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 |
|---|---|---|---|---|
| Lipoprotein direct measurement hdl CPT 83718 | $5.68 | $25.00 | $7.94 – $23.75 | 23 |
| Lipoprotein direct measurement ldl CPT 83721 | $21.34 | $94.00 | $10.19 – $30.40 | 23 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $23.38 | $103.00 | $33.16 – $97.85 | 23 |
| Lithium therapeutic drug level CPT 80178 | $11.80 | $52.00 | $6.41 – $49.40 | 23 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $4,976.00 | $7,775.00 | $772.37 – $8,568.00 | 13 |
| Liver Function Test CPT 80076 | $5.68 | $25.00 | $7.92 – $23.75 | 23 |
| Liver/spleen imag static only CPT 78215 | $767.36 | $1,408.00 | $391.72 – $1,337.60 | 23 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $470.88 | $864.00 | $354.24 – $969.19 | 23 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $1.00 | $2.24 | $0.92 – $2.99 | 13 |
| Low back disk surgery CPT 63030 | not published | not published | $31,393.00 – $38,776.00 | 2 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $184.39 | $474.00 | $103.66 – $700.00 | 23 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $534.49 | $1,374.00 | $173.54 – $1,305.30 | 23 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $445.41 | $1,145.00 | $348.14 – $1,087.75 | 23 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $356.32 | $916.00 | $103.66 – $870.20 | 23 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $504.32 | $1,601.00 | $348.14 – $1,520.95 | 23 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $420.21 | $1,334.00 | $348.14 – $1,267.30 | 23 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $336.10 | $1,067.00 | $235.63 – $1,013.65 | 23 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $83.88 | $161.00 | $66.01 – $256.49 | 23 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $108.89 | $209.00 | $85.69 – $256.49 | 23 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $124.52 | $239.00 | $97.99 – $256.49 | 23 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $95.34 | $183.00 | $75.03 – $173.85 | 14 |
| Lumbar diskogram s&i CPT 72295 | $2,905.62 | $5,577.00 | $106.00 – $5,298.15 | 23 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $39,627.00 – $68,430.00 | 2 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $172.80 | $576.00 | $216.59 – $751.08 | 23 |
| Lung Function Test (Spirometry) CPT 94010 | $129.60 | $432.00 | $151.47 – $410.40 | 23 |
| Lung perfusion imaging CPT 78580 | $956.48 | $1,755.00 | $391.72 – $1,667.25 | 23 |
| Lymphatics/lymph node imaging CPT 78195 | $998.44 | $1,832.00 | $524.72 – $1,740.40 | 23 |
| Lymphocyte transformation mitogen CPT 86353 | $27.38 | $148.00 | $47.56 – $140.60 | 23 |
| Macroscopic exam arthropod CPT 87168 | $1.88 | $13.00 | $4.14 – $12.35 | 23 |
| Macroscopic exam parasite CPT 87169 | $8.41 | $58.00 | $4.18 – $55.10 | 23 |
| Magnesium CPT 83735 | $19.98 | $88.00 | $6.50 – $19.95 | 23 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $0.04 | $0.42 | $0.17 – $0.83 | 14 |
| Magnetic image bone marrow CPT 77084 | $673.60 | $1,782.00 | $235.63 – $1,692.90 | 23 |
| Mammosite ced HCPCS C1728 | $5,599.69 | $13,895.00 | $5,696.95 – $13,200.25 | 14 |
| Map tachycard site(s) CPT 93609 | $1,575.59 | $5,305.00 | $2,175.05 – $41,769.00 | 14 |
| Marker biop eviva buckle ss HCPCS A4648 | $2,460.32 | $6,105.00 | $128.33 – $297.35 | 14 |
| Mastectomy partial CPT 19301 | not published | not published | $12,545.00 – $22,491.00 | 2 |
| Mast mod rad CPT 19307 | not published | not published | $31,393.00 – $31,934.00 | 2 |
| Mastoids complete CPT 70130 | $101.60 | $195.00 | $79.95 – $185.25 | 14 |
| Mastopexy CPT 19316 | not published | not published | $29,531.00 – $31,934.00 | 2 |
| Mast simple complete CPT 19303 | not published | not published | $29,531.00 – $31,934.00 | 2 |
| M.avium-intra dna amp prob CPT 87561 | $39.15 | $270.00 | $34.04 – $256.50 | 23 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $14.30 | $63.00 | $14.03 – $59.85 | 23 |
| Mayo aathr protein s free CPT 85306 | $6.73 | $66.00 | $14.86 – $57.00 | 23 |
| Mayo activated protein c resistance assay CPT 85307 | $6.73 | $66.00 | $14.86 – $62.70 | 23 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $68.10 | $300.00 | $37.41 – $285.00 | 23 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $35.87 | $158.00 | $45.10 – $104.50 | 14 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $29.96 | $132.00 | $25.01 – $57.95 | 14 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $12.94 | $57.00 | $14.34 – $54.15 | 23 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $41.31 | $182.00 | $74.62 – $172.90 | 14 |
