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 |
|---|---|---|---|---|
| Eeg 41-60 minutes 95812-26 CPT 95812 | $906.91 | $1,608.00 | $303.56 – $1,527.60 | 23 |
| Eeg during surgery CPT 95955 | $451.20 | $800.00 | $328.00 – $1,178.00 | 14 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $842.62 | $1,494.00 | $303.56 – $1,419.30 | 23 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,119.54 | $1,985.00 | $303.56 – $1,885.75 | 23 |
| Eeg recording awake and asleep CPT 95819 | $991.51 | $1,758.00 | $303.56 – $1,670.10 | 23 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $1,042.84 | $1,849.00 | $303.56 – $1,756.55 | 23 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $834.16 | $1,479.00 | $303.56 – $1,405.05 | 23 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $1,460.20 | $2,589.00 | $517.24 – $2,459.55 | 23 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $1,376.72 | $2,441.00 | $517.24 – $2,318.95 | 23 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $959.36 | $1,701.00 | $303.56 – $1,615.95 | 23 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $1,251.52 | $2,219.00 | $517.24 – $2,108.05 | 23 |
| E equine encephalitis igg CPT 86652 | $12.03 | $65.00 | $12.79 – $61.75 | 23 |
| Egd control bleeding any CPT 43255 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Egd dilate stricture CPT 43245 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Egd remove foreign body CPT 43247 | not published | not published | $3,990.00 – $13,923.00 | 2 |
| Egd remove lesion snare CPT 43251 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Egd varices ligation CPT 43244 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Egfr gene com variants CPT 81235 | $135.39 | $974.00 | $314.84 – $925.30 | 23 |
| EKG (Tracing Only) CPT 93005 | $85.82 | $288.00 | $35.20 – $273.60 | 23 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $81.80 | $157.00 | $64.37 – $153.00 | 14 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $97.95 | $188.00 | $77.08 – $178.60 | 14 |
| Elect analysis of infusion pump 62367 CPT 62367 | $178.48 | $453.00 | $185.73 – $13,923.00 | 23 |
| Electrd sq emblem s-icd HCPCS C1896 | $7,944.74 | $19,714.00 | $2,849.50 – $6,602.50 | 14 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $11.18 | $81.00 | $33.21 – $298.00 | 14 |
| Electrical stimulation/unattended 97014 CPT 97014 | $11.18 | $81.00 | $33.21 – $298.00 | 14 |
| Electrolyte panel CPT 80051 | $4.99 | $22.00 | $6.80 – $20.90 | 23 |
| Electron microscopy diagnostic CPT 88348 | $1,150.85 | $2,368.00 | $796.34 – $2,249.60 | 23 |
| Electrophysiology evaluation CPT 93619 | $7,339.46 | $24,712.00 | $7,397.11 – $41,769.00 | 23 |
| Electrophysiology evaluation CPT 93620 | $11,542.01 | $38,862.00 | $7,397.11 – $41,769.00 | 23 |
| Electrophysiology evaluation CPT 93621 | $3,217.10 | $10,832.00 | $4,441.12 – $41,769.00 | 14 |
| Electrophysiology evaluation CPT 93622 | $4,728.83 | $15,922.00 | $6,528.02 – $41,769.00 | 14 |
| Electrophysiology evaluation CPT 93641 | $1,126.82 | $3,794.00 | $1,555.54 – $41,769.00 | 14 |
| Electrophys map 3d add-on CPT 93613 | $2,576.77 | $8,676.00 | $1,505.30 – $23,075.00 | 14 |
| Embo or occlude vascular arterial s&i CPT 37242 | $5,114.91 | $12,982.00 | $5,322.62 – $43,310.74 | 23 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $5,929.31 | $15,049.00 | $6,170.09 – $27,352.92 | 23 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $5,610.56 | $14,240.00 | $5,838.40 – $27,352.92 | 23 |
| Embo or occlude vascular venous s&i CPT 37241 | $6,842.20 | $17,366.00 | $7,120.06 – $27,352.92 | 23 |
| Emb without cervical dilation 58100 CPT 58100 | not published | not published | $3,990.00 – $8,568.00 | 2 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $280.29 | $629.00 | $125.65 – $597.55 | 23 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $420.66 | $944.00 | $152.52 – $896.80 | 23 |
| Encephalitis, california igg/igm CPT 86651 | $12.03 | $65.00 | $12.79 – $61.75 | 23 |
| Encephalitis, st louis igg/igm CPT 86653 | $12.03 | $65.00 | $12.79 – $61.75 | 23 |
| Encephalitis, western equine igg/igm CPT 86654 | $12.03 | $65.00 | $12.79 – $61.75 | 23 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $4,389.55 | $11,141.00 | $2,255.41 – $22,491.00 | 13 |
| Endoluminal bx biliary tree CPT 47543 | $1,004.31 | $2,549.00 | $745.52 – $8,568.00 | 13 |
| Endoluminl ivus oct c 1st CPT 92978 | $3,158.40 | $4,935.00 | $1,980.00 – $9,872.00 | 14 |
