Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at Banner Fort Collins Medical Center

4700 Lady Moon Drive, Fort Collins, CO · Banner Health · · NPI 1659787554

Source: hospital's published price file ↗ · Published Mar 2, 2026 · Ingested Aug 12, 2026

$267.27

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$663.20

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$128.86 with Banner Health vs $748.99 with Anthem Blue Cross Blue Shield Colorado — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Banner Health Banner Choice Plus/Banner Select $128.86 ↓ -52%
Centivo Self-Funded $157.15 ↓ -41%
Assist Health Group AHG Specialty Network $157.15 ↓ -41%
United Healthcare UnitedHealthcare Navigate/Colorado Doctors Plan Colorado Option $169.09 ↓ -37%
United Healthcare UHC Colorado Doctors Plan $188.58 ↓ -29%
United Healthcare UHC Exchange $233.52 ↓ -13%
Hue Health, Inc Medicare Advantage $251.44 ↓ -6%
United Healthcare Commercial $259.61 ↓ -3%
Medica Commercial $261.81 ↓ -2%
Rocky Mountain Health Plans Private Plan/Self Insured Plan $265.39 ↓ -1%
Decent Health Commercial $267.15 ↓ -0%
Apostrophe, Inc. Commercial $267.15 ↓ -0%
Aetna Commercial $276.27 ↑ +3%
First Choice Health Network Commercial $282.87 ↑ +6%
Multiplan Commercial $295.44 ↑ +11%
First Choice of the Midwest Commercial $298.58 ↑ +12%
Anthem Blue Cross Blue Shield Colorado Priority/HMO/PPO/Indemnity $748.99 ↑ +180%

Visitor-reported prices

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Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other Colorado hospitals

Hospital City Cash price Negotiated range
Banner North Colorado Medical Center - Loveland Campus Loveland $776.69 $52.89 – $748.99
East Morgan County Hospital Brush $248.94 $196.08 – $451.34
AdventHealth Porter Denver $438.83 $128.65 – $242.86
AdventHealth Littleton Littleton $438.83 $128.65 – $242.86
AdventHealth Avista Louisville $438.83 $130.08 – $245.55
AdventHealth Castle Rock Castle Rock $438.83 $128.65 – $242.86
AdventHealth Parker Parker $438.83 $128.65 – $242.86
HCA HealthONE AURORA Aurora not published $209.78 – $381.42

All Colorado hospitals for this procedure →