NDC 9999910637
Reported by 20 hospitals in the network.
Filter by billing methodology
Low
$135
Average
$176
Median
$177
High
$233
| # | 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 | $139 | $151 | $60 | — | $69 | $256 |
| 2 | Catholic Health Initiatives Colorado | Salt Lake City, UT | $158 | $179 | $53 | — | $104 | $291 |
| 3 | Catholic Health Initiatives Colorado | Colorado Springs, CO | $146 | $168 | $58 | — | $79 | $256 |
| 4 | Catholic Health Initiatives Colorado | Lehi, UT | $157 | $178 | $53 | — | $104 | $291 |
| 5 | St Francis Hospital | Colorado Springs, CO | $133 | $142 | $53 | — | $69 | $248 |
| 6 | Longmont United Hospital | Longmont, CO | $117 | $143 | $62 | — | $69 | $262 |
| 7 | Catholic Health Initiatives Colorado | Frisco, CO | $175 | $192 | $62 | — | $79 | $268 |
| 8 | Commonspirit Kansas, Inc. | Ulysses, KS | $243 | $204 | $77 | — | $93 | $277 |
| 9 | Commonspirit Kansas, Inc. | Dodge City, KS | $233 | $224 | $40 | — | $102 | $262 |
| 10 | Catholic Health Initiatives Colorado | Pueblo, CO | $169 | $171 | $59 | — | $80 | $256 |
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