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 |
|---|---|---|---|---|
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $18,248.00 – $29,531.00 | 2 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $18,248.00 – $29,531.00 | 2 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $12,545.00 – $29,531.00 | 2 |
| Cytogenetics 25-99 CPT 88274 | $62.59 | $128.00 | $41.11 – $121.60 | 23 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $11.10 | $60.00 | $13.96 – $57.00 | 23 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $11.29 | $61.00 | $16.34 – $57.95 | 23 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $116.87 | $239.00 | $52.09 – $227.05 | 23 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $79.22 | $162.00 | $25.81 – $153.90 | 23 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $29.83 | $61.00 | $19.65 – $57.95 | 23 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $133.01 | $272.00 | $38.27 – $258.40 | 23 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $138.39 | $283.00 | $38.27 – $268.85 | 23 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $44.01 | $90.00 | $36.90 – $162.97 | 14 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $168.22 | $344.00 | $141.04 – $413.30 | 23 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $282.64 | $578.00 | $52.09 – $549.10 | 23 |
| Cytopath smear other source CPT 88160 | $155.50 | $318.00 | $23.87 – $302.10 | 23 |
| Cytopath smear oth prep screen & interp CPT 88161 | $160.88 | $329.00 | $23.87 – $312.55 | 23 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $0.66 | $7.75 | $3.18 – $7.36 | 14 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $7,984.00 – $22,491.00 | 2 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Dch validity tests CPT 81002 | $1.41 | $11.00 | $3.38 – $10.45 | 23 |
| Deamidated gliadin antibody iga CPT 86258 | $10.91 | $59.00 | $11.69 – $35.15 | 23 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $3,990.00 – $13,923.00 | 2 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $12,545.00 – $13,923.00 | 2 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $3,990.00 – $13,923.00 | 2 |
| Decalcification CPT 88311 | $24.30 | $50.00 | $20.50 – $111.54 | 14 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $162.20 | $364.00 | $149.24 – $8,568.00 | 23 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $7,984.00 – $29,531.00 | 2 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $3.60 | $42.40 | $14.97 – $40.28 | 14 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $22,491.00 – $43,338.00 | 2 |
| Delivery of placenta 59414 CPT 59414 | $1,393.08 | $2,705.00 | $1,109.05 – $7,668.86 | 23 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $61.06 | $227.00 | $93.07 – $490.56 | 23 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $555.93 | $1,411.00 | $578.51 – $13,923.00 | 23 |
| Device ablt adv novasure HCPCS C1886 | $1,422.47 | $6,105.00 | $2,503.05 – $5,799.75 | 14 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $3,237.54 | $13,895.00 | $128.33 – $297.35 | 14 |
| Device sut capio slim opn HCPCS C2631 | $4,666.74 | $11,580.00 | $992.61 – $2,299.95 | 14 |
| Device tiss remov myosure reach HCPCS C1782 | $3,237.54 | $13,895.00 | $1,102.90 – $2,555.50 | 14 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $139.63 | $268.00 | $85.84 – $254.60 | 23 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $15.21 | $67.00 | $21.56 – $63.65 | 23 |
| Diabetes (HbA1c) Test CPT 83036 | $6.81 | $30.00 | $9.42 – $28.50 | 23 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $22,491.00 – $23,951.00 | 2 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $3,990.00 – $8,568.00 | 2 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $182.42 | $463.00 | $189.26 – $13,923.00 | 23 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $407.04 | $703.00 | $260.00 – $700.00 | 14 |
| Diagnostic Mammogram (one breast) CPT 77065 | $179.49 | $310.00 | $127.10 – $700.00 | 14 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $4,787.89 | $12,152.00 | $1,038.23 – $11,544.40 | 13 |
| Diffusing capacity CPT 94729 | $142.80 | $476.00 | $195.16 – $452.20 | 14 |
| Digoxin total therapeutic drug level CPT 80162 | $12.03 | $53.00 | $12.88 – $50.35 | 23 |
| Dilate biliary duct/ampulla CPT 47542 | $2,150.06 | $5,457.00 | $707.36 – $8,568.00 | 13 |
| Dilator fascial 10fx20cm HCPCS C2627 | $502.58 | $2,157.00 | $102.91 – $238.45 | 14 |