| Mayo alpha 1 antitrypsin CPT 82103 | $13.39 | $59.00 | $13.04 – $38.95 | 23 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $22.70 | $100.00 | $14.63 – $56.05 | 23 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $15.89 | $70.00 | $22.96 – $53.20 | 14 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $50.74 | $365.00 | $117.98 – $346.75 | 23 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $38.23 | $275.00 | $88.91 – $261.25 | 23 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $483.72 | $3,480.00 | $1,125.20 – $3,306.00 | 23 |
| Mayo androstenedione CPT 82157 | $19.98 | $88.00 | $28.40 – $83.60 | 23 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $13.85 | $61.00 | $14.16 – $57.95 | 23 |
| Mayo antithrombin iii antigen CPT 85301 | $7.04 | $69.00 | $10.49 – $65.55 | 23 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $10.18 | $55.00 | $14.60 – $52.25 | 23 |
| Mayo avwpr vw factor activity CPT 85397 | $16.73 | $164.00 | $29.93 – $155.80 | 23 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $35.87 | $158.00 | $22.96 – $53.20 | 14 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $11.47 | $62.00 | $9.87 – $58.90 | 23 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $60.47 | $435.00 | $140.49 – $413.25 | 23 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $89.52 | $644.00 | $208.18 – $611.80 | 23 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $14.43 | $78.00 | $12.51 – $74.10 | 23 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $12.71 | $56.00 | $22.96 – $53.20 | 14 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $12.95 | $70.00 | $12.79 – $66.50 | 23 |
| Mayo brcmg brucella antibody igm CPT 86622 | $12.39 | $67.00 | $8.66 – $63.65 | 23 |
| Mayo c1 esterase inhibitor CPT 83883 | $16.34 | $72.00 | $13.19 – $38.95 | 23 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $19.07 | $84.00 | $22.96 – $53.20 | 14 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $26.10 | $115.00 | $16.36 – $109.25 | 23 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $17.20 | $93.00 | $25.98 – $88.35 | 23 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $51.01 | $367.00 | $118.55 – $348.65 | 23 |
| Mayo ceruloplasmin CPT 82390 | $12.03 | $53.00 | $10.42 – $50.35 | 23 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $15.89 | $70.00 | $13.70 – $66.50 | 23 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $18.87 | $102.00 | $12.49 – $61.75 | 23 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $14.98 | $81.00 | $11.47 – $57.95 | 23 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $11.29 | $61.00 | $12.30 – $57.95 | 23 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $171.15 | $350.00 | $113.00 – $332.50 | 23 |
| Mayo chromium CPT 82495 | $13.85 | $61.00 | $19.67 – $57.95 | 23 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $33.82 | $149.00 | $22.96 – $53.20 | 14 |
| Mayo coccidioides antibody CPT 86635 | $12.21 | $66.00 | $11.13 – $52.25 | 23 |
| Mayo cocou cortisone urine CPT 82542 | $206.34 | $909.00 | $23.37 – $69.35 | 23 |
| Mayo cortisol free CPT 82530 | $12.49 | $55.00 | $16.21 – $52.25 | 23 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $23.50 | $127.00 | $40.87 – $120.65 | 23 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $10.54 | $57.00 | $11.76 – $54.15 | 23 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $22.02 | $97.00 | $39.77 – $92.15 | 14 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $1,480.69 | $3,028.00 | $167.04 – $2,876.60 | 23 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $7.40 | $40.00 | $12.85 – $38.00 | 23 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $17.25 | $76.00 | $24.51 – $72.20 | 23 |
| Mayo dihydrotestosterone CPT 82642 | $19.98 | $88.00 | $28.40 – $83.60 | 23 |
| Mayo efpo chloride stool CPT 82438 | $13.17 | $58.00 | $4.85 – $14.25 | 23 |
| Mayo estriol CPT 82677 | $16.57 | $73.00 | $23.45 – $69.35 | 23 |
| Mayo estrone CPT 82679 | $17.03 | $75.00 | $24.20 – $71.25 | 23 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $24.29 | $107.00 | $15.85 – $101.65 | 23 |
| Mayo everolimus therapeutic drug level CPT 80169 | $13.62 | $60.00 | $13.32 – $57.00 | 23 |
| Mayo factor ii CPT 85210 | $6.53 | $64.00 | $12.59 – $60.80 | 23 |
| Mayo factor v CPT 85220 | $7.65 | $75.00 | $17.12 – $71.25 | 23 |
| Mayo factor vii CPT 85230 | $7.75 | $76.00 | $17.36 – $72.20 | 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.