NDC 9999910559
Reported by 20 hospitals in the network.
Filter by billing methodology
Low
$124
Average
$169
Median
$178
High
$230
| # | 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 | $119 | $135 | $53 | — | $70 | $261 |
| 2 | Catholic Health Initiatives Colorado | Salt Lake City, UT | $161 | $180 | $55 | — | $104 | $297 |
| 3 | Catholic Health Initiatives Colorado | Colorado Springs, CO | $140 | $144 | $55 | — | $76 | $261 |
| 4 | Catholic Health Initiatives Colorado | Lehi, UT | $160 | $179 | $55 | — | $104 | $297 |
| 5 | St Francis Hospital | Colorado Springs, CO | $119 | $127 | $43 | — | $70 | $252 |
| 6 | Longmont United Hospital | Longmont, CO | $111 | $134 | $60 | — | $70 | $267 |
| 7 | Catholic Health Initiatives Colorado | Frisco, CO | $178 | $184 | $67 | — | $80 | $273 |
| 8 | Commonspirit Kansas, Inc. | Ulysses, KS | $248 | $201 | $82 | — | $95 | $282 |
| 9 | Commonspirit Kansas, Inc. | Dodge City, KS | $238 | $220 | $50 | — | $104 | $267 |
| 10 | Catholic Health Initiatives Colorado | Pueblo, CO | $134 | $151 | $57 | — | $82 | $261 |
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