NDC 58160-0851-10
Reported by 2 hospitals in the network under the other methodology.
Based on 203–221 billing samples across every hospital reporting.
Low
$132
Average
$236
Median
$236
High
$340
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | 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 | Denver Health and Hospital Authority | Denver, CO | $132 | $132 | — | 167 | $132 | $706 |
| 2 | Childrens Hospital Colorado | Aurora, CO | $411 | $340 | $199 | 36–54 | $21 | $516 |
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