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 |
|---|---|---|---|---|
| Split blood or products CPT 86985 | $132.78 | $344.00 | $141.04 – $413.30 | 23 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $22,491.00 – $22,491.00 | 1 |
| Sprchoroidal spc njx rx agt CPT 67516 | $261.62 | $664.00 | $272.24 – $9,872.00 | 23 |
| Sputum specimen collection CPT 89220 | $132.78 | $344.00 | $106.37 – $413.30 | 23 |
| Srsf2 gene common variants CPT 81348 | $73.25 | $527.00 | $170.14 – $500.65 | 23 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $119.83 | $378.00 | $154.98 – $359.10 | 14 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $141.70 | $447.00 | $183.27 – $424.65 | 14 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $11,255.79 | $28,568.00 | $11,712.88 – $51,323.00 | 13 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $22,948.43 | $56,944.00 | $243.54 – $564.30 | 14 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $3,733.80 | $9,265.00 | $68.06 – $157.70 | 14 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $14,122.73 | $35,044.00 | $243.54 – $564.30 | 14 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $3,733.80 | $9,265.00 | $579.33 – $1,342.35 | 14 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $12,384.60 | $31,433.00 | $8,591.55 – $43,338.00 | 13 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $5,817.41 | $14,765.00 | $4,035.63 – $9,350.85 | 13 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $12,677.74 | $32,177.00 | $8,794.91 – $51,323.00 | 13 |
| St evaluate speech sound production CPT 92522 | $121.73 | $384.00 | $157.44 – $364.80 | 14 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $245.07 | $453.00 | $185.73 – $430.35 | 14 |
| Stimulants synthetic CPT 80371 | $36.32 | $160.00 | $65.60 – $152.00 | 14 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,369.59 | $2,513.00 | $391.72 – $2,387.35 | 23 |
| Strep a ag ia CPT 87430 | $7.39 | $51.00 | $16.31 – $48.45 | 23 |
| Strep b dna amp probe CPT 87653 | $15.37 | $106.00 | $34.04 – $100.70 | 23 |
| Stress test pulmonary CPT 94618 | $315.30 | $1,051.00 | $125.65 – $998.45 | 23 |
| Stress tte complete CPT 93351 | $591.23 | $1,493.00 | $534.50 – $1,418.35 | 23 |
| Str markers specimen anal CPT 81265 | $198.35 | $1,427.00 | $226.08 – $665.00 | 23 |
| Sulfonylurea screen qn-sendout CPT 80377 | $40.41 | $178.00 | $72.98 – $169.10 | 14 |
| Surgical pathology level 1 gross examination only CPT 88300 | $33.53 | $69.00 | $23.87 – $65.55 | 23 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $74.84 | $154.00 | $38.27 – $146.30 | 23 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $89.91 | $185.00 | $52.09 – $175.75 | 23 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $100.12 | $206.00 | $52.09 – $195.70 | 23 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $587.09 | $1,208.00 | $350.66 – $1,147.60 | 23 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $823.77 | $1,695.00 | $694.95 – $1,970.33 | 23 |
| Susceptibility agar dilution per agent CPT 87181 | $36.97 | $255.00 | $4.61 – $62.70 | 23 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $8.12 | $56.00 | $4.61 – $53.20 | 23 |
| Susceptibility mic per plate CPT 87186 | $77.20 | $200.00 | $8.39 – $24.70 | 23 |
| Suscept studies macrobroth dilution ea CPT 87188 | $16.67 | $115.00 | $6.44 – $55.10 | 23 |
| Svc venogram s&i CPT 75827 | $2,181.95 | $4,188.00 | $106.00 – $3,978.60 | 23 |
| Swallowing Evaluation (Bedside) CPT 92610 | $186.65 | $345.00 | $141.45 – $327.75 | 14 |
| Swallowing Therapy Session CPT 92526 | $92.88 | $293.00 | $120.13 – $298.00 | 14 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $9.62 | $52.00 | $4.27 – $49.40 | 23 |
| System pacing micra av HCPCS C1786 | $15,147.10 | $56,944.00 | $4,745.75 – $10,996.25 | 14 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $29,128.06 | $109,504.00 | $7,183.20 – $16,644.00 | 14 |
| System sealant biosentry tract HCPCS C2613 | $5,599.69 | $13,895.00 | $243.54 – $9,872.00 | 14 |
| T3 (triiodothyronine) free CPT 84481 | $16.12 | $71.00 | $16.43 – $51.30 | 23 |
| T3 (triiodothyronine) total CPT 84480 | $9.76 | $43.00 | $13.75 – $40.85 | 23 |
| T4 (thyroxine) free CPT 84439 | $14.98 | $66.00 | $8.75 – $26.60 | 23 |
| T4 (thyroxine) total CPT 84436 | $12.71 | $56.00 | $6.66 – $53.20 | 23 |
| Tacrolimus therapeutic drug level CPT 80197 | $14.53 | $64.00 | $13.32 – $54.15 | 23 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $72.42 | $139.00 | $56.99 – $212.38 | 23 |
