NDC 0121090204
Reported by 20 hospitals in the network.
Filter by billing methodology
Low
$121
Average
$171
Median
$175
High
$252
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | Catholic Health Initiatives Colorado | Colorado Springs, CO | $0 | $128 | $130 | $294 | $76 |
| 2 | Catholic Health Initiatives Colorado | Salt Lake City, UT | $1 | $178 | $201 | $334 | $69 |
| 3 | Catholic Health Initiatives Colorado | Colorado Springs, CO | $0 | $143 | $143 | $294 | $77 |
| 4 | Catholic Health Initiatives Colorado | Lehi, UT | $1 | $177 | $199 | $334 | $69 |
| 5 | St Francis Hospital | Colorado Springs, CO | $0 | $128 | $127 | $284 | $62 |
| 6 | Longmont United Hospital | Longmont, CO | $0 | $117 | $136 | $300 | $79 |
| 7 | Catholic Health Initiatives Colorado | Frisco, CO | $0 | $200 | $181 | $307 | $101 |
| 8 | Commonspirit Kansas, Inc. | Ulysses, KS | $0 | $267 | $212 | $317 | $103 |
| 9 | Commonspirit Kansas, Inc. | Dodge City, KS | $0 | $219 | $161 | $300 | $124 |
| 10 | Catholic Health Initiatives Colorado | Pueblo, CO | $92 | $149 | $157 | $294 | $75 |
Ask Claude or any MCP client for NDC 0121090204 pricing at a specific hospital — see how to connect.