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 |
|---|---|---|---|---|
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $4,273.32 | $10,846.00 | $4,446.86 – $22,491.00 | 23 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $1,045.28 | $2,653.00 | $1,087.73 – $43,338.00 | 13 |
| Rmvl subq card rhythm mntr CPT 33286 | $719.84 | $1,827.00 | $685.88 – $8,568.00 | 23 |
| Rmvl tv pm lead dual CPT 33235 | $2,771.40 | $7,034.00 | $2,883.94 – $29,531.00 | 23 |
| Rmvl tv pm lead sgl CPT 33234 | $2,519.24 | $6,394.00 | $2,621.54 – $29,531.00 | 23 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $763.18 | $1,937.00 | $794.17 – $8,568.00 | 23 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $712.86 | $1,308.00 | $391.72 – $1,242.60 | 23 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $1,583.77 | $2,906.00 | $700.00 – $3,148.75 | 23 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $2,081.90 | $3,820.00 | $700.00 – $3,629.00 | 23 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,167.03 | $2,962.00 | $1,214.42 – $8,568.00 | 23 |
| Rpl tun-cvad w subq port CPT 36582 | $2,316.72 | $5,880.00 | $2,410.80 – $22,491.00 | 23 |
| Rpl tun cvc wo subq port CPT 36581 | $1,556.30 | $3,950.00 | $1,619.50 – $13,923.00 | 23 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $23,951.00 – $29,531.00 | 2 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $12,545.00 – $29,531.00 | 2 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $12,545.00 – $29,531.00 | 2 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $23,951.00 – $29,531.00 | 2 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $12,545.00 – $29,531.00 | 2 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $23,951.00 – $31,393.00 | 2 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $12,545.00 – $29,531.00 | 2 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $12,545.00 – $29,531.00 | 2 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $13,923.00 – $38,776.00 | 2 |
| Rsv assay w/optic CPT 87807 | $5.80 | $40.00 | $12.71 – $38.00 | 23 |
| Rubella antibody igg CPT 86762 | $10.36 | $56.00 | $13.96 – $53.20 | 23 |
| Rubeola antibody igg CPT 86765 | $11.10 | $60.00 | $12.49 – $53.20 | 23 |
| Russell viper venom diluted CPT 85613 | $6.12 | $60.00 | $9.29 – $57.00 | 23 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $382.53 | $2,752.00 | $889.57 – $2,614.40 | 23 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $95.34 | $183.00 | $75.03 – $256.49 | 23 |
| Salmonella antibody CPT 86768 | $13.50 | $73.00 | $12.79 – $69.35 | 23 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $307.33 | $896.00 | $235.63 – $851.20 | 23 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $375.93 | $1,096.00 | $103.66 – $1,041.20 | 23 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $323.45 | $943.00 | $103.66 – $895.85 | 23 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $240.44 | $701.00 | $287.41 – $665.95 | 14 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $199.63 | $582.00 | $238.62 – $552.90 | 14 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,211.94 | $3,076.00 | $1,261.16 – $13,923.00 | 23 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $12,545.00 – $22,491.00 | 2 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $3,990.00 – $13,923.00 | 2 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $3,990.00 – $13,923.00 | 2 |
| Screening Mammogram CPT 77067 | $231.49 | $404.00 | $110.29 – $700.00 | 13 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $52,955.81 | $131,404.00 | $28.70 – $66.50 | 14 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $260.48 | $370.00 | $103.66 – $351.50 | 23 |
| Sedimentation rate erythrocyte automated CPT 85652 | $0.92 | $9.00 | $2.62 – $8.55 | 23 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $40.26 | $127.00 | $52.07 – $298.00 | 14 |
| Semen analysis presence/motility CPT 89321 | $14.28 | $37.00 | $11.69 – $35.15 | 23 |
| Semen analysis w/count CPT 89310 | $10.04 | $26.00 | $8.35 – $24.70 | 23 |
| Sept9 promoter methylation analysis CPT 81327 | $80.06 | $576.00 | $186.24 – $547.20 | 23 |