| Endoluminl ivus oct c ea CPT 92979 | $1,272.32 | $1,988.00 | $815.08 – $9,872.00 | 14 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $18,248.00 – $41,769.00 | 2 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $22,491.00 – $31,934.00 | 2 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $3,990.00 – $8,568.00 | 2 |
| Endoscopy swallow (fees) vid CPT 92612 | $178.53 | $330.00 | $135.30 – $9,872.00 | 14 |
| Endovenous laser vein addon 36479 CPT 36479 | $1,494.05 | $3,792.00 | $1,036.48 – $8,568.00 | 13 |
| Enzyme histochemistry CPT 88319 | $785.38 | $1,616.00 | $662.56 – $1,970.33 | 23 |
| Ep & ablate supravent arrhyt CPT 93653 | $9,636.46 | $32,446.00 | $13,302.86 – $59,170.73 | 23 |
| Ep & ablate ventric tachy CPT 93654 | $11,609.43 | $39,089.00 | $16,026.49 – $59,170.73 | 23 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $494.86 | $1,256.00 | $343.17 – $8,568.00 | 13 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $11.85 | $26.60 | $0.34 – $1.28 | 14 |
| Epstein barr early antigen antibody CPT 86663 | $10.18 | $55.00 | $12.73 – $52.25 | 23 |
| Epstein barr nuclear antigen antibody CPT 86664 | $9.99 | $54.00 | $14.83 – $43.70 | 23 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $11.47 | $62.00 | $17.60 – $52.25 | 23 |
| Ercp biliary & pancreas CPT 74330 | $683.03 | $1,311.00 | $106.00 – $1,245.45 | 14 |
| ER Visit (level 1, minor) CPT 99281 | $352.83 | $616.00 | $85.84 – $3,979.00 | 23 |
| ER Visit (level 2) CPT 99282 | $525.17 | $1,163.00 | $154.38 – $3,979.00 | 23 |
| ER Visit (level 3) CPT 99283 | $1,074.28 | $1,669.00 | $269.92 – $3,979.00 | 23 |
| ER Visit (level 4) CPT 99284 | $2,127.47 | $2,175.00 | $415.10 – $4,750.00 | 23 |
| ER Visit (level 5, high severity) CPT 99285 | $2,245.25 | $2,675.00 | $597.67 – $4,750.00 | 23 |
| Esophageal motility CPT 78258 | $571.16 | $1,048.00 | $391.72 – $995.60 | 23 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $7,984.00 – $8,568.00 | 2 |
| Esophagus motility study CPT 91010 | $1,123.00 | $2,103.00 | $517.24 – $8,568.00 | 23 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Establish access to aorta CPT 36160 | $394.00 | $1,000.00 | $410.00 – $13,923.00 | 13 |
| Established Patient Office Visit (level 1) CPT 99211 | $76.38 | $125.00 | $46.86 – $109.25 | 14 |
| Established Patient Office Visit (level 2) CPT 99212 | $191.24 | $313.00 | $57.40 – $189.09 | 14 |
| Established Patient Office Visit (level 3) CPT 99213 | $378.21 | $619.00 | $69.70 – $354.64 | 14 |
| Established Patient Office Visit (level 4) CPT 99214 | $584.73 | $957.00 | $88.15 – $521.89 | 14 |
| Established Patient Office Visit (level 5) CPT 99215 | $821.18 | $1,344.00 | $110.70 – $772.80 | 14 |
| Estradiol total CPT 82670 | $19.07 | $84.00 | $27.10 – $79.80 | 23 |
| Estrogens total-sendout CPT 82672 | $14.98 | $66.00 | $21.05 – $62.70 | 23 |
| Ethylene glycol -sendout CPT 82693 | $21.34 | $94.00 | $14.45 – $89.30 | 23 |
| Euglobulin lysis CPT 85360 | $2.65 | $26.00 | $8.16 – $24.70 | 23 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $7,984.00 – $31,393.00 | 2 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $233.17 | $431.00 | $176.71 – $409.45 | 14 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $66.97 | $295.00 | $95.17 – $280.25 | 23 |
| Evaluation heart device CPT 93640 | $735.07 | $2,475.00 | $1,014.75 – $41,769.00 | 14 |
| Evaluation of speech fluency 92521 CPT 92521 | $145.50 | $459.00 | $188.19 – $436.05 | 14 |
| Event monitor CPT 93270 | $209.64 | $469.00 | $36.36 – $445.55 | 23 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $66.84 | $150.00 | $61.50 – $142.50 | 14 |
| Evoked potentials upper limbs CPT 95925 | $561.47 | $1,260.00 | $303.56 – $1,197.00 | 23 |
| Evoked potential visual not glaucoma CPT 95930 | $524.04 | $1,176.00 | $303.56 – $1,117.20 | 23 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $12,545.00 – $22,491.00 | 2 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $12,545.00 – $29,531.00 | 2 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $3,990.00 – $13,923.00 | 2 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $12,545.00 – $13,923.00 | 2 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $7,984.00 – $13,923.00 | 2 |
| Exchange biliary drg cath CPT 47536 | $1,867.17 | $4,739.00 | $1,942.99 – $13,923.00 | 23 |
| Exchange drainage catheter CPT 49423 | $1,030.31 | $2,615.00 | $1,072.15 – $8,568.00 | 23 |
| Exchange nephrostomy cath CPT 50435 | $1,707.99 | $4,335.00 | $1,184.90 – $8,568.00 | 13 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | not published | not published | $12,545.00 – $22,491.00 | 2 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $18,248.00 – $41,769.00 | 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.