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 |
|---|---|---|---|---|
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $382.48 | $787.00 | $322.67 – $867.62 | 23 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $203.15 | $418.00 | $167.04 – $413.30 | 23 |
| Iliac/fem angio cath insert HCPCS G0278 | $3,310.72 | $5,173.00 | $69.03 – $9,872.00 | 13 |
| Iliac revasc add-on 37222 CPT 37222 | $5,110.97 | $12,972.00 | $3,545.68 – $8,568.00 | 13 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $13,923.00 – $31,934.00 | 2 |
| Immune complex assay CPT 86332 | $13.69 | $74.00 | $23.64 – $70.30 | 23 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $11.65 | $63.00 | $20.19 – $59.85 | 23 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $11.65 | $63.00 | $20.19 – $59.85 | 23 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $10.36 | $56.00 | $11.62 – $53.20 | 23 |
| Immunodiffusion nes CPT 86329 | $10.18 | $55.00 | $13.63 – $52.25 | 23 |
| Immunofixation electrophoresis serum CPT 86334 | $26.27 | $142.00 | $21.67 – $64.60 | 23 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $241.54 | $497.00 | $203.77 – $614.57 | 14 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $324.16 | $667.00 | $167.04 – $633.65 | 23 |
| Immunoglobulin assay CPT 86023 | $43.66 | $236.00 | $12.09 – $224.20 | 23 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $79,432.91 | $197,104.00 | $65.19 – $151.05 | 14 |
| Implant cochlear osia osi300 HCPCS L8690 | $24,713.57 | $61,324.00 | $243.54 – $31,996.36 | 14 |
| Implant nerve end CPT 64787 | not published | not published | $13,923.00 – $13,923.00 | 1 |
| Implant neuroelectrodes CPT 64555 | $2,296.23 | $5,828.00 | $2,389.48 – $15,829.39 | 23 |
| Implant neurostim arrays CPT 61886 | not published | not published | $22,491.00 – $51,323.00 | 2 |
| Implant spine infusion pump CPT 62362 | $3,040.89 | $7,718.00 | $3,164.38 – $42,629.14 | 23 |
| Implant ureth bulk agent HCPCS L8606 | $1,240.43 | $3,078.00 | $68.06 – $1,456.73 | 14 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $4,128.58 | $9,265.00 | $128.33 – $10,198.70 | 14 |
| Impl neurostim electr perc CPT 63650 | $2,356.12 | $5,980.00 | $2,451.80 – $15,829.39 | 23 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $8,568.00 – $8,568.00 | 1 |
| Implnt spinl canal catheter 62350 CPT 62350 | $3,084.23 | $7,828.00 | $3,209.48 – $15,446.30 | 23 |
| In-111 autol wbc diag per dose HCPCS A9570 | $1,759.87 | $3,247.00 | $1,000.45 – $3,084.65 | 22 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $946.33 | $1,746.00 | $715.86 – $1,854.34 | 22 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $1,008.66 | $1,861.00 | $693.83 – $1,767.95 | 22 |
| In-111 pentetreotide HCPCS A9572 | $1,597.82 | $2,948.00 | $1,208.68 – $4,595.06 | 22 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $12,545.00 – $13,923.00 | 2 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $928.26 | $2,356.00 | $965.96 – $8,568.00 | 23 |
| Incision of achilles tendon CPT 27606 | not published | not published | $8,568.00 – $12,545.00 | 2 |
| Incision of fibula CPT 27707 | not published | not published | $12,545.00 – $13,923.00 | 2 |
| Incision of foot fascia CPT 28008 | not published | not published | $12,545.00 – $22,491.00 | 2 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Incision of heel bone CPT 28300 | not published | not published | $13,923.00 – $38,776.00 | 2 |
| Incision of metatarsal CPT 28308 | not published | not published | $12,545.00 – $13,923.00 | 2 |
| Incision of midfoot bones CPT 28304 | not published | not published | $13,923.00 – $38,776.00 | 2 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $13,923.00 – $38,776.00 | 2 |
| Incision of tendon sheath CPT 25000 | not published | not published | $7,984.00 – $22,491.00 | 2 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $7,984.00 – $22,491.00 | 2 |
| Incision of tongue fold CPT 41010 | not published | not published | $7,984.00 – $8,568.00 | 2 |
| Incision tendon sheath CPT 26055 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Incisn of toe tndn CPT 28010 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $7,984.00 – $31,393.00 | 2 |
| Infect ag drug suscept pheno predict CPT 87900 | $56.84 | $392.00 | $126.44 – $372.40 | 23 |
| Infect ag eia influenza a or b ea CPT 87400 | $6.23 | $43.00 | $13.71 – $40.85 | 23 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $112.08 | $773.00 | $249.73 – $734.35 | 23 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $56.11 | $387.00 | $124.87 – $367.65 | 23 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $112.08 | $773.00 | $249.73 – $734.35 | 23 |
