Supplies, drugs & other prices at Banner Fort Collins Medical Center

Fort Collins, CO · every code in this section with a posted price and a Medicare benchmark.

38 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $673.20 $1,700 0.8×
2d tte w or w/o fol w/con,fu (C8924) $363.92 $919 1.0×
Admin hepatitis b vaccine (G0010) $16.40 $118 0.3×
Admin influenza virus vac (G0008) $16.40 $118 0.3×
Admin pneumococcal vaccine (G0009) $16.40 $118 0.3×
Catheterize for urine spec (P9612) $15.83 $41 1.7×
Direct refer hospital observ (G0379) $202.74 $654 0.3×
Fern test (Q0114) $14.98 $66 1.5×
FLT3 (fms-related tyrosine kinase 3) (eg, acute lyeloid leukemia) internal tandem duplication (ITD) variants,… (0046U) $250.20 $1,800 0.6×
Instlj fecal microbiota ssp rct nma lwr gi trc (0780T) $349.24 $654 2.5×
Neuro csf prion prtn qual (0035U) $225.60 $1,623 0.4×
NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative Other Outpatient (0049U) $316.22 $2,275 0.8×
Pathogen test for platelets (P9100) $92.64 $240 1.5×
Perc d-e cor revasc chro sin (C9607) $15,304.96 $23,914 0.8×
Perc d-e cor revasc t cabg s (C9604) $12,244.48 $19,132 1.0×
Perc d-e cor stent ather s (C9602) $14,408.32 $22,513 0.7×
Perc drug-el cor stent sing (C9600) $13,563.52 $21,193 1.1×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0629T)
unusually low — confirm this is the full procedure
$4,163.40 $10,567 0.3×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T)
unusually low — confirm this is the full procedure
$4,163.40 $10,567 0.3×
Perq sac agmntj bi w/wo balo/mchnl dev 2/> ndls (0201T)
unusually low — confirm this is the full procedure
$3,550.33 $9,011 0.5×
Perq sac agmntj uni w/wo balo/mchnl dev 1/> ndl (0200T)
unusually low — confirm this is the full procedure
$3,183.52 $8,080 0.4×
Prostate biopsy, any mthd (G0416) $538 $1,107 1.4×
Red blood cell antigen typing, DNA, human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups,… (0001U) $399.60 $2,160 0.6×
Revasc intravasc lithotripsy (C9764)
unusually low — confirm this is the full procedure
$5,648.38 $14,336 0.5×
Revasc lithotrip tibi/perone (C9772) $6,551.83 $16,629 0.5×
Tcat insj perm dual chamber ldls pm compl sys (0795T) $15,170.18 $38,503 0.7×
Tee w or w/o fol w/cont,cong (C8926) $409.86 $1,035 0.5×
Therapeutic ultrafiltration (0692T) $988.81 $2,219 0.6×
Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter… (0339T) $3,589.73 $9,111 0.6×
Trauma respons w/hosp criti (G0390) $1,471.62 $3,302.50 1.0×
Trgt gen seq DNA 324 genes (0037U) $1,459.50 $10,500 0.4×
Trnscth renal symp denrv unl (0338T)
unusually low — confirm this is the full procedure
$2,393.16 $6,074 0.4×
Tte w or w/o contr, cont ecg (C8930) $739.33 $1,867 0.9×
Tte w or w/o fol w/con,stres (C8928) $486.68 $1,229 0.6×
Tte w or w/o fol w/cont, com (C8921) $534.60 $1,350 0.6×
Tte w or w/o fol w/cont, f/u (C8922) $409.86 $1,035 0.5×
Tte w or wo fol wcon,doppler (C8929) $951.19 $2,402 1.2×
Unsched dialysis esrd pt hos (G0257) $882.31 $1,980 1.2×