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 |
|---|---|---|---|---|
| Ultrasound hips infant dynamic CPT 76885 | $252.03 | $358.00 | $85.84 – $340.10 | 23 |
| Ultrasound infant hips ltd without stress CPT 76886 | $178.82 | $254.00 | $85.84 – $328.00 | 23 |
| Ultrasound joint complete left CPT 76881 | $350.59 | $498.00 | $103.66 – $473.10 | 23 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $212.61 | $302.00 | $123.82 – $432.85 | 14 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $145.73 | $207.00 | $84.87 – $328.00 | 14 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $720.19 | $1,023.00 | $235.63 – $971.85 | 23 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $259.07 | $368.00 | $103.66 – $349.60 | 23 |
| Ultrasound prostate/transrectal CPT 76872 | $626.56 | $890.00 | $103.66 – $845.50 | 23 |
| Ultrasound spinal canal and contents CPT 76800 | $377.34 | $536.00 | $103.66 – $509.20 | 23 |
| Ultrasound transabd ea addl gest CPT 76812 | $497.02 | $706.00 | $277.00 – $950.50 | 14 |
| Unlisted hematology&coagj px CPT 85999 | $5.81 | $57.00 | $23.37 – $54.15 | 14 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $23,951.00 – $31,393.00 | 2 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $9,872.00 – $23,951.00 | 2 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $22,491.00 – $23,951.00 | 2 |
| Unlisted procedure microbiology CPT 87999 | $124.12 | $856.00 | $350.96 – $813.20 | 14 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $8,568.00 – $8,568.00 | 1 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $8,568.00 – $8,568.00 | 1 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $8,568.00 – $8,568.00 | 1 |
| Unlisted transfusion med px CPT 86999 | $103.45 | $268.00 | $23.87 – $254.60 | 23 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $882.31 | $1,980.00 | $682.10 – $1,881.00 | 23 |
| Upgrade pm system CPT 33214 | $7,764.56 | $19,707.00 | $8,079.87 – $41,769.00 | 23 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $88.57 | $170.00 | $69.70 – $161.50 | 14 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $555.10 | $1,427.00 | $173.54 – $1,355.65 | 23 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $443.85 | $1,141.00 | $103.66 – $1,083.95 | 23 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $490.46 | $1,557.00 | $348.14 – $1,479.15 | 23 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $408.87 | $1,298.00 | $348.14 – $1,233.10 | 23 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $326.97 | $1,038.00 | $235.63 – $986.10 | 23 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $83.88 | $161.00 | $66.01 – $256.49 | 23 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $103.16 | $198.00 | $81.18 – $256.49 | 23 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $3,990.00 – $8,568.00 | 2 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $3,990.00 – $13,923.00 | 2 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $215.69 | $414.00 | $106.00 – $429.38 | 23 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $188.60 | $362.00 | $106.00 – $429.38 | 23 |
| Urea nitrogen CPT 84520 | $2.72 | $12.00 | $3.83 – $11.40 | 23 |
| Urea nitrogen 24 hour urine CPT 84540 | $11.80 | $52.00 | $5.39 – $49.40 | 23 |
| Ureteral reflux study CPT 78740 | $433.82 | $796.00 | $326.36 – $969.19 | 23 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $338.13 | $649.00 | $106.00 – $616.55 | 23 |
| Urethrocystography void s&i CPT 74455 | $270.40 | $519.00 | $106.00 – $583.01 | 23 |
| Uric acid blood CPT 84550 | $3.18 | $14.00 | $4.38 – $13.30 | 23 |
| Uric acid urine CPT 84560 | $16.34 | $72.00 | $4.93 – $15.20 | 23 |
| Urinalysis microscopic only CPT 81015 | $1.28 | $10.00 | $2.96 – $9.50 | 23 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $0.90 | $7.00 | $2.10 – $6.65 | 23 |
| Urinalysis (with microscopy) CPT 81001 | $1.28 | $10.00 | $3.07 – $9.50 | 23 |
| Urinalysis (without microscopy) CPT 81003 | $6.78 | $53.00 | $2.18 – $6.65 | 23 |
| Urine Culture Test CPT 87086 | $3.62 | $25.00 | $7.83 – $23.75 | 23 |
| Urine pregnancy test CPT 81025 | $7.42 | $58.00 | $8.35 – $24.70 | 23 |
| Urography, antegrade CPT 74425 | $466.82 | $896.00 | $106.00 – $861.38 | 23 |
| Use 1st target lesion CPT 76982 | $242.18 | $344.00 | $103.66 – $328.00 | 23 |
| Vaccine Administration (one shot) CPT 90471 | $16.40 | $118.00 | $48.38 – $171.65 | 23 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $44.18 | $519.75 | $213.10 – $923.18 | 14 |
