring a deep incision and visualization of the hardware by the surgeon.  $1,631.00
28285 Correction, Hammertoe (e.g. Interphalangeal Fusion, Partial or Total Phalangectomy) Correction of toe joint deformity.  $1,912.00
28299 Correction, Hallux Valgus (Bunion), with or without Sesamoidectomy; by Double Osteotomy Correction of bunion.  $1,912.00
28740 Arthrodesis, Midtarsal or Tarsometatarsal, Single Joint Fusion of foot joint  $5,766.00
CPT Orthopaedic Description  Cost
20680 Removal of Implant; Deep (e.g. Buried Wire, Pin, Screw, Metal Band, Nail, Rod or Plate) Removal of hardware requiring a deep incision and visualization of the hardware by the surgeon.  $1,631.00
24342 Reinsertion of Ruptured Biceps or Triceps Tendon, Distal, with or without Tendon Graft Reconstruction of the tendon of the upper arm (biceps or triceps).  $4,190.00
27130 Arthroplasty, Acetabular and Proximal Femoral Prosthetic Replacement (Total Hip Arthroplasty), with or without Autograft or Allograft Total hip joint replacement.  $16,281.00
27447 Arthroplasty, Knee, Condyle and Plateau; Medial and Lateral Compartments with or without Patella Resurfacing (Total Knee Arthroplasty) Total knee joint replacement.  $14,323.00
29806 Arthroscopy, Shoulder, Surgical; Capsulorrhaphy Diagnosis and repair of the shoulder using an endoscope.  $4,190.00
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), (Rotator Cuff Repair)  $4,190.00
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), When Performed Removal of one knee cartilage using an endoscope.  $1,912.00
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).  $4,190.00
29898 Arthroscopy, Ankle (Tibiotalar and Fibulotalar Joints), Surgical; Debridement, Extensive  Removal of dead or infected ankle joint tissue using an endoscope.  $1,912.00

 The purpose of the procedure pricing tool on this page is to learn more about the average price patients pay at The Surgery Center at Lutheran.  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.