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 |
|---|---|---|---|---|
| Phenobarbital therapeutic drug level CPT 80184 | $13.39 | $59.00 | $14.84 – $51.30 | 23 |
| Phenytoin total therapeutic drug level CPT 80185 | $12.26 | $54.00 | $12.85 – $51.30 | 23 |
| Phlebotomy therapeutic CPT 99195 | $228.48 | $480.00 | $125.65 – $9,872.00 | 23 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $3,048.38 | $7,737.00 | $2,114.78 – $22,491.00 | 13 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $3,719.36 | $9,440.00 | $2,580.13 – $22,491.00 | 13 |
| Phosphorus CPT 84100 | $3.41 | $15.00 | $4.60 – $14.25 | 23 |
| Phosphorus 24 hour urine CPT 84105 | $16.80 | $74.00 | $5.61 – $17.10 | 23 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $184.50 | $492.00 | $201.72 – $467.40 | 14 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $131.62 | $351.00 | $143.91 – $333.45 | 14 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $147.00 | $392.00 | $160.72 – $372.40 | 14 |
| Physical Therapy Re-Evaluation CPT 97164 | $110.62 | $295.00 | $120.95 – $298.00 | 14 |
| Pik3ca gene trgt seq alys CPT 81309 | $114.68 | $825.00 | $266.59 – $783.75 | 23 |
| Pin caspar distraction 12mm HCPCS C1821 | $14,122.73 | $35,044.00 | $2,002.85 – $4,640.75 | 14 |
| Pinworm exam CPT 87172 | $1.88 | $13.00 | $4.14 – $12.35 | 23 |
| Place cecostomy tube perc CPT 49442 | $1,005.88 | $2,553.00 | $1,046.73 – $13,923.00 | 23 |
| Place duod/jej tube perc CPT 49441 | $1,046.86 | $2,657.00 | $1,089.37 – $13,923.00 | 23 |
| Place gastrostomy tube perc CPT 49440 | $1,008.64 | $2,560.00 | $1,049.60 – $13,923.00 | 23 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $808.49 | $2,052.00 | $841.32 – $13,923.00 | 13 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $195.42 | $496.00 | $203.36 – $8,568.00 | 13 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $769.48 | $1,953.00 | $800.73 – $13,923.00 | 13 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $2,790.31 | $7,082.00 | $1,935.61 – $13,923.00 | 13 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $204.88 | $520.00 | $213.20 – $9,872.00 | 13 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $5,702.36 | $14,473.00 | $5,933.93 – $27,352.92 | 23 |
| Place slctv cath carotd art uni CPT 36224 | $7,448.57 | $18,905.00 | $7,751.05 – $22,491.00 | 13 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $10,195.54 | $25,877.00 | $7,072.91 – $18,248.00 | 13 |
| Place slctv cath subclavian art CPT 36225 | $7,840.99 | $19,901.00 | $5,439.47 – $13,923.00 | 13 |
| Place slctv cath vertebral art uni CPT 36226 | $8,327.98 | $21,137.00 | $5,777.31 – $22,491.00 | 13 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $172.38 | $442.00 | $143.59 – $419.90 | 23 |
| Platelet aggregation each agent teg CPT 85576 | $7.65 | $75.00 | $24.16 – $71.25 | 23 |
| Platelet automated CPT 85049 | $1.43 | $14.00 | $4.35 – $13.30 | 23 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $285.09 | $731.00 | $299.71 – $1,174.87 | 23 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $306.93 | $787.00 | $322.67 – $1,629.65 | 23 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $731.25 | $1,875.00 | $572.49 – $1,664.40 | 23 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $3,554.67 | $9,022.00 | $1,074.54 – $8,570.90 | 13 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $3,765.46 | $9,557.00 | $2,612.11 – $22,491.00 | 13 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $1,232.04 | $3,127.00 | $335.23 – $8,568.00 | 13 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $256.89 | $652.00 | $222.25 – $8,568.00 | 13 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $141.00 | $470.00 | $192.70 – $751.08 | 23 |
| Plmt biliary drainage cath CPT 47534 | $2,504.26 | $6,356.00 | $2,605.96 – $13,923.00 | 23 |
| Plmt nephroureteral catheter CPT 50433 | $1,891.20 | $4,800.00 | $1,968.00 – $13,923.00 | 13 |
| Plmt ureteral stent prq CPT 50694 | $3,796.19 | $9,635.00 | $2,633.43 – $22,491.00 | 13 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $17.93 | $79.00 | $25.29 – $75.05 | 23 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $8,568.00 – $8,568.00 | 1 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $8,568.00 – $8,568.00 | 1 |
| Potassium 24 hour urine CPT 84133 | $15.89 | $70.00 | $4.59 – $52.25 | 23 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $0.02 | $0.18 | $0.05 – $0.28 | 14 |
| Potassium serum/plasma/whole blood CPT 84132 | $18.61 | $82.00 | $4.62 – $14.25 | 23 |
