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 |
|---|---|---|---|---|
| Neuroplasty digital 1/both same digit CPT 64702 | not published | not published | $7,984.00 – $8,568.00 | 2 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | $7,984.00 – $8,568.00 | 2 |
| New Patient Office Visit (level 2) CPT 99202 | $378.21 | $619.00 | $71.75 – $252.01 | 14 |
| New Patient Office Visit (level 3) CPT 99203 | $565.18 | $925.00 | $125.05 – $439.73 | 14 |
| New Patient Office Visit (level 4) CPT 99204 | $683.71 | $1,119.00 | $172.20 – $716.98 | 14 |
| New Patient Office Visit (level 5) CPT 99205 | $912.83 | $1,494.00 | $233.70 – $975.53 | 14 |
| N-invas est c ffr sw aly cta CPT 75580 | $1,356.99 | $4,569.00 | $991.79 – $27,118.00 | 23 |
| Nipple/areola reconst 19350 CPT 19350 | not published | not published | $12,545.00 – $29,531.00 | 2 |
| Njx cath slct p-art angrp bi CPT 93573 | $1,054.08 | $1,647.00 | $329.18 – $9,872.00 | 14 |
| Njx cth slct p-art angrp uni CPT 93569 | $1,063.68 | $1,662.00 | $197.84 – $9,872.00 | 14 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $2,163.06 | $5,490.00 | $1,500.60 – $8,568.00 | 13 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,031.14 | $1,892.00 | $391.72 – $1,797.40 | 23 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,007.16 | $1,848.00 | $391.72 – $1,755.60 | 23 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $820.77 | $1,506.00 | $524.72 – $1,430.70 | 23 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,684.60 | $3,091.00 | $524.72 – $2,936.45 | 23 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,315.63 | $2,414.00 | $391.72 – $2,293.30 | 23 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $1,530.22 | $3,434.00 | $218.49 – $3,262.30 | 23 |
| Noonan spectrum disorders CPT 81442 | $893.91 | $6,431.00 | $2,079.29 – $6,109.45 | 23 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $81.28 | $156.00 | $63.96 – $212.38 | 23 |
| Npm1 gene CPT 81310 | $102.86 | $740.00 | $239.12 – $703.00 | 23 |
| Nras gene variants exon 2&3 CPT 81311 | $123.43 | $888.00 | $286.92 – $843.60 | 23 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $31,393.00 – $31,934.00 | 2 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $12,545.00 – $29,531.00 | 2 |
| Nuclear rx IV admin CPT 79101 | $1,358.66 | $3,049.00 | $218.49 – $2,896.55 | 23 |
| Nuclear Stress Test (Heart) CPT 78452 | $870.91 | $1,598.00 | $655.18 – $3,148.75 | 23 |
| Nudt15 gene common variants CPT 81306 | $121.63 | $875.00 | $282.62 – $831.25 | 23 |
| Observation direct referral from physician office for admission HCPCS G0379 | $202.74 | $654.00 | $351.85 – $5,346.00 | 23 |
| Observation per hour HCPCS G0378 | $52.52 | $123.00 | $61.50 – $9,927.00 | 14 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $280.90 | $399.00 | $103.66 – $379.05 | 23 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $119.68 | $170.00 | $69.70 – $366.35 | 14 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $175.15 | $492.00 | $201.72 – $467.40 | 14 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $124.96 | $351.00 | $143.91 – $333.45 | 14 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $139.55 | $392.00 | $160.72 – $372.40 | 14 |
| Onco (ovar) five proteins CPT 81503 | $374.05 | $2,691.00 | $870.09 – $2,556.45 | 23 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $12,545.00 – $29,531.00 | 2 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $13,923.00 – $51,323.00 | 2 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $29,531.00 – $38,776.00 | 2 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $22,491.00 – $38,776.00 | 2 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $22,491.00 – $38,776.00 | 2 |
| Optx medial ankle fx CPT 27766 | not published | not published | $22,491.00 – $38,776.00 | 2 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $31,393.00 – $43,338.00 | 2 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $29,531.00 – $43,338.00 | 2 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $22,491.00 – $38,776.00 | 2 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $22,491.00 – $38,776.00 | 2 |
| Oral aprepitant HCPCS J8501 | $0.21 | $2.51 | $1.03 – $4.52 | 14 |
| Organic acids total quant ea spec CPT 83918 | $22.93 | $101.00 | $22.89 – $67.45 | 23 |
| Oscillation chest wall mechanical per session CPT 94669 | $120.78 | $449.00 | $117.20 – $490.56 | 23 |
| Osmolality blood CPT 83930 | $12.71 | $56.00 | $6.41 – $53.20 | 23 |
| Osmolality urine CPT 83935 | $12.71 | $56.00 | $6.62 – $53.20 | 23 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $12,545.00 – $22,491.00 | 2 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $22,491.00 – $43,338.00 | 2 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $23.32 | $169.00 | $69.29 – $298.00 | 14 |
