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 |
|---|---|---|---|---|
| Glucose 1 hr post dose CPT 82950 | $3.41 | $15.00 | $4.61 – $14.25 | 23 |
| Glucose body fluid CPT 82945 | $12.71 | $56.00 | $3.81 – $11.40 | 23 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $8.85 | $39.00 | $12.48 – $37.05 | 23 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $2.72 | $12.00 | $3.80 – $11.40 | 23 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $13.17 | $58.00 | $18.02 – $53.20 | 23 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $13.17 | $58.00 | $17.96 – $54.15 | 23 |
| Graft axiofill 1000mg HCPCS J3590 | $21.03 | $47.20 | $2.77 – $6.42 | 14 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $92.57 | $229.70 | $42.11 – $97.56 | 14 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $29,126.42 | $72,274.00 | $1,104.95 – $2,560.25 | 14 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $23,831.00 | $59,134.00 | $243.54 – $564.30 | 14 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $267.27 | $663.20 | $128.86 – $748.99 | 14 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $30,927.03 | $76,742.00 | $128.33 – $297.35 | 14 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,165.32 | $5,373.00 | $348.50 – $807.50 | 14 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $12,545.00 – $29,531.00 | 2 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $8,568.00 – $8,568.00 | 1 |
| G-tube reposition CPT 43761 | $702.50 | $1,783.00 | $237.09 – $8,568.00 | 23 |
| Guided cath fluid drainage 10030 CPT 10030 | $683.20 | $1,734.00 | $685.88 – $13,923.00 | 23 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $3,237.54 | $13,895.00 | $68.06 – $157.70 | 14 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,422.47 | $6,105.00 | $128.33 – $297.35 | 14 |
| Gw stiffened micro access kit HCPCS C1894 | $1,835.11 | $7,876.00 | $39.36 – $91.20 | 14 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $18.91 | $137.00 | $56.17 – $298.00 | 14 |
| Hand X-ray CPT 73130 | $92.22 | $177.00 | $72.57 – $168.15 | 14 |
| Hand X-ray (2 views, both hands) CPT 73120 | $83.88 | $161.00 | $66.01 – $153.00 | 14 |
| Haptoglobin quantitative CPT 83010 | $13.39 | $59.00 | $12.20 – $50.35 | 23 |
| Hba1/hba2 full gene sequence CPT 81259 | $250.20 | $1,800.00 | $582.00 – $1,710.00 | 23 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $84.51 | $608.00 | $196.33 – $577.60 | 23 |
| Hcg qualitative CPT 84703 | $5.22 | $23.00 | $7.29 – $21.85 | 23 |
| Hcg quantitative CPT 84702 | $15.21 | $67.00 | $14.60 – $43.70 | 23 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $25.47 | $47.00 | $19.27 – $44.65 | 12 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $7,984.00 – $8,568.00 | 2 |
| Head CT scan (with and without contrast) CPT 70470 | $564.13 | $1,689.00 | $173.54 – $1,604.55 | 23 |
| Head CT scan (with contrast) CPT 70460 | $470.27 | $1,408.00 | $173.54 – $1,337.60 | 23 |
| Head CT scan (without contrast) CPT 70450 | $376.08 | $1,126.00 | $103.66 – $1,069.70 | 23 |
| Heart first pass add-on CPT 78496 | $487.78 | $895.00 | $206.80 – $850.25 | 14 |
| Heart infarct image CPT 78466 | $586.96 | $1,077.00 | $391.72 – $1,023.15 | 23 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $69.29 | $133.00 | $54.53 – $153.00 | 14 |
| Helicobacter pylori antibody igm CPT 86677 | $14.43 | $78.00 | $16.34 – $74.10 | 23 |
| Hematocrit CPT 85014 | $7.04 | $69.00 | $2.30 – $7.60 | 23 |
| Hematopoietic nuclear tx CPT 79403 | $601.57 | $1,350.00 | $218.49 – $1,282.50 | 23 |
| Hemodialysis one evaluation CPT 90935 | $987.03 | $2,215.00 | $378.35 – $2,104.25 | 23 |
| Hemoglobin CPT 85018 | $6.12 | $60.00 | $2.30 – $7.60 | 23 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $13.39 | $59.00 | $7.95 – $56.05 | 23 |
| Hemoglobin plasma CPT 83051 | $13.39 | $59.00 | $7.09 – $56.05 | 23 |
| Hemolysins/agglutinins auto CPT 86940 | $90.65 | $490.00 | $8.51 – $465.50 | 23 |
| Hemophilus influenza antibdy CPT 86684 | $11.47 | $62.00 | $15.36 – $58.90 | 23 |
| Heparin assay CPT 85520 | $6.63 | $65.00 | $12.70 – $61.75 | 23 |
| Hepatitis a antibody igm CPT 86709 | $10.18 | $55.00 | $10.92 – $52.25 | 23 |
| Hepatitis b core antibody igm CPT 86705 | $10.18 | $55.00 | $11.42 – $52.25 | 23 |
| Hepatitis b core antibody total CPT 86704 | $10.18 | $55.00 | $11.69 – $52.25 | 23 |
| Hepatitis b surface antibody CPT 86706 | $10.18 | $55.00 | $10.42 – $52.25 | 23 |