| Pq dr cath chg w cont s&i CPT 75984 | $281.86 | $541.00 | $106.00 – $513.95 | 14 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $3,831.65 | $9,725.00 | $3,987.25 – $31,393.00 | 23 |
| Pq thr inj ext pse CPT 36002 | $533.87 | $1,355.00 | $370.23 – $8,568.00 | 13 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $2,812.77 | $7,139.00 | $2,926.99 – $29,531.00 | 23 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $12,545.00 – $13,923.00 | 2 |
| Pr biopsy skin punch single lesion CPT 11104 | $169.81 | $431.00 | $176.71 – $8,568.00 | 23 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $22,491.00 – $38,776.00 | 2 |
| Pr correction hammertoe CPT 28285 | not published | not published | $12,545.00 – $22,491.00 | 2 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $2,217.83 | $5,629.00 | $2,307.89 – $9,872.00 | 13 |
| Prcrd drg 6+yr without anomly CPT 33017 | $1,081.53 | $2,745.00 | $1,125.45 – $9,872.00 | 13 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $12,545.00 – $13,923.00 | 2 |
| Prealbumin CPT 84134 | $12.26 | $54.00 | $14.15 – $51.30 | 23 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $396.35 | $563.00 | $103.66 – $534.85 | 23 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $375.23 | $533.00 | $103.66 – $506.35 | 23 |
| Pregnancy Ultrasound (limited) CPT 76815 | $214.72 | $305.00 | $103.66 – $328.00 | 23 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $3,990.00 – $13,923.00 | 2 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Pressure velocity wire add ves CPT 93572 | $919.04 | $1,436.00 | $588.76 – $1,980.00 | 14 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $63.64 | $344.00 | $141.04 – $413.30 | 23 |
| Pretreat rbc absorption reference CPT 86978 | $51.24 | $277.00 | $57.91 – $263.15 | 23 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $57.90 | $150.00 | $57.91 – $143.28 | 23 |
| Pretreat rbc w enzyme reference CPT 86971 | $132.78 | $344.00 | $141.04 – $413.30 | 23 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | not published | not published | $3,990.00 – $8,568.00 | 2 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $43.96 | $148.00 | $36.36 – $140.60 | 23 |
| Prgr stim/pace a/iv drug CPT 93623 | $950.99 | $3,202.00 | $1,312.82 – $23,075.00 | 14 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $7,594.35 | $19,275.00 | $5,268.50 – $41,913.00 | 13 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $309.29 | $785.00 | $321.85 – $8,568.00 | 23 |
| Pr incision & drainage abscess simple/single CPT 10060 | $182.82 | $464.00 | $190.24 – $8,568.00 | 23 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $3,990.00 – $13,923.00 | 2 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $250.69 | $530.00 | $64.24 – $503.50 | 14 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Procalcitonin CPT 84145 | $32.01 | $141.00 | $26.40 – $133.95 | 23 |
| Progesterone CPT 84144 | $14.30 | $63.00 | $20.23 – $59.85 | 23 |
| Prolactin CPT 84146 | $13.39 | $59.00 | $18.80 – $56.05 | 23 |
| _propoxygc/msur CPT 80367 | $12.71 | $56.00 | $22.96 – $53.20 | 14 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $1.05 | $12.30 | $5.04 – $16.17 | 14 |
| Prostate biopsy, any mthd HCPCS G0416 | $538.00 | $1,107.00 | $350.66 – $1,051.65 | 23 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $3,733.80 | $9,265.00 | $2,754.38 – $6,382.10 | 14 |
| Protein c activity CPT 85303 | $4.28 | $42.00 | $13.42 – $39.90 | 23 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $12.94 | $57.00 | $10.42 – $54.15 | 23 |
| Protein s total CPT 85305 | $5.92 | $58.00 | $11.26 – $55.10 | 23 |
| Protein total 24 hour urine CPT 84156 | $13.39 | $59.00 | $3.56 – $11.40 | 23 |
| Protein total body fluid CPT 84157 | $12.71 | $56.00 | $3.88 – $11.40 | 23 |
| Protein total serum plasma whole blood CPT 84155 | $12.71 | $56.00 | $3.56 – $53.20 | 23 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $5.92 | $58.00 | $3.82 – $55.10 | 23 |
| Prq cardiac angio addl art CPT 92921 | $6,243.20 | $9,755.00 | $3,999.55 – $57,023.00 | 14 |
| Prq card revasc chronic addl CPT 92944 | $9,183.36 | $14,349.00 | $5,883.09 – $57,023.00 | 14 |
| Prq card revasc mi 1 vsl CPT 92941 | $12,243.84 | $19,131.00 | $7,843.71 – $57,023.00 | 14 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $15,304.96 | $23,914.00 | $9,804.74 – $57,023.00 | 14 |
| Prq card stent w/angio addl CPT 92929 | $8,138.24 | $12,716.00 | $5,213.56 – $57,023.00 | 14 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $9,795.20 | $15,305.00 | $6,275.05 – $40,227.00 | 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.