Banner Fort Collins Medical Center
Banner Fort Collins Medical Center in Fort Collins, CO publishes cash prices for 26 common procedures listed here, from its own machine-readable price file updated Mar 2, 2026. Click a procedure to compare it with other hospitals nearby.
4700 Lady Moon Drive, Fort Collins, CO 80528 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN&PELVIS W CNT | $525.93 | $1,352.00 | 61% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN&PELVIS W CNT | $525.93 | $1,352.00 | 61% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CNT | $376.08 | $1,126.00 | 67% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CNT | $376.08 | $1,126.00 | 67% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CNT | $495.98 | $1,275.00 | 61% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CNT | $495.98 | $1,275.00 | 61% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DX W/WO CAD BI | $407.04 | $703.00 | 42% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DX W/WO CAD BI | $407.04 | $703.00 | 42% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CNT | $472.75 | $1,525.00 | 69% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CNT | $472.75 | $1,525.00 | 69% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CNT | $709.28 | $2,288.00 | 69% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W&WO CNT | $709.28 | $2,288.00 | 69% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO CNT | $336.10 | $1,067.00 | 69% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO CNT | $336.10 | $1,067.00 | 69% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US UTERUS PREG 14+WK GEST SGL | $396.35 | $563.00 | 30% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US UTERUS PREG 14+WK GEST SGL | $396.35 | $563.00 | 30% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCRN W/WO CAD 2 VW BI | $231.49 | $404.00 | 43% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCRN W/WO CAD 2 VW BI | $231.49 | $404.00 | 43% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $321.73 | $457.00 | 30% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $321.73 | $457.00 | 30% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN CMP | $290.75 | $413.00 | 30% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN CMP | $290.75 | $413.00 | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LS 4+ VW | $108.89 | $209.00 | 48% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LS 4+ VW | $108.89 | $209.00 | 48% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB PANEL LIPID | $12.26 | $54.00 | 77% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB PANEL LIPID NS | $15.66 | $69.00 | 77% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB PANEL LIPID | $12.26 | $54.00 | 77% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB PANEL LIPID NS | $15.66 | $69.00 | 77% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 LAB PSA FREE | $12.71 | $56.00 | 77% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 LAB PSA FREE | $12.71 | $56.00 | 77% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 LAB PSA TOTAL | $12.71 | $56.00 | 77% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 LAB SCR PSA | $12.71 | $56.00 | 77% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LAB PSA TOTAL | $12.71 | $56.00 | 77% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LAB SCR PSA | $12.71 | $56.00 | 77% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LAB PTT PLASMA/BLD WHL NS | $5.51 | $54.00 | 90% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB PTT PLASMA/BLD WHL NS | $5.51 | $54.00 | 90% |
| Prothrombin time (PT/INR) clotting test CPT 85610 LAB PROTHROMBIN TIME | $5.20 | $51.00 | 90% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB PROTHROMBIN TIME | $5.20 | $51.00 | 90% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB THYROID STIMULATING HORMONE NS | $11.58 | $51.00 | 77% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB THYROID STIMULATING HORMONE | $12.26 | $54.00 | 77% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB THYROID STIMULATING HORMONE NS | $11.58 | $51.00 | 77% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB THYROID STIMULATING HORMONE | $12.26 | $54.00 | 77% |
| Urinalysis without microscope exam, automated CPT 81003 LAB UA GRAVITY SPCFC AUTO WO MICRO | $6.78 | $53.00 | 87% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 LAB UA GRAVITY SPCFC AUTO WO MICRO | $6.78 | $53.00 | 87% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Left heart catheterization, diagnostic one side CPT 93452 LHC W INJ/S VENTRCLGRPHY LT S&I | $7,226.24 | $11,291.00 | 36% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 LHC W INJ/S VENTRCLGRPHY LT S&I | $7,226.24 | $11,291.00 | 36% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ/S EPID/SUB L/S W IMG | $1,033.46 | $2,623.00 | 61% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ/S EPID/SUB L/S W IMG | $1,033.46 | $2,623.00 | 61% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ/S EPID/SUB L/S WO IMG | $814.00 | $2,066.00 | 61% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ/S EPID/SUB L/S WO IMG | $814.00 | $2,066.00 | 61% |
| Prostate biopsy CPT 55700 BX PROSTATE NDL/PUNCH SGL/MULT | $1,253.71 | $3,182.00 | 61% |
| Prostate biopsy inpatient CPT 55700 BX PROSTATE NDL/PUNCH SGL/MULT | $1,253.71 | $3,182.00 | 61% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 VISIT NEW LEVEL 3 | $135.91 | $305.00 | 55% |
| New patient office visit, about 30 minutes CPT 99203 VISIT OB TRIAGE NEW LEVEL 3 | $565.18 | $925.00 | 39% |
| New patient office visit, about 30 minutes inpatient CPT 99203 VISIT NEW LEVEL 3 | $135.91 | $305.00 | 55% |
| New patient office visit, about 30 minutes inpatient CPT 99203 VISIT OB TRIAGE NEW LEVEL 3 | $565.18 | $925.00 | 39% |
| New patient office visit, about 45 minutes CPT 99204 VISIT NEW LEVEL 4 | $187.16 | $420.00 | 55% |
| New patient office visit, about 45 minutes CPT 99204 VISIT OB TRIAGE NEW LEVEL 4 | $683.71 | $1,119.00 | 39% |
| New patient office visit, about 45 minutes inpatient CPT 99204 VISIT NEW LEVEL 4 | $187.16 | $420.00 | 55% |
| New patient office visit, about 45 minutes inpatient CPT 99204 VISIT OB TRIAGE NEW LEVEL 4 | $683.71 | $1,119.00 | 39% |
| New patient office visit, about 60 minutes CPT 99205 VISIT NEW LEVEL 5 | $254.00 | $570.00 | 55% |
| New patient office visit, about 60 minutes CPT 99205 VISIT OB TRIAGE NEW LEVEL 5 | $912.83 | $1,494.00 | 39% |
| New patient office visit, about 60 minutes inpatient CPT 99205 VISIT NEW LEVEL 5 | $254.00 | $570.00 | 55% |
| New patient office visit, about 60 minutes inpatient CPT 99205 VISIT OB TRIAGE NEW LEVEL 5 | $912.83 | $1,494.00 | 39% |