| Infect ag ia optc obs influenza CPT 87804 | $7.25 | $50.00 | $16.05 – $47.50 | 23 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $8.70 | $60.00 | $11.62 – $57.00 | 23 |
| Infect ag if influenza a CPT 87276 | $8.70 | $60.00 | $15.59 – $57.00 | 23 |
| Infect ag if influenza b CPT 87275 | $8.70 | $60.00 | $11.88 – $57.00 | 23 |
| Infect ag if pneumocystis carinii CPT 87281 | $11.02 | $76.00 | $11.62 – $72.20 | 23 |
| Infect ag if varicella zoster CPT 87290 | $8.70 | $60.00 | $13.02 – $57.00 | 23 |
| Infect ag na hep b amp CPT 87516 | $19.58 | $135.00 | $34.04 – $128.25 | 23 |
| Infect ag na herpes simplex quant CPT 87530 | $18.70 | $129.00 | $41.55 – $122.55 | 23 |
| Infect ag na hpv high-risk types CPT 87624 | $15.37 | $106.00 | $34.04 – $100.70 | 23 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $41.76 | $288.00 | $92.93 – $273.60 | 23 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $22.33 | $154.00 | $49.77 – $146.30 | 23 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $181.39 | $1,251.00 | $404.28 – $1,188.45 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $8.70 | $60.00 | $11.62 – $57.00 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $6.09 | $42.00 | $13.41 – $39.90 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $9.57 | $66.00 | $11.62 – $34.20 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $10.88 | $75.00 | $13.95 – $41.80 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $33.49 | $231.00 | $10.02 – $29.45 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $12.32 | $85.00 | $10.02 – $55.10 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $12.61 | $87.00 | $23.36 – $82.65 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $22.76 | $157.00 | $11.62 – $34.20 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $5.22 | $36.00 | $11.62 – $34.20 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $9.28 | $64.00 | $11.62 – $60.80 | 23 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $61.04 | $421.00 | $34.04 – $100.70 | 23 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $16.67 | $115.00 | $34.04 – $100.70 | 23 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $16.24 | $112.00 | $36.15 – $106.40 | 23 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $181.39 | $1,251.00 | $404.28 – $1,188.45 | 23 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $15.37 | $106.00 | $34.04 – $100.70 | 23 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $18.27 | $126.00 | $40.43 – $119.70 | 23 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $15.37 | $106.00 | $34.04 – $100.70 | 23 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $22.33 | $154.00 | $49.77 – $146.30 | 23 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $62.06 | $428.00 | $138.35 – $406.60 | 23 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $15.37 | $106.00 | $34.04 – $100.70 | 23 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $16.09 | $111.00 | $34.04 – $100.70 | 23 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $181.39 | $1,251.00 | $404.28 – $1,188.45 | 23 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $55.82 | $385.00 | $124.44 – $365.75 | 23 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $114.40 | $789.00 | $255.10 – $749.55 | 23 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $39.88 | $275.00 | $41.55 – $122.55 | 23 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $18.70 | $129.00 | $41.55 – $122.55 | 23 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $21.31 | $147.00 | $41.55 – $122.55 | 23 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $37.12 | $256.00 | $82.55 – $243.20 | 23 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $62.06 | $428.00 | $138.35 – $406.60 | 23 |
| Inj, clindamycin (baxter) HCPCS J0737 | $0.06 | $1.30 | $0.53 – $2.86 | 13 |
| Inj disk cerv-thor ea lev CPT 62291 | $307.71 | $781.00 | $320.21 – $8,568.00 | 13 |
| Inj dx for sinogram CPT 20501 | $163.90 | $416.00 | $170.56 – $8,568.00 | 13 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $219.46 | $557.00 | $152.11 – $8,568.00 | 13 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $277.77 | $705.00 | $192.70 – $8,568.00 | 13 |
| Injection during cath supravalvular aortography CPT 93567 | $507.52 | $793.00 | $325.13 – $17,133.00 | 14 |
| Injection epidural blood patch or clot CPT 62273 | $564.96 | $1,097.00 | $449.77 – $8,568.00 | 23 |
| Injection for arthrography wrist (both sides) CPT 25246 | $236.01 | $599.00 | $163.59 – $8,568.00 | 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.