NDC 9999910294
Reported by 20 hospitals in the network.
Filter by billing methodology
Based on 2–20 billing samples across every hospital reporting.
Low
$145
Average
$241
Median
$263
High
$334
| # | 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 | Colorado Springs, CO | $177 | $187 | $90 | 1–10 | $2 | $388 |
| 2 | Catholic Health Iniatives Colorado | Westminster, CO | $155 | $171 | $84 | 1–10 | $2 | $388 |
| 3 | Catholic Health Initiatives Colorado | Salt Lake City, UT | $236 | $266 | $92 | — | $5 | $441 |
| 4 | Catholic Health Initiatives Colorado | Colorado Springs, CO | $201 | $197 | $96 | — | $2 | $388 |
| 5 | Catholic Health Initiatives Colorado | Lehi, UT | $234 | $264 | $92 | — | $5 | $441 |
| 6 | St Francis Hospital | Colorado Springs, CO | $174 | $174 | $76 | — | $2 | $375 |
| 7 | Longmont United Hospital | Longmont, CO | $155 | $185 | $101 | — | $2 | $397 |
| 8 | Catholic Health Initiatives Colorado | Frisco, CO | $265 | $274 | $100 | — | $119 | $406 |
| 9 | Commonspirit Kansas, Inc. | Ulysses, KS | $353 | $280 | $136 | — | $4 | $419 |
| 10 | Commonspirit Kansas, Inc. | Dodge City, KS | $309 | $297 | $101 | — | $4 | $397 |
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