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 |
|---|---|---|---|---|
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $1,104.38 | $2,803.00 | $366.85 – $8,568.00 | 13 |
| Ionm in operatng room 15 min CPT 95940 | $132.75 | $177.00 | $72.57 – $173.41 | 14 |
| Iron CPT 83540 | $47.22 | $208.00 | $6.28 – $19.00 | 23 |
| Iron binding capacity CPT 83550 | $6.13 | $27.00 | $8.48 – $25.65 | 23 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $80.44 | $169.00 | $57.91 – $160.55 | 23 |
| Ivc venogram s&i CPT 75825 | $2,057.95 | $3,950.00 | $106.00 – $7,591.61 | 23 |
| IV Fluids (each additional hour) CPT 96361 | $73.66 | $119.00 | $44.98 – $113.05 | 23 |
| IV Fluids (first hour) CPT 96360 | $240.17 | $388.00 | $159.08 – $508.18 | 23 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $92.23 | $149.00 | $61.09 – $141.55 | 14 |
| IV inj ra drug dx study CPT 78808 | $304.11 | $558.00 | $202.30 – $969.19 | 23 |
| IV Medicine Infusion (additional drug) CPT 96367 | $117.61 | $190.00 | $69.37 – $180.50 | 23 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $78.61 | $127.00 | $44.98 – $120.65 | 23 |
| IV Medicine Infusion (first hour) CPT 96365 | $308.26 | $498.00 | $204.18 – $508.18 | 23 |
| IV Push Injection (each additional drug) CPT 96375 | $86.52 | $168.00 | $44.98 – $159.60 | 23 |
| IV Push Injection (first drug) CPT 96374 | $163.77 | $318.00 | $130.38 – $508.18 | 23 |
| Ivp w/nephrotomography CPT 74415 | $673.13 | $1,292.00 | $106.00 – $1,227.40 | 23 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $551.74 | $1,059.00 | $106.00 – $1,006.05 | 23 |
| Jak2 targeted sequence analysis CPT 81279 | $77.28 | $556.00 | $179.64 – $528.20 | 23 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $169.33 | $325.00 | $85.84 – $308.75 | 23 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $97.95 | $188.00 | $77.08 – $256.49 | 23 |
| John cunningham antibody CPT 86711 | $9.44 | $51.00 | $16.38 – $48.45 | 23 |
| Ketamine and metabolite screen - quest CPT 80357 | $32.92 | $145.00 | $59.45 – $137.75 | 14 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $13.85 | $61.00 | $7.92 – $57.00 | 23 |
| Kidney imag w/bld flow multi CPT 78709 | $1,269.31 | $2,329.00 | $524.72 – $2,212.55 | 23 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $974.46 | $1,788.00 | $524.72 – $1,698.60 | 23 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $272.45 | $387.00 | $103.66 – $367.65 | 23 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $145.73 | $207.00 | $84.87 – $328.00 | 23 |
| Kit lead specify 5-6-5 HCPCS C1778 | $12,357.59 | $30,664.00 | $2,849.50 – $6,602.50 | 14 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,086.09 | $2,695.00 | $241.08 – $558.60 | 14 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $2,460.32 | $6,105.00 | $1,104.95 – $2,560.25 | 14 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $20,528.00 – $29,531.00 | 2 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $20,528.00 – $22,491.00 | 2 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $20,528.00 – $29,531.00 | 2 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $20,528.00 – $22,491.00 | 2 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $20,528.00 – $29,531.00 | 2 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $20,528.00 – $29,531.00 | 2 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $20,528.00 – $22,491.00 | 2 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $20,528.00 – $29,531.00 | 2 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $20,528.00 – $22,491.00 | 2 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $20,528.00 – $22,491.00 | 2 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $20,528.00 – $22,491.00 | 2 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $20,528.00 – $22,491.00 | 2 |
| Knee MRI (with and without contrast) CPT 73723 | $605.18 | $1,601.00 | $656.41 – $1,520.95 | 14 |
| Knee MRI (with contrast) CPT 73722 | $504.25 | $1,334.00 | $546.94 – $1,267.30 | 14 |
| Knee MRI (without contrast) CPT 73721 | $403.33 | $1,067.00 | $437.47 – $1,119.00 | 14 |
| Knee X-ray CPT 73564 | $108.37 | $208.00 | $85.28 – $197.60 | 14 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $85.44 | $164.00 | $67.24 – $155.80 | 14 |
| Knee X-ray (3 views, both knees) CPT 73562 | $87.53 | $168.00 | $68.88 – $159.60 | 14 |
| Knee X-ray (standing, both knees) CPT 73565 | $87.53 | $168.00 | $68.88 – $212.38 | 23 |
