NDC 9999910309
Reported by 20 hospitals in the network.
Filter by billing methodology
Based on 2–20 billing samples across every hospital reporting.
Low
$84
Average
$122
Median
$134
High
$173
| # | 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 | Commonspirit Kansas, Inc. | Garden City, KS | $183 | $152 | $68 | 2–20 | $2 | $222 |
| 2 | Catholic Health Initiatives Colorado | Colorado Springs, CO | $91 | $94 | $49 | — | $1 | $201 |
| 3 | Catholic Health Initiatives Colorado | Salt Lake City, UT | $121 | $133 | $52 | — | $3 | $229 |
| 4 | Catholic Health Initiatives Colorado | Colorado Springs, CO | $92 | $95 | $54 | — | $1 | $201 |
| 5 | Catholic Health Initiatives Colorado | Lehi, UT | $121 | $137 | $47 | — | $3 | $229 |
| 6 | St Francis Hospital | Colorado Springs, CO | $86 | $85 | $44 | — | $1 | $194 |
| 7 | Longmont United Hospital | Longmont, CO | $80 | $93 | $54 | — | $1 | $206 |
| 8 | Catholic Health Initiatives Colorado | Frisco, CO | $137 | $137 | $60 | — | $2 | $210 |
| 9 | Commonspirit Kansas, Inc. | Ulysses, KS | $183 | $145 | $70 | — | $2 | $217 |
| 10 | Commonspirit Kansas, Inc. | Dodge City, KS | $160 | $140 | $65 | — | $2 | $206 |
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