| Ot re-evaluation patient/family CPT 97168 | $105.02 | $295.00 | $120.95 – $298.00 | 14 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $37.41 | $118.00 | $48.38 – $298.00 | 14 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $38.99 | $123.00 | $50.43 – $298.00 | 14 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $18,248.00 – $31,393.00 | 2 |
| Parathormone (pth) intact CPT 83970 | $28.15 | $124.00 | $40.04 – $117.80 | 23 |
| Parathyrd planar w/spect&ct CPT 78072 | $832.22 | $1,527.00 | $524.72 – $1,450.65 | 23 |
| Parathyroid planar imaging CPT 78070 | $594.60 | $1,091.00 | $391.72 – $1,036.45 | 23 |
| Parathyroid planar img w/tomo spect CPT 78071 | $763.00 | $1,400.00 | $391.72 – $1,330.00 | 23 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $12,545.00 – $22,491.00 | 2 |
| Partial removal finger bone CPT 26236 | not published | not published | $7,984.00 – $22,491.00 | 2 |
| Partial removal foot fascia CPT 28060 | not published | not published | $12,545.00 – $13,923.00 | 2 |
| Partial removal of foot bone CPT 28288 | not published | not published | $12,545.00 – $22,491.00 | 2 |
| Partial removal of thyroid CPT 60220 | not published | not published | $13,923.00 – $23,951.00 | 2 |
| Partial removal of toe CPT 28160 | not published | not published | $12,545.00 – $22,491.00 | 2 |
| Part removal of metatarsal CPT 28110 | not published | not published | $12,545.00 – $22,491.00 | 2 |
| Part removal of metatarsal CPT 28113 | not published | not published | $12,545.00 – $22,491.00 | 2 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $12,545.00 – $22,491.00 | 2 |
| Pdgfra gene CPT 81314 | $137.47 | $989.00 | $319.62 – $939.55 | 23 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $595.17 | $1,530.00 | $173.54 – $1,453.50 | 23 |
| Pelvic CT scan (with contrast) CPT 72193 | $495.98 | $1,275.00 | $173.54 – $1,211.25 | 23 |
| Pelvic CT scan (without contrast) CPT 72192 | $396.78 | $1,020.00 | $103.66 – $969.00 | 23 |
| Pelvic MRI (with and without contrast) CPT 72197 | $605.18 | $1,601.00 | $348.14 – $1,520.95 | 23 |
| Pelvic MRI (with contrast) CPT 72196 | $504.25 | $1,334.00 | $348.14 – $1,267.30 | 23 |
| Pelvic MRI (without contrast) CPT 72195 | $403.33 | $1,067.00 | $235.63 – $1,013.65 | 23 |
| Pelvic Ultrasound (complete) CPT 76856 | $279.49 | $397.00 | $103.66 – $377.15 | 23 |
| Pelvic Ultrasound (limited) CPT 76857 | $249.22 | $354.00 | $103.66 – $336.30 | 23 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $83.88 | $161.00 | $66.01 – $256.49 | 23 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $92.74 | $178.00 | $72.98 – $256.49 | 23 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $13,240.16 | $32,854.00 | $2,002.85 – $4,640.75 | 14 |
| Penile vascular study CPT 93980 | $372.50 | $1,086.00 | $103.66 – $1,031.70 | 23 |
| Perc d-e cor revasc chro add HCPCS C9608 | $11,479.68 | $17,937.00 | $7,354.17 – $25,388.00 | 14 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $15,304.96 | $23,914.00 | $9,804.74 – $43,310.74 | 23 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $9,183.36 | $14,349.00 | $5,883.09 – $25,388.00 | 14 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $12,244.48 | $19,132.00 | $7,844.12 – $40,227.00 | 23 |
| Perc d-e cor stent ather br HCPCS C9603 | $10,806.40 | $16,885.00 | $6,922.85 – $25,388.00 | 14 |
| Perc d-e cor stent ather s HCPCS C9602 | $14,408.32 | $22,513.00 | $9,230.33 – $43,310.74 | 23 |
| Perc drug-el cor stent bran HCPCS C9601 | $10,172.80 | $15,895.00 | $6,516.95 – $25,388.00 | 14 |
| Perc drug-el cor stent sing HCPCS C9600 | $13,563.52 | $21,193.00 | $8,689.13 – $40,227.00 | 23 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $2,217.83 | $5,629.00 | $2,307.89 – $9,872.00 | 13 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,192.23 | $2,315.00 | $949.15 – $13,923.00 | 23 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $12,545.00 – $29,531.00 | 2 |
| Peri-proc device eval icd CPT 93287 | $53.16 | $179.00 | $73.39 – $23,075.00 | 14 |
| Peri-proc device eval pm CPT 93286 | $52.57 | $177.00 | $72.57 – $23,075.00 | 14 |
| Perit-vens shunt pat tst CPT 78291 | $711.22 | $1,305.00 | $391.72 – $1,239.75 | 23 |
| Perq art m-thrombect &/nfs CPT 61645 | $2,692.60 | $6,834.00 | $1,867.96 – $39,627.00 | 13 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $54,720.95 | $135,784.00 | $128.33 – $297.35 | 14 |
| Ph body fluid CPT 83986 | $23.61 | $104.00 | $3.47 – $48.45 | 23 |
| Phencyclidine (pcp) CPT 83992 | $21.34 | $94.00 | $22.96 – $53.20 | 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.