| Hepatitis c antibody CPT 86803 | $7.96 | $43.00 | $13.84 – $40.85 | 23 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $12,545.00 – $29,531.00 | 2 |
| Herpes simplex 1 ag if CPT 87274 | $8.70 | $60.00 | $11.62 – $57.00 | 23 |
| Herpes simplex 2 ag if CPT 87273 | $8.70 | $60.00 | $11.62 – $57.00 | 23 |
| Herpes simplex type 1 antibody igg CPT 86695 | $9.80 | $53.00 | $12.79 – $38.00 | 23 |
| Herpes simplex type 2 antibody igg CPT 86696 | $10.91 | $59.00 | $18.77 – $56.05 | 23 |
| Herpes simplex virus isolation CPT 87255 | $14.79 | $102.00 | $32.84 – $96.90 | 23 |
| Heterophile antibodies screening CPT 86308 | $2.96 | $16.00 | $5.02 – $15.20 | 23 |
| Hhv-6 dna quant CPT 87533 | $18.27 | $126.00 | $40.51 – $119.70 | 23 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $168.80 | $324.00 | $103.66 – $307.80 | 23 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $159.43 | $306.00 | $103.66 – $290.70 | 23 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $133.90 | $257.00 | $105.37 – $244.15 | 14 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $29,531.00 – $38,776.00 | 2 |
| Hip X-ray CPT 73502 | $147.44 | $283.00 | $106.00 – $268.85 | 14 |
| Hla class i high defin qual CPT 86832 | $179.82 | $972.00 | $314.04 – $923.40 | 23 |
| Hla class ii high defin qual CPT 86833 | $180.93 | $978.00 | $316.03 – $929.10 | 23 |
| Hla i & ii type verify lr CPT 81371 | $168.75 | $1,214.00 | $392.38 – $1,153.30 | 23 |
| Hla ii typing 1 loc hr CPT 81382 | $51.71 | $372.00 | $119.97 – $353.40 | 23 |
| Hla i low res one antigen equiv ea CPT 81374 | $31.00 | $223.00 | $72.10 – $211.85 | 23 |
| Hla i typing 1 locus hr CPT 81380 | $73.95 | $532.00 | $171.93 – $505.40 | 23 |
| Hla i typing low res one locus ea CPT 81373 | $53.24 | $383.00 | $123.61 – $363.85 | 23 |
| Hla typing dr/dq CPT 86816 | $16.84 | $91.00 | $29.26 – $86.45 | 23 |
| Homocysteine CPT 83090 | $13.17 | $58.00 | $17.38 – $55.10 | 23 |
| Homogenization tissue CPT 87176 | $7.54 | $52.00 | $5.70 – $49.40 | 23 |
| Homovanillic acid (hva) CPT 83150 | $15.44 | $68.00 | $21.74 – $64.60 | 23 |
| H pylori (c-13) breath CPT 83013 | $46.08 | $203.00 | $65.34 – $192.85 | 23 |
| Human epididymis protein 4 (he4) CPT 86305 | $17.94 | $97.00 | $20.19 – $92.15 | 23 |
| Hysterosalpingography s&i CPT 74740 | $608.01 | $1,167.00 | $106.00 – $1,108.65 | 23 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $18,248.00 – $31,393.00 | 2 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $7,984.00 – $22,491.00 | 2 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $7,984.00 – $8,568.00 | 2 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $7,984.00 – $22,491.00 | 2 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $18,248.00 – $22,491.00 | 2 |
| I-123 ioflupane diag HCPCS A9584 | $2,849.84 | $5,258.00 | $1,346.38 – $4,995.10 | 22 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $107.32 | $198.00 | $81.18 – $188.10 | 12 |
| I131 iodide cap, rx HCPCS A9517 | $20.94 | $47.00 | $0.02 – $55.51 | 23 |
| Iaadi respiratory synctial virus CPT 87280 | $8.70 | $60.00 | $13.02 – $57.00 | 23 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $15.37 | $106.00 | $34.04 – $100.70 | 23 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $25.16 | $136.00 | $43.92 – $129.20 | 23 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $34,953.46 | $131,404.00 | $26,938.64 – $62,418.80 | 14 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $49,425.53 | $122,644.00 | $25,141.20 – $58,254.00 | 14 |
| Icd crtp serena MRI HCPCS C2621 | $11,651.86 | $43,804.00 | $2,503.05 – $5,799.75 | 14 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $13,240.16 | $32,854.00 | $1,104.95 – $2,560.25 | 14 |
| Idh1 common variants CPT 81120 | $80.62 | $580.00 | $187.45 – $551.00 | 23 |
| Idh2 common variants CPT 81121 | $123.43 | $888.00 | $286.92 – $843.60 | 23 |
| Ifnl3 gene CPT 81283 | $30.72 | $221.00 | $71.17 – $209.95 | 23 |
| Igh gene rearrange amp meth CPT 81261 | $82.57 | $594.00 | $192.05 – $564.30 | 23 |
| Igh@ var region somatic mutation analy CPT 81263 | $122.88 | $884.00 | $285.68 – $839.80 | 23 |
| Igk rearrangeabn clonal pop CPT 81264 | $72.14 | $519.00 | $167.55 – $493.05 | 23 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $179.33 | $369.00 | $151.29 – $536.52 | 14 |
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.