| Kras gene addl variants CPT 81276 | $80.62 | $580.00 | $187.45 – $551.00 | 23 |
| Kras gene variants exon 2 CPT 81275 | $80.62 | $580.00 | $187.45 – $551.00 | 23 |
| Lactate dehydrogenase (ldh) CPT 83615 | $12.94 | $57.00 | $5.86 – $18.05 | 23 |
| Lactic acid CPT 83605 | $19.98 | $88.00 | $11.22 – $33.25 | 23 |
| Lactoferrin fecal qualitative CPT 83630 | $22.25 | $98.00 | $19.11 – $69.35 | 23 |
| Lactoferrin fecal quant CPT 83631 | $46.31 | $204.00 | $19.04 – $193.80 | 23 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $31,393.00 – $38,776.00 | 2 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $23,951.00 – $41,769.00 | 2 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $23,951.00 – $31,393.00 | 2 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $8,568.00 – $23,951.00 | 2 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $23,951.00 – $29,531.00 | 2 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $23,951.00 – $29,531.00 | 2 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $22,491.00 – $23,951.00 | 2 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $23,951.00 – $31,393.00 | 2 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $41,913.00 – $43,338.00 | 2 |
| Laparoscopy lysis CPT 58660 | not published | not published | $23,951.00 – $31,393.00 | 2 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $23,951.00 – $31,393.00 | 2 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $41,769.00 – $43,338.00 | 2 |
| Lap enterolysis CPT 44180 | not published | not published | $22,491.00 – $23,951.00 | 2 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | $9,872.00 – $23,951.00 | 2 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $23,951.00 – $29,531.00 | 2 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $23,951.00 – $41,769.00 | 2 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $23,951.00 – $29,531.00 | 2 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $31,393.00 – $43,338.00 | 2 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $31,393.00 – $43,338.00 | 2 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $12,545.00 – $22,491.00 | 2 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $9,872.00 – $23,951.00 | 2 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $451.13 | $1,145.00 | $312.83 – $8,568.00 | 13 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $12,545.00 – $13,923.00 | 2 |
| Laryngoscopy telescopic CPT 31579 | $230.49 | $585.00 | $239.85 – $13,923.00 | 23 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $12,545.00 – $13,923.00 | 2 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $12,545.00 – $22,491.00 | 2 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $12,545.00 – $29,531.00 | 2 |
| Lateral canthopexy CPT 21282 | not published | not published | $7,984.00 – $31,393.00 | 2 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $12,357.59 | $30,664.00 | $3,798.65 – $8,801.75 | 14 |
| Lead capillary CPT 83655 | $13.39 | $59.00 | $11.75 – $35.15 | 23 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $12,357.59 | $30,664.00 | $1,104.95 – $2,560.25 | 14 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $7,944.74 | $19,714.00 | $1,104.95 – $2,560.25 | 14 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $403.03 | $1,175.00 | $235.63 – $1,116.25 | 23 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $431.01 | $1,108.00 | $454.28 – $1,052.60 | 14 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $344.65 | $886.00 | $363.26 – $841.70 | 14 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $329.97 | $962.00 | $235.63 – $913.90 | 23 |
| Lens, intraocular (new tech) HCPCS C1780 | $629.65 | $1,413.00 | $579.33 – $1,342.35 | 14 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,200.92 | $2,695.00 | $243.54 – $785.78 | 14 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $961.18 | $2,157.00 | $243.54 – $785.78 | 14 |
| Levetiracetam therapeutic drug level CPT 80177 | $14.30 | $63.00 | $12.85 – $59.85 | 23 |
| Liberta rc ipg HCPCS C1820 | $35,304.41 | $87,604.00 | $2,002.85 – $4,640.75 | 14 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $1,675,272.58 | $3,759,504.00 | $1,541,396.64 – $3,571,528.80 | 13 |
| Lipase CPT 83690 | $13.17 | $58.00 | $6.68 – $19.95 | 23 |
| Lipoprotein blood high res frac & quant CPT 83701 | $23.15 | $102.00 | $32.84 – $96.90 | 23 |
| Lipoprotein blood quant CPT 83704 | $23.38 | $103.00 | $33.16 – $97.85 | 23 |
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.