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 |
|---|---|---|---|---|
| Metabolic Blood Panel (Basic) CPT 80048 | $5.90 | $26.00 | $8.21 – $24.70 | 23 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $7.26 | $32.00 | $10.24 – $30.40 | 23 |
| Methylphenidate CPT 80360 | $15.21 | $67.00 | $27.47 – $63.65 | 14 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | $0.02 | $0.01 – $0.43 | 14 |
| Mgmt promoter methylation analysis CPT 81287 | $73.67 | $530.00 | $120.90 – $503.50 | 23 |
| Microdissection laser CPT 88380 | $206.55 | $425.00 | $174.25 – $697.01 | 14 |
| Microdissection manual CPT 88381 | $501.55 | $1,032.00 | $423.12 – $1,085.92 | 14 |
| Microsatellite instability CPT 81301 | $145.39 | $1,046.00 | $338.10 – $993.70 | 23 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $103.68 | $199.00 | $81.59 – $212.38 | 23 |
| Mlh1 gene CPT 81288 | $80.20 | $577.00 | $186.55 – $548.15 | 23 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $7,984.00 – $8,568.00 | 2 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $10,062.91 | $24,970.00 | $2,503.05 – $5,799.75 | 14 |
| Mopath procedure level 1 CPT 81400 | $26.69 | $192.00 | $62.04 – $182.40 | 23 |
| Mopath procedure level 3 CPT 81402 | $62.69 | $451.00 | $145.82 – $428.45 | 23 |
| Mopath procedure level 5 CPT 81404 | $114.68 | $825.00 | $266.59 – $783.75 | 23 |
| Mopath procedure level 6 CPT 81405 | $125.80 | $905.00 | $292.31 – $859.75 | 23 |
| Mopath procedure level 7 CPT 81406 | $118.01 | $849.00 | $274.39 – $806.55 | 23 |
| Mopath procedure level 8 CPT 81407 | $352.92 | $2,539.00 | $820.88 – $2,412.05 | 23 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $694.49 | $1,429.00 | $167.04 – $1,357.55 | 23 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $349.43 | $719.00 | $294.79 – $867.62 | 23 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $225.99 | $465.00 | $167.04 – $441.75 | 23 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $121.99 | $251.00 | $102.91 – $363.99 | 14 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $937.49 | $1,929.00 | $167.04 – $1,832.55 | 23 |
| M/phmtrc alysishquant/semiq CPT 88369 | $269.73 | $555.00 | $227.55 – $727.92 | 14 |
| M/phmtrc alys skeletal musc CPT 88355 | $461.21 | $949.00 | $167.04 – $901.55 | 23 |
| MRA abdomen post contrast CPT 74185 | $221.00 | $1,637.00 | $447.31 – $1,119.00 | 14 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $440.24 | $3,261.00 | $867.00 – $2,065.30 | 14 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $749.52 | $1,682.00 | $459.61 – $1,119.00 | 14 |
| MRA pelvis CPT 72198 | $227.07 | $1,682.00 | $459.61 – $1,119.00 | 14 |
| MRA upper extremity post contrast-bil CPT 73225 | $227.07 | $1,682.00 | $459.61 – $1,119.00 | 14 |
| MRI breast c- unilateral CPT 77046 | $401.06 | $1,061.00 | $435.01 – $1,119.00 | 14 |
| MRI breast c-+ w/cad uni CPT 77048 | $601.78 | $1,592.00 | $652.72 – $1,512.40 | 14 |
| MRI breast without cont bi CPT 77047 | $595.73 | $1,576.00 | $235.63 – $1,497.20 | 23 |
| MRI breast w IV cont bi CPT 77049 | $893.59 | $2,364.00 | $867.00 – $2,245.80 | 14 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $533.36 | $1,411.00 | $235.63 – $1,340.45 | 23 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $800.23 | $2,117.00 | $348.14 – $2,011.15 | 23 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $743.90 | $1,968.00 | $770.17 – $1,905.58 | 23 |
| MRI chest without contrast CPT 71550 | $782.46 | $2,070.00 | $235.63 – $1,966.50 | 23 |
| MRI chest without & w/contrast CPT 71552 | $1,173.69 | $3,105.00 | $348.14 – $2,949.75 | 23 |
| MRI chest w IV cont CPT 71551 | $978.26 | $2,588.00 | $770.17 – $2,458.60 | 23 |
| MRI guid ndl plc s&i CPT 77021 | $1,127.95 | $2,984.00 | $867.00 – $2,834.80 | 14 |
| MRI loex nonjt w IV cont CPT 73719 | $547.34 | $1,448.00 | $593.68 – $1,375.60 | 14 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $437.72 | $1,158.00 | $474.78 – $1,119.00 | 14 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $656.59 | $1,737.00 | $712.17 – $1,650.15 | 14 |
| MRI orbit fac&nck w IV cont CPT 70542 | $448.88 | $1,448.00 | $348.14 – $1,375.60 | 23 |
| MRI tmj CPT 70336 | $604.04 | $1,598.00 | $235.63 – $1,011.75 | 23 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $494.05 | $1,307.00 | $535.87 – $1,241.65 | 14 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $741.26 | $1,961.00 | $804.01 – $1,862.95 | 14 |
| MRI upper extremity w/dye CPT 73219 | $617.65 | $1,634.00 | $669.94 – $1,552.30 | 14 |
| Mr safety determination physician/other qhp CPT 76016 | $69.29 | $133.00 | $54.53 – $212.38 | 23 |
