NDC 1199401104
Reported by 6 hospitals in the network under the other methodology.
Based on 72–387 billing samples across every hospital reporting.
Low
$209
Average
$330
Median
$271
High
$676
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 6 hospitals; the 90th percentile is 2.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Catholic Health Initiatives Colorado | Canon City, CO | $163 | $243 | $220 | 43–97 | $133 | $799 |
| 2 | Catholic Health Initiatives Colorado | Pueblo, CO | $311 | $325 | $128 | 11–110 | $175 | $781 |
| 3 | Catholic Health Initiatives Colorado | Colorado Springs, CO | $142 | $209 | $124 | 7–70 | $47 | $781 |
| 4 | Catholic Health Initiatives Colorado | Durango, CO | $196 | $230 | $67 | 5–50 | $166 | $799 |
| 5 | Catholic Health Initiatives Colorado | West Jordan, UT | $299 | $299 | $145 | 4–40 | $100 | $888 |
| 6 | Catholic Health Initiatives Colorado | Frisco, CO | $676 | $676 | — | 2–20 | $62 | $817 |
Ask Claude or any MCP client for NDC 1199401104 pricing at a specific hospital — see how to connect.