| Vaccine varicella live subcutaneous CPT 90716 | $45.30 | $532.90 | $218.49 – $506.25 | 14 |
| Vag hyst including t/o CPT 58262 | not published | not published | $18,248.00 – $31,393.00 | 2 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $18,248.00 – $31,393.00 | 2 |
| Valproic acid total therapeutic drug level CPT 80164 | $12.03 | $53.00 | $13.13 – $50.35 | 23 |
| Vancomycin peak therapeutic drug level CPT 80202 | $9.31 | $41.00 | $13.13 – $38.95 | 23 |
| Varicella zoster antibody igg CPT 86787 | $7.22 | $39.00 | $12.49 – $37.05 | 23 |
| Vasectomy CPT 55250 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Veeg cont 2-12 hrs CPT 95713 | $1,303.97 | $2,312.00 | $517.24 – $2,196.40 | 23 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $1,825.67 | $3,237.00 | $788.00 – $3,075.15 | 23 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $1,199.63 | $2,127.00 | $303.56 – $2,020.65 | 23 |
| Veeg unmon 12-26 hrs CPT 95714 | $1,564.54 | $2,774.00 | $517.24 – $2,635.30 | 23 |
| Veeg unmon 2-12 hrs CPT 95711 | $1,042.84 | $1,849.00 | $303.56 – $1,756.55 | 23 |
| Vein x-ray kidney CPT 75831 | $2,689.92 | $5,163.00 | $106.00 – $4,904.85 | 14 |
| Venipuncture <3 yrs other vein CPT 36406 | $19.31 | $49.00 | $20.09 – $46.86 | 13 |
| Venogram ext bil s&i CPT 75822 | $1,942.29 | $3,728.00 | $106.00 – $3,746.83 | 23 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,007.09 | $1,933.00 | $106.00 – $1,836.35 | 14 |
| Venous mech thrombectomy CPT 37187 | $4,267.81 | $10,832.00 | $4,441.12 – $41,913.00 | 23 |
| Venous m-thrombectomy add-on CPT 37188 | $2,891.57 | $7,339.00 | $3,008.99 – $41,913.00 | 23 |
| Venous sampling s&i CPT 75893 | $3,559.99 | $6,833.00 | $106.00 – $13,038.29 | 23 |
| Ven thrombosis images bilat CPT 78458 | $720.49 | $1,322.00 | $391.72 – $1,255.90 | 23 |
| Ventilator each subsequent day CPT 94003 | $1,089.99 | $4,052.00 | $341.99 – $3,849.40 | 23 |
| Ventilator Management (first day) CPT 94002 | $1,188.44 | $4,418.00 | $487.19 – $4,197.10 | 23 |
| Version cephalic external CPT 59412 | $285.75 | $635.00 | $260.35 – $7,668.86 | 23 |
| Very long chain fatty acids CPT 82726 | $46.54 | $205.00 | $19.16 – $194.75 | 23 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | $188.60 | $362.00 | $106.00 – $429.38 | 23 |
| Virus isolation addl studies ea CPT 87253 | $9.42 | $65.00 | $19.59 – $57.95 | 23 |
| Vital capacity test CPT 94150 | $56.70 | $189.00 | $77.49 – $377.38 | 23 |
| Vitamin b-12 CPT 82607 | $12.26 | $54.00 | $14.63 – $51.30 | 23 |
| Vitamin D Test CPT 82306 | $20.20 | $89.00 | $28.71 – $84.55 | 23 |
| Vkorc1 gene CPT 81355 | $36.84 | $265.00 | $85.55 – $251.75 | 23 |
| Volume measurement urine timed CPT 81050 | $1.41 | $11.00 | $3.53 – $10.45 | 23 |
| Walking (Gait) Training (each 15 minutes) CPT 97116 | $15.18 | $110.00 | $45.10 – $298.00 | 14 |
| Warde 1003990 aldosterone CPT 82088 | $61.29 | $270.00 | $39.53 – $116.85 | 23 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $39.50 | $174.00 | $26.97 – $79.80 | 23 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $13.85 | $61.00 | $12.51 – $57.95 | 23 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $17.25 | $76.00 | $24.49 – $72.20 | 23 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $18.61 | $82.00 | $15.04 – $77.90 | 23 |
| Warde 1015200 kappa light chain free CPT 83521 | $15.66 | $69.00 | $16.75 – $57.95 | 23 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $13.39 | $59.00 | $7.78 – $56.05 | 23 |
| Warde 3008005 oligoclonal bands CPT 83916 | $18.84 | $83.00 | $26.57 – $78.85 | 23 |
| Warde 3016000 west nile virus antibody CPT 86788 | $13.32 | $72.00 | $16.34 – $68.40 | 23 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $13.32 | $72.00 | $13.96 – $68.40 | 23 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $10.18 | $55.00 | $11.88 – $52.25 | 23 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $3.91 | $27.00 | $8.63 – $25.65 | 23 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $10.30 | $71.00 | $17.44 – $67.45 | 23 |
| Warde 3400852 arsenic CPT 82175 | $21.57 | $95.00 | $18.40 – $59.85 | 23 |
| Warde 3708165 mercury urine CPT 83825 | $19.98 | $88.00 | $15.77 – $46.55 | 23 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $18.32 | $99.00 | $17.85 – $94.05 | 23 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $11.10 | $60.00 | $11.69 – $53.20 | 23 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $35.64 | $157.00 | $7.86 – $55.10 | 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.