NDC 5515023930
Reported by 23 hospitals in the network.
Filter by billing methodology
Based on 285–1,752 billing samples across every hospital reporting.
Low
$0
Average
$66
Median
$73
High
$110
| # | 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 | West Jordan, UT | $75 | $80 | $34 | 77–230 | $0 | $145 |
| 2 | Catholic Health Initiatives Colorado | Layton, UT | $78 | $85 | $28 | 77–212 | $0 | $145 |
| 3 | Catholic Health Initiatives Colorado | Canon City, CO | $79 | $73 | $46 | 20–200 | $12 | $131 |
| 4 | Longmont United Hospital | Longmont, CO | $47 | $49 | $36 | 14–140 | $0 | $131 |
| 5 | Commonspirit Kansas, Inc. | Garden City, KS | $90 | $80 | $51 | 13–130 | $0 | $141 |
| 6 | Catholic Health Initiatives Colorado | Frisco, CO | $87 | $85 | $36 | 11–110 | $0 | $134 |
| 7 | Catholic Health Initiatives Colorado | Salt Lake City, UT | $77 | $85 | $32 | 10–100 | $0 | $145 |
| 8 | Commonspirit Kansas, Inc. | Dodge City, KS | $99 | $86 | $41 | 10–100 | $0 | $131 |
| 9 | Catholic Health Initiatives Colorado | Pueblo, CO | $65 | $71 | $32 | 10–100 | $7 | $128 |
| 10 | Catholic Health Initiatives Colorado | Durango, CO | $94 | $92 | $29 | 10–100 | $39 | $131 |
Ask Claude or any MCP client for NDC 5515023930 pricing at a specific hospital — see how to connect.