Banner Fort Collins Medical Center
4700 Lady Moon Drive, Fort Collins, CO · Banner Health · · NPI 1659787554
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $19.98 | $88.00 | $28.40 – $83.60 | 23 |
| 17-hydroxypregnenolone CPT 84143 | $15.66 | $69.00 | $22.13 – $65.55 | 23 |
| 24 hr ambulatory b/p monitor CPT 93786 | $49.60 | $167.00 | $68.47 – $27,118.00 | 23 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $673.20 | $1,700.00 | $697.00 – $2,054.00 | 23 |
| 2nd order venous cath CPT 36012 | $809.28 | $2,054.00 | $842.14 – $8,568.00 | 13 |
| 3d recon without postprocess indpndt CPT 76376 | $57.73 | $82.00 | $33.62 – $700.00 | 14 |
| 5' nucleotidase - sendout CPT 83915 | $22.47 | $99.00 | $10.82 – $94.05 | 23 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $54.77 | $112.00 | $45.92 – $306.62 | 14 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $13.13 | $71.00 | $11.65 – $67.45 | 23 |
| Abd aorta w/runoff s&i CPT 75630 | $5,097.33 | $11,439.00 | $106.00 – $10,867.05 | 23 |
| Abd/low ext cath 1st CPT 36245 | $876.65 | $2,225.00 | $912.25 – $13,923.00 | 13 |
| Abd/low ext cath 2nd CPT 36246 | $925.11 | $2,348.00 | $962.68 – $13,923.00 | 13 |
| Abd/low ext cath 3rd CPT 36247 | $1,025.19 | $2,602.00 | $1,066.82 – $13,923.00 | 13 |
| Abd/low ext cath addl CPT 36248 | $433.79 | $1,101.00 | $252.72 – $13,923.00 | 13 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $416.74 | $1,215.00 | $235.63 – $1,154.25 | 23 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $240.44 | $701.00 | $103.66 – $665.95 | 23 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $435.29 | $1,119.00 | $173.54 – $1,063.05 | 23 |
| Abdominal CT scan (with contrast) CPT 74160 | $362.94 | $933.00 | $173.54 – $886.35 | 23 |
| Abdominal CT scan (without contrast) CPT 74150 | $290.19 | $746.00 | $103.66 – $708.70 | 23 |
| Abdominal MRI (with and without contrast) CPT 74183 | $589.30 | $1,559.00 | $348.14 – $1,481.05 | 23 |
| Abdominal MRI (with contrast) CPT 74182 | $491.02 | $1,299.00 | $348.14 – $1,234.05 | 23 |
| Abdominal MRI (without contrast) CPT 74181 | $392.74 | $1,039.00 | $235.63 – $987.05 | 23 |
| Abdominal paracentesis w/image guidance CPT 49083 | $632.37 | $1,605.00 | $658.05 – $13,923.00 | 23 |
| Abdominal Ultrasound (complete) CPT 76700 | $290.75 | $413.00 | $103.66 – $392.35 | 23 |
| Abdominal Ultrasound (limited) CPT 76705 | $243.58 | $346.00 | $103.66 – $328.70 | 23 |
| Abdominal X-ray (2 views) CPT 74019 | $105.24 | $202.00 | $82.82 – $256.49 | 23 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $129.73 | $249.00 | $102.09 – $256.49 | 23 |
| Abdominal X-ray (single view) CPT 74018 | $71.90 | $138.00 | $56.58 – $212.38 | 23 |
| Abl1 gene CPT 81170 | $125.10 | $900.00 | $291.00 – $855.00 | 23 |
| Ablate arrhythmia add on CPT 93655 | $3,536.68 | $11,908.00 | $1,587.96 – $23,075.00 | 14 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $3,630.71 | $9,215.00 | $3,778.15 – $17,230.34 | 23 |
| Ablate heart dysrhythm focus CPT 93650 | $3,700.62 | $12,460.00 | $5,108.60 – $41,769.00 | 23 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $7,984.00 – $8,568.00 | 2 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $7,984.00 – $8,568.00 | 2 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $4,240.64 | $6,626.00 | $152.52 – $2,797.75 | 23 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $8,568.00 – $8,568.00 | 1 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,477.11 | $3,749.00 | $1,537.09 – $13,923.00 | 23 |
| Acetylcholine receptor modulating antibody CPT 86043 | $14.43 | $78.00 | $11.69 – $74.10 | 23 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $12,545.00 – $31,393.00 | 2 |
| Acute hepatitis panel CPT 80074 | $32.46 | $143.00 | $46.20 – $135.85 | 23 |
| Acyclovir 400 mg tablet HCPCS J8499 | $0.64 | $25.80 | $2.25 – $5.22 | 14 |
| #acylcarnitineprfl CPT 82017 | $26.10 | $115.00 | $16.36 – $109.25 | 23 |
| Acylcarnitines qual CPT 82016 | $11.35 | $50.00 | $16.00 – $47.50 | 23 |
| Adapter b 8 channel 10cm HCPCS C1883 | $4,293.56 | $10,654.00 | $461.66 – $1,069.70 | 14 |
| Adenovirus antibody,serum - quest CPT 86603 | $11.29 | $61.00 | $12.48 – $57.95 | 23 |
| Adh-sendout CPT 84588 | $23.15 | $102.00 | $32.92 – $96.90 | 23 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $7,984.00 – $22,491.00 | 2 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $60.16 | $135.00 | $55.35 – $171.65 | 23 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $110.51 | $248.00 | $69.37 – $235.60 | 23 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $280.73 | $630.00 | $258.30 – $800.02 | 23 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $291.87 | $655.00 | $268.55 – $800.02 | 23 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $235.28 | $528.00 | $69.37 – $501.60 | 23 |