| Disability dlco CPT 94727 | $112.20 | $374.00 | $152.52 – $377.38 | 23 |
| Disaccharidases CPT 82657 | $82.17 | $362.00 | $21.50 – $106.40 | 23 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Dna antibody native/double stranded CPT 86225 | $11.47 | $62.00 | $13.33 – $39.90 | 23 |
| Dna gardnerella CPT 87510 | $13.05 | $90.00 | $19.45 – $85.50 | 23 |
| Dna trichomonas CPT 87660 | $8.84 | $61.00 | $19.45 – $57.95 | 23 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $0.36 | $4.20 | $0.63 – $3.99 | 14 |
| Doppler echo complete CPT 93320 | $293.04 | $740.00 | $277.14 – $1,058.00 | 14 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,148.80 | $1,795.00 | $735.95 – $1,980.00 | 14 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $324.14 | $945.00 | $152.52 – $598.50 | 23 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $209.92 | $612.00 | $125.65 – $387.60 | 23 |
| Dornhoffer fixed part w/window HCPCS L8614 | $88,258.61 | $219,004.00 | $20,651.70 – $128,162.82 | 14 |
| Dpyd gene common variants CPT 81232 | $72.98 | $525.00 | $169.57 – $498.75 | 23 |
| Drainage of kidney lesion CPT 50390 | $953.87 | $2,421.00 | $661.74 – $8,568.00 | 13 |
| Drain cath image guided visceral pq CPT 49405 | $998.79 | $2,535.00 | $1,039.35 – $13,923.00 | 23 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $411.34 | $1,044.00 | $428.04 – $8,568.00 | 23 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $12,545.00 – $13,923.00 | 2 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $3,733.80 | $9,265.00 | $348.50 – $807.50 | 14 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $170.07 | $422.00 | $54.86 – $295.68 | 14 |
| Drug admin & hemodynmic meas CPT 93463 | $2,867.84 | $4,481.00 | $515.18 – $4,256.95 | 14 |
| Drug assay caffeine CPT 80155 | $26.33 | $116.00 | $37.41 – $110.20 | 23 |
| Drug assay posaconazole CPT 80187 | $26.79 | $118.00 | $26.30 – $112.10 | 23 |
| Drug assay voriconazole CPT 80285 | $28.83 | $127.00 | $26.30 – $120.65 | 23 |
| Drug of abuse screen urine CPT 80305 | $8.63 | $38.00 | $12.22 – $36.10 | 23 |
| Drug screening tapentadol CPT 80372 | $12.71 | $56.00 | $22.96 – $53.20 | 14 |
| Drug test prsmv instrmnt CPT 80306 | $11.80 | $52.00 | $16.63 – $49.40 | 23 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $101.92 | $449.00 | $60.28 – $177.65 | 23 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $1,723.36 | $4,374.00 | $1,195.56 – $8,568.00 | 13 |
| Ductogram sgl duct CPT 77053 | $218.30 | $419.00 | $106.00 – $398.05 | 14 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $332.02 | $968.00 | $152.52 – $919.60 | 23 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $318.30 | $928.00 | $235.63 – $881.60 | 23 |
| Dxa bone density axl vrt fx CPT 77085 | $252.68 | $485.00 | $103.66 – $900.00 | 23 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $41.72 | $140.00 | $37.07 – $143.28 | 23 |
| Ecg external < 48 hours recording CPT 93225 | $181.04 | $405.00 | $100.76 – $384.75 | 23 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $270.44 | $605.00 | $57.91 – $574.75 | 23 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $143.93 | $322.00 | $38.27 – $305.90 | 23 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $103.26 | $231.00 | $38.27 – $219.45 | 23 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $760.72 | $1,921.00 | $534.50 – $1,824.95 | 23 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $291.06 | $735.00 | $235.63 – $698.25 | 23 |
| Echocardiography doppler color flow mapping CPT 93325 | $145.73 | $368.00 | $126.83 – $1,058.00 | 14 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $951.19 | $2,402.00 | $770.17 – $2,281.90 | 23 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $363.92 | $919.00 | $348.14 – $2,054.00 | 23 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $158.00 | $399.00 | $137.00 – $1,058.00 | 14 |
| Echo exam uterus 76831- CPT 76831 | $440.00 | $625.00 | $235.63 – $593.75 | 23 |
| Echo guide for amniocentesis CPT 76946 | $253.44 | $360.00 | $147.60 – $342.00 | 14 |
| Echo stress CPT 93350 | $389.27 | $983.00 | $403.03 – $1,322.47 | 23 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $538.56 | $1,360.00 | $534.50 – $1,322.47 | 23 |
| Echo transthoracic CPT 93303 | $427.68 | $1,080.00 | $442.80 – $1,322.47 | 23 |
| Echo transthoracic CPT 93304 | $327.89 | $828.00 | $339.48 – $1,322.47 | 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.