NDC 9999910625
Reported by 20 hospitals in the network.
Filter by billing methodology
Low
$87
Average
$125
Median
$136
High
$172
| # | 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 | $91 | $97 | $46 | — | $3 | $201 |
| 2 | Catholic Health Initiatives Colorado | Salt Lake City, UT | $122 | $137 | $47 | — | $11 | $228 |
| 3 | Catholic Health Initiatives Colorado | Colorado Springs, CO | $104 | $102 | $49 | — | $3 | $201 |
| 4 | Catholic Health Initiatives Colorado | Lehi, UT | $121 | $136 | $47 | — | $11 | $228 |
| 5 | St Francis Hospital | Colorado Springs, CO | $90 | $90 | $39 | — | $3 | $194 |
| 6 | Longmont United Hospital | Longmont, CO | $80 | $96 | $52 | — | $3 | $205 |
| 7 | Catholic Health Initiatives Colorado | Frisco, CO | $137 | $142 | $52 | — | $62 | $210 |
| 8 | Commonspirit Kansas, Inc. | Ulysses, KS | $182 | $145 | $70 | — | $6 | $217 |
| 9 | Commonspirit Kansas, Inc. | Dodge City, KS | $182 | $157 | $54 | — | $6 | $205 |
| 10 | Catholic Health Initiatives Colorado | Pueblo, CO | $103 | $116 | $44 | — | $63 | $201 |
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