| Administration immunization each additional vaccine CPT 90472 | $9.45 | $68.00 | $27.88 – $80.85 | 14 |
| Administration vaccine hepatitis b HCPCS G0010 | $16.40 | $118.00 | $44.98 – $112.10 | 23 |
| Administration vaccine influenza virus HCPCS G0008 | $16.40 | $118.00 | $44.98 – $112.10 | 23 |
| Administration vaccine pneumococcal HCPCS G0009 | $16.40 | $118.00 | $44.98 – $112.10 | 23 |
| Adrenal cortex & medulla img CPT 78075 | $944.48 | $1,733.00 | $710.53 – $3,148.75 | 23 |
| Adrenalin epinephrine inject HCPCS J0171 | $0.08 | $0.89 | $0.36 – $0.85 | 14 |
| Aep hearing status deter i&r CPT 92651 | $113.18 | $254.00 | $104.14 – $751.08 | 23 |
| _afb id by dna probe rflx ast CPT 87149 | $10.58 | $73.00 | $19.45 – $69.35 | 23 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $133.94 | $347.00 | $111.90 – $329.65 | 23 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $105.30 | $351.00 | $143.91 – $377.38 | 23 |
| Albumin body fluid quantitative each specimen CPT 82042 | $13.17 | $58.00 | $7.55 – $22.80 | 23 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $15.44 | $68.00 | $5.61 – $53.20 | 23 |
| Albumin serum plasma or whole blood CPT 82040 | $14.30 | $63.00 | $4.80 – $14.25 | 23 |
| Alkaline phosphatase CPT 84075 | $12.94 | $57.00 | $5.02 – $15.20 | 23 |
| Allergen alpha lactalbumin ige CPT 86008 | $14.80 | $80.00 | $17.39 – $60.80 | 23 |
| Allergen egg white ige CPT 86003 | $10.36 | $56.00 | $5.06 – $52.25 | 23 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $10.91 | $59.00 | $7.73 – $53.20 | 23 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $338.92 | $841.00 | $344.81 – $798.95 | 14 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $2,460.32 | $6,105.00 | $1,104.95 – $2,560.25 | 14 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $44.04 | $194.00 | $62.48 – $184.30 | 23 |
| Alpha-fetoprotein amniotic CPT 82106 | $11.58 | $51.00 | $16.49 – $48.45 | 23 |
| Alpha-fetoprotein tumor marker CPT 82105 | $11.58 | $51.00 | $16.27 – $48.45 | 23 |
| Alt/sgpt CPT 84460 | $13.39 | $59.00 | $5.14 – $15.20 | 23 |
| Aluminum - quest CPT 82108 | $17.48 | $77.00 | $24.72 – $73.15 | 23 |
| Amantadine (symmetrel)-sendout CPT 80375 | $42.45 | $187.00 | $60.27 – $139.65 | 14 |
| Ambl bp mntr w/sw a/r CPT 93788 | $9.50 | $32.00 | $13.12 – $27,118.00 | 23 |
| Aminolevulinic acid delta CPT 82135 | $17.03 | $75.00 | $15.96 – $71.25 | 23 |
| Amitriptyline (elavil) -sendout CPT 80335 | $15.44 | $68.00 | $25.42 – $58.90 | 14 |
| Ammonia CPT 82140 | $26.10 | $115.00 | $14.13 – $41.80 | 23 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $470.83 | $1,195.00 | $489.95 – $8,568.00 | 23 |
| Amniocentesis therapeutic CPT 59001 | $616.22 | $1,564.00 | $296.53 – $8,568.00 | 23 |
| Amphetamine confirm urine -sendout CPT 80324 | $18.84 | $83.00 | $22.96 – $53.20 | 14 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $3.00 | $35.30 | $0.81 – $33.53 | 14 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $12,545.00 – $13,923.00 | 2 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $12,545.00 – $22,491.00 | 2 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $9,872.00 – $12,545.00 | 2 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $12,545.00 – $13,923.00 | 2 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $12,545.00 – $13,923.00 | 2 |
| Amylase CPT 82150 | $77.41 | $341.00 | $6.29 – $19.00 | 23 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $44.95 | $198.00 | $73.80 – $171.00 | 14 |
| Anal pressure record CPT 91122 | $955.86 | $1,790.00 | $303.56 – $9,872.00 | 23 |
| Analysis gene f2 20210g>a variant CPT 81240 | $27.52 | $198.00 | $63.72 – $188.10 | 23 |
| Analysis gene f5 leiden variant CPT 81241 | $30.72 | $221.00 | $71.17 – $209.95 | 23 |
| Anca screen with reflex to titer -quest CPT 86021 | $10.18 | $55.00 | $14.60 – $43.70 | 23 |
| An cholangiogram percutaneous compl CPT 47531 | $490.14 | $1,244.00 | $510.04 – $8,568.00 | 23 |
| An fluoro guide for cvp CPT 77001 | $228.72 | $439.00 | $106.00 – $491.00 | 14 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $3,472.72 | $8,814.00 | $762.25 – $8,568.00 | 13 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $7,732.25 | $19,625.00 | $5,364.03 – $31,934.00 | 13 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.