| Target gsa panel hmtlmph neop CPT 81450 | $332.91 | $2,395.00 | $736.74 – $2,165.05 | 23 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,217.50 | $8,759.00 | $2,832.01 – $8,321.05 | 23 |
| Target gsa panel organ neop CPT 81445 | $249.37 | $1,794.00 | $579.97 – $1,704.30 | 23 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $55.50 | $300.00 | $97.00 – $285.00 | 23 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $34.41 | $186.00 | $60.12 – $176.70 | 23 |
| Tc-99m bicisate HCPCS A9557 | $1,836.84 | $3,389.00 | $663.29 – $3,219.55 | 22 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $3,487.23 | $6,434.00 | $1,009.11 – $6,112.30 | 22 |
| Tc-99m exametazime diag HCPCS A9521 | $981.02 | $1,810.00 | $742.10 – $1,925.62 | 22 |
| Tc-99m labeled rbc HCPCS A9560 | $332.25 | $613.00 | $166.00 – $582.35 | 12 |
| Tc-99m maa HCPCS A9540 | $124.12 | $229.00 | $49.80 – $217.55 | 12 |
| Tc-99m mebrofenin HCPCS A9537 | $223.30 | $412.00 | $93.79 – $391.40 | 12 |
| Tc-99m medronate HCPCS A9503 | $192.03 | $354.30 | $21.58 – $336.58 | 12 |
| Tc-99m mertiatide HCPCS A9562 | $334.96 | $618.00 | $253.38 – $587.10 | 12 |
| Tc-99m pentetate dtpa HCPCS A9539 | $296.47 | $547.00 | $224.27 – $519.65 | 12 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $314.90 | $581.00 | $238.21 – $551.95 | 12 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $7.05 | $13.00 | $2.81 – $12.35 | 12 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $44.99 | $83.00 | $34.03 – $106.32 | 12 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $150.62 | $277.90 | $113.94 – $264.00 | 12 |
| Tc-99m sulfur colloid HCPCS A9541 | $221.14 | $408.00 | $167.28 – $443.83 | 12 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $149.05 | $275.00 | $112.75 – $261.25 | 12 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,300.53 | $2,399.50 | $983.79 – $2,279.53 | 12 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $26.09 | $141.00 | $45.57 – $133.95 | 23 |
| T cells absolute cd 4 count CPT 86361 | $20.54 | $111.00 | $25.98 – $105.45 | 23 |
| T cells total count CPT 86359 | $21.09 | $114.00 | $36.60 – $108.30 | 23 |
| Team conf without pat by hc pro CPT 99368 | $36.14 | $114.00 | $46.74 – $298.00 | 14 |
| Team conf w/pat by hc prof CPT 99366 | $41.21 | $130.00 | $53.30 – $298.00 | 14 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $409.86 | $1,035.00 | $424.35 – $2,054.00 | 23 |
| Tendon lengthening CPT 26476 | not published | not published | $8,568.00 – $12,545.00 | 2 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $12,545.00 – $13,923.00 | 2 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Tert gene targeted seq alys CPT 81345 | $77.28 | $556.00 | $179.64 – $528.20 | 23 |
| Testicular imaging w/vasc flow CPT 78761 | $442.54 | $812.00 | $332.92 – $969.19 | 23 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $92.64 | $240.00 | $57.91 – $228.00 | 23 |
| Test stress cardiovascular tracing only CPT 93017 | $474.98 | $741.00 | $214.61 – $751.08 | 23 |
| Theophylline therapeutic drug level CPT 80198 | $9.76 | $43.00 | $13.72 – $40.85 | 23 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $17.80 | $129.00 | $52.89 – $298.00 | 14 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $18.35 | $133.00 | $54.53 – $298.00 | 14 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $7,984.00 – $29,531.00 | 2 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $73.98 | $142.00 | $58.22 – $153.00 | 14 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,568.12 | $3,980.00 | $1,087.73 – $8,568.00 | 13 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,663.89 | $3,053.00 | $391.72 – $2,900.35 | 23 |
| Thrombectmy crnry perq mechanical CPT 92973 | $2,304.00 | $3,600.00 | $909.15 – $3,420.00 | 14 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $12,315.26 | $31,257.00 | $11,055.14 – $41,769.00 | 23 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $16,806.46 | $42,656.00 | $17,488.96 – $43,310.74 | 23 |
| Thrombin time CPT 85670 | $5.71 | $56.00 | $5.60 – $17.10 | 23 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $10.51 | $103.00 | $6.28 – $97.85 | 23 |
| Thyroglobulin antibody CPT 86800 | $17.76 | $96.00 | $15.43 – $54.15 | 23 |
| Thyroid imaging CPT 78013 | $623.48 | $1,144.00 | $391.72 – $1,086.80 | 23 |
| Thyroid mets imag whole body CPT 78018 | $1,228.98 | $2,255.00 | $524.72 – $2,142.25 | 23 |
| Thyroid (TSH) Test CPT 84443 | $12.26 | $54.00 | $16.30 – $48.45 | 23 |
| Thyroid Ultrasound CPT 76536 | $311.17 | $442.00 | $103.66 – $419.90 | 23 |
| Thyroid uptake measurement CPT 78012 | $361.34 | $663.00 | $271.83 – $969.19 | 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.