NDC 9999910307
Reported by 20 hospitals in the network.
Filter by billing methodology
Low
$91
Average
$124
Median
$130
High
$168
| # | 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 | $87 | $99 | $39 | — | $51 | $191 |
| 2 | Catholic Health Initiatives Colorado | Salt Lake City, UT | $118 | $132 | $40 | — | $76 | $218 |
| 3 | Catholic Health Initiatives Colorado | Colorado Springs, CO | $103 | $105 | $40 | — | $55 | $191 |
| 4 | Catholic Health Initiatives Colorado | Lehi, UT | $117 | $131 | $40 | — | $76 | $218 |
| 5 | St Francis Hospital | Colorado Springs, CO | $87 | $93 | $32 | — | $51 | $185 |
| 6 | Longmont United Hospital | Longmont, CO | $82 | $98 | $44 | — | $51 | $196 |
| 7 | Catholic Health Initiatives Colorado | Frisco, CO | $131 | $135 | $49 | — | $59 | $200 |
| 8 | Commonspirit Kansas, Inc. | Ulysses, KS | $181 | $147 | $60 | — | $70 | $207 |
| 9 | Commonspirit Kansas, Inc. | Dodge City, KS | $174 | $161 | $37 | — | $76 | $196 |
| 10 | Catholic Health Initiatives Colorado | Pueblo, CO | $98 | $110 | $42 | — | $60 | $191 |
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