NDC 0121090204
Reported by 20 hospitals in the network under the percent of billed charges methodology.
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Low
$138
Average
$190
Median
$203
High
$256
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | Catholic Health Initiatives Colorado | Colorado Springs, CO | $0 | $133 | $150 | $294 | $60 |
| 2 | Catholic Health Initiatives Colorado | Salt Lake City, UT | $1 | $180 | $205 | $334 | $64 |
| 3 | Catholic Health Initiatives Colorado | Colorado Springs, CO | $0 | $152 | $160 | $294 | $62 |
| 4 | Catholic Health Initiatives Colorado | Lehi, UT | $1 | $178 | $204 | $334 | $64 |
| 5 | St Francis Hospital | Colorado Springs, CO | $0 | $133 | $141 | $284 | $48 |
| 6 | Longmont United Hospital | Longmont, CO | $0 | $117 | $149 | $300 | $69 |
| 7 | Catholic Health Initiatives Colorado | Frisco, CO | $0 | $200 | $211 | $307 | $76 |
| 8 | Commonspirit Kansas, Inc. | Ulysses, KS | $0 | $273 | $222 | $317 | $93 |
| 9 | Commonspirit Kansas, Inc. | Dodge City, KS | $0 | $267 | $245 | $300 | $57 |
| 10 | Catholic Health Initiatives Colorado | Pueblo, CO | $92 | $150 | $169 | $294 | $64 |
Ask Claude or any MCP client for NDC 0121090204 pricing at a specific hospital — see how to connect.