| Mr safety implant elec prepj CPT 76018 | $106.81 | $205.00 | $84.05 – $221.40 | 23 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $95.34 | $183.00 | $75.03 – $268.95 | 14 |
| Mr safety implt pos&/immoblj CPT 76019 | $163.07 | $313.00 | $57.91 – $297.35 | 23 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $19.80 | $38.00 | $15.58 – $153.00 | 23 |
| Mr sfty med physics xm cstmz CPT 76017 | $253.73 | $487.00 | $106.00 – $583.01 | 23 |
| Mthfr gene analy common variants CPT 81291 | $27.38 | $197.00 | $63.38 – $187.15 | 23 |
| Mumps antibody igg CPT 86735 | $11.47 | $62.00 | $12.66 – $53.20 | 23 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $7,984.00 – $22,491.00 | 2 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $12,545.00 – $22,491.00 | 2 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $12,545.00 – $22,491.00 | 2 |
| Mycobacteria dna amp probe CPT 87551 | $65.25 | $450.00 | $46.79 – $427.50 | 23 |
| Mycoplasma antibody igm CPT 86738 | $10.18 | $55.00 | $12.84 – $52.25 | 23 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $73.25 | $527.00 | $170.14 – $500.65 | 23 |
| Myelogphy 2/> spine regions CPT 72270 | $769.00 | $1,476.00 | $106.00 – $1,905.58 | 23 |
| Myelography l-s spine CPT 72265 | $756.49 | $1,452.00 | $106.00 – $1,905.58 | 23 |
| Myelography neck spine CPT 72240 | $860.17 | $1,651.00 | $106.00 – $1,905.58 | 23 |
| Myelography thoracic spine CPT 72255 | $794.52 | $1,525.00 | $106.00 – $1,905.58 | 23 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $1,234.01 | $3,132.00 | $770.17 – $13,923.00 | 23 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,007.06 | $2,556.00 | $770.17 – $8,568.00 | 23 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $971.60 | $2,466.00 | $770.17 – $8,568.00 | 23 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,007.06 | $2,556.00 | $770.17 – $8,568.00 | 23 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $44.00 | $135.00 | $11.18 – $33.25 | 23 |
| Myomectomy abdom method CPT 58140 | not published | not published | $18,248.00 – $41,769.00 | 2 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $22,491.00 – $31,934.00 | 2 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $29,531.00 – $31,934.00 | 2 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $31,393.00 – $31,934.00 | 2 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $22,491.00 – $31,934.00 | 2 |
| Natriuretic peptide CPT 83880 | $26.79 | $118.00 | $38.08 – $112.10 | 23 |
| Natural killer cells total count CPT 86357 | $21.09 | $114.00 | $36.60 – $108.30 | 23 |
| N block inj hypogas plxs CPT 64517 | $913.69 | $2,319.00 | $867.88 – $13,923.00 | 23 |
| Ndl round specialty proguide HCPCS C1715 | $137.00 | $588.00 | $68.06 – $157.70 | 14 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $91.17 | $175.00 | $71.75 – $212.38 | 23 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $668.30 | $1,718.00 | $173.54 – $1,632.10 | 23 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $557.05 | $1,432.00 | $348.14 – $1,360.40 | 23 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $445.41 | $1,145.00 | $103.66 – $1,087.75 | 23 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $504.32 | $1,601.00 | $348.14 – $1,520.95 | 23 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $420.21 | $1,334.00 | $348.14 – $1,267.30 | 23 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $336.10 | $1,067.00 | $235.63 – $1,013.65 | 23 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $79.71 | $153.00 | $62.73 – $212.38 | 23 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $112.54 | $216.00 | $88.56 – $256.49 | 23 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $128.17 | $246.00 | $100.86 – $256.49 | 23 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $753.09 | $2,624.00 | $348.14 – $2,492.80 | 23 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $627.67 | $2,187.00 | $348.14 – $2,077.65 | 23 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $501.96 | $1,749.00 | $235.63 – $1,661.55 | 23 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $470.94 | $1,410.00 | $173.54 – $1,339.50 | 23 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $392.45 | $1,175.00 | $173.54 – $1,116.25 | 23 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $313.96 | $940.00 | $103.66 – $893.00 | 23 |
| Neurectomy foot CPT 28055 | not published | not published | $7,984.00 – $29,531.00 | 2 |
| Neurolysis trigeminal nerve CPT 64600 | $1,132.75 | $2,875.00 | $867.88 – $8,568.00 | 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.