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CMS Price Transparency Data Hospital file updated: 2026-09-23

New patient office visit (30-44 min)

Facility: Banner Fort Collins Medical Center

Billing Code: 99203 (CPT)

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.High Markup · Shop Alternatives
$143Fair BaseRate (2.76× Market)
Position vs. 1.00× Fair Price+176% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

This hospital's typical commercial price is $395 compared to the $143 fair price benchmark.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.High-Markup · Check Safety
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety ScoreNot ScoredComposite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

The BaseRate · fair price medium confidence
A fair price for this
$143
about 1.2× the $118 Medicare rate · typically $92–$359
modeled estimate · not a bill or quote
What this hospital charges insurers
$395
Well above the fair price
about $252 over the fair price · 3.3× Medicare
Medicare pays $118 Fair price $143 This hospital $395 Cash price $379 Hospital's list price $662

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

Highest price of the 9 CO hospitals we have prices for — worth calling around.

Cheapest $57 Priciest $395

Black dot = this hospital, among the 9 CO hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $143 (about 1.2× the $118 Medicare rate). Banner Fort Collins Medical Center charges insurers about $395, or about $379 in cash — well above the fair price. Located in Fort Collins, CO.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $143. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaKaiser Permanente Humana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $147 - $818 125%
Blue Cross Blue Shieldmajor $395 336%
Aetnamajor $114 - $860 97%
Cignamajor $237 - $800 202%
Kaiser Permanentemajor $138 - $461 117%
Banner Health $125 - $417 106%
Health Net $272 - $907 231%
Medica $257 - $859 219%
+ 6 smaller / regional plans $152 - $967
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 4700 Lady Moon Dr, Fort Collins, CO 80528
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals

Other Procedures at Banner Fort Collins Medical Center

Compare: New patient office visit (30-44 min) at other CO hospitals

Insurance negotiated median for the same procedure, sorted lowest first.

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at Banner Fort Collins Medical Center (Zero PHI Required)

CMS CCN: 060126
CPT 99203
Fair BaseRate™ $143
Medicare Rate $118
Self-Pay Cash $379
Insurer Median $395
Pre-filled with Banner Fort Collins Medical Center’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $240 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $240

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $240).

Step 2 · Cash vs. Insurance Arbitrage Save $283 Paying Cash

Self-Pay Cash Rate ($379) Beats Your Bill

Banner Fort Collins Medical Center's published 45 CFR § 180 self-pay cash rate is $379 (vs. $395 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$519 Above Fair BaseRate

Negotiate Toward $143 Fair BaseRate ($118 Medicare)

Your bill ($662) is $519 above the denoised Fair BaseRate ($143) and 5.6× the $118 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

45 CFR § 180 Primary-Source Lineage & Federal Verification Verified CMS CCN 060126

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (450233470_banner-fort-collins-medical-center_standardcharges.csv) Verify on CMS Medicare.gov (CCN 060126) ↗ CMS HCRIS Cost Reports ↗
Published MRF File450233470_banner-fort-collins-medical-center_standardcharges.csv
Publication / Vintage2026-09-23 · 57.31 MB
Validated Rate Rows636,810 (CMS v3.0.0)
File Integrity Digestdf287e662dd542c2ff43…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy