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What does an orthopedic surgeon do?

An orthopedic surgeon is a doctor who treats problems with bones, joints, ligaments, and muscles. They treat injuries and wear-and-tear, with or without surgery.

Last updated November 11, 2026

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When people see one

  • A broken bone or a torn ligament
  • Knee, hip, or shoulder pain that limits daily life
  • Arthritis that needs injections or a joint replacement
  • Back pain with an injury or other clear cause

How it differs

Physical medicine and rehabilitation doctor: A physical medicine doctor treats muscle, joint, and nerve problems without surgery. An orthopedic surgeon can operate.

Rheumatologist: A rheumatologist treats arthritis caused by the immune system, mainly with medicine. An orthopedic surgeon treats joint damage, including with surgery.

On 2027 Colorado plans

Do you need a referral? On some plans. 37 of the 148 2027 plans need a referral from your primary care provider to see a specialist: Kaiser Permanente's 29 plans (you may self-refer to certain specialists) and Denver Health (Elevate)'s 8 plans (self-referral allowed for OB-GYN and outpatient mental health care). The other 111 don't, according to each plan's 2027 summary of benefits. Confirm in the plan's summary of benefits.

What a visit costs (the plan's filed "Specialist Visit" benefit, in network, before any extra savings on silver plans):

  • Bronze: $100 to $140 a visit on 10 of 56 plans; on the other 46, you pay toward your deductible or a share of the bill.
  • Silver: $50 to $90 a visit on 44 of 58 plans; on the other 14, you pay toward your deductible or a share of the bill.
  • Gold: $50 to $90 a visit on 26 of 30 plans; on the other 4, you pay toward your deductible or a share of the bill.

In-network care costs less. Out-of-network visits on an HMO or EPO usually aren't covered except in an emergency.

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In Colorado

Public records list 771 orthopedic surgeons at 301 Colorado locations.

Counties with the fewest: Yuma (1), Prowers (1), Phillips (1), Otero (1), Moffat (1). 24 counties have none.

Questions to ask the office

  • Do I need a referral from my primary care doctor?
  • Which 2027 plans and network names do you take?
  • Does the office do X-rays or physical therapy on site?
  • Is the office part of a hospital? Hospital-owned clinics can add a facility fee.

Sources

General information, not medical advice. Plan facts come from each plan's 2027 filing; confirm in the plan's summary of benefits.

Want help finding orthopedic surgeons on your plan?

A licensed Grove advisor can answer your question at no cost. Insurance companies pay us, and your premium is the same either way.

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