| Sf3b1 gene common variants CPT 81347 | $80.62 | $580.00 | $187.45 – $551.00 | 23 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $3,990.00 – $9,872.00 | 2 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $3,990.00 – $9,872.00 | 2 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $3,237.54 | $13,895.00 | $128.33 – $297.35 | 14 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $22,491.00 – $38,776.00 | 2 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $22,491.00 – $38,776.00 | 2 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $22,491.00 – $38,776.00 | 2 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $22,491.00 – $38,776.00 | 2 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $22,491.00 – $38,776.00 | 2 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $69.01 | $134.00 | $54.94 – $171.65 | 23 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $129.21 | $248.00 | $85.84 – $235.60 | 23 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $31,393.00 – $38,776.00 | 2 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $97.95 | $188.00 | $77.08 – $178.60 | 14 |
| Shoulder MRI (with and without contrast) CPT 73223 | $605.18 | $1,601.00 | $656.41 – $1,520.95 | 14 |
| Shoulder MRI (with contrast) CPT 73222 | $504.25 | $1,334.00 | $546.94 – $1,267.30 | 14 |
| Shoulder MRI (without contrast) CPT 73221 | $403.33 | $1,067.00 | $437.47 – $1,119.00 | 14 |
| Shoulder X-ray CPT 73030 | $85.44 | $164.00 | $67.24 – $155.80 | 14 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $77.63 | $149.00 | $61.09 – $153.00 | 14 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $3,733.80 | $9,265.00 | $68.06 – $157.70 | 14 |
| Sialography s&i CPT 70390 | $303.74 | $583.00 | $106.00 – $553.85 | 14 |
| Sickling rbc CPT 85660 | $5.71 | $56.00 | $5.34 – $53.20 | 23 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $3,990.00 – $8,568.00 | 2 |
| Sinus CT scan (with and without contrast) CPT 70488 | $458.92 | $1,374.00 | $173.54 – $1,305.30 | 23 |
| Sinus CT scan (with contrast) CPT 70487 | $382.43 | $1,145.00 | $173.54 – $1,087.75 | 23 |
| Sinus CT scan (without contrast) CPT 70486 | $305.94 | $916.00 | $103.66 – $870.20 | 23 |
| Sinus X-ray (complete) CPT 70220 | $93.26 | $179.00 | $73.39 – $212.38 | 23 |
| Sinus X-ray (limited) CPT 70210 | $69.29 | $133.00 | $54.53 – $212.38 | 23 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $34.96 | $154.00 | $63.14 – $146.30 | 14 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $22,491.00 – $22,491.00 | 1 |
| Skull X-ray (1 to 3 views) CPT 70250 | $97.95 | $188.00 | $77.08 – $256.49 | 23 |
| Skull X-ray (complete) CPT 70260 | $112.54 | $216.00 | $88.56 – $256.49 | 23 |
| Slco1b1 gene com variants CPT 81328 | $72.98 | $525.00 | $169.57 – $498.75 | 23 |
| Sling suprapubic suburetheral HCPCS C1771 | $10,592.45 | $26,284.00 | $1,102.90 – $2,555.50 | 14 |
| Slp eval non-spch gen comm dev CPT 92605 | $166.63 | $308.00 | $126.28 – $298.00 | 14 |
| Slp ther svc non-spch gen CPT 92606 | $63.40 | $200.00 | $82.00 – $298.00 | 14 |
| Sm-153 lexidron ther HCPCS A9604 | $8,483.97 | $19,039.00 | $4,185.46 – $18,087.05 | 23 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $188.60 | $362.00 | $106.00 – $429.38 | 23 |
| Small bowel endoscopy CPT 44382 | not published | not published | $3,990.00 – $8,568.00 | 2 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $9.86 | $68.00 | $5.23 – $54.15 | 23 |
| Smear gram stain CPT 87205 | $1.88 | $13.00 | $4.14 – $12.35 | 23 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $2.61 | $18.00 | $5.81 – $17.10 | 23 |
| Smear wet mount CPT 87210 | $7.68 | $53.00 | $5.65 – $50.35 | 23 |
| Sodium 24 hour urine CPT 84300 | $16.34 | $72.00 | $4.91 – $15.20 | 23 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $0.01 | $0.15 | $0.06 – $0.28 | 14 |
| Sodium serum/plasma/whole blood CPT 84295 | $3.41 | $15.00 | $4.67 – $14.25 | 23 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $8,568.00 – $8,568.00 | 1 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $8,568.00 – $8,568.00 | 1 |
| Specific gravity body fluid CPT 84315 | $2.27 | $10.00 | $3.18 – $9.50 | 23 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $173.08 | $546.00 | $223.86 – $518.70 | 14 |
| Speech Therapy Session (one-on-one) CPT 92507 | $90.98 | $287.00 | $117.67 – $298.00 | 14 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $8,568.00 – $8,568.00 | 1 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $8,568.00 – $8,568.00 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $608.73 | $1,545.00 | $633.45 – $8,568.00 | 23 |
| Spine X-ray (single view, one level) CPT 72020 | $78.15 | $150.00 | $61.50 – $212.38 | 23 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $12,545.00 – $13,923.00 | 2 |
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.