NDC 9999910744
Reported by 20 hospitals in the network.
Filter by billing methodology
Low
$92
Average
$121
Median
$121
High
$160
| # | 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 | $95 | $104 | $41 | — | $47 | $175 |
| 2 | Catholic Health Initiatives Colorado | Salt Lake City, UT | $108 | $123 | $36 | — | $71 | $199 |
| 3 | Catholic Health Initiatives Colorado | Colorado Springs, CO | $100 | $115 | $40 | — | $54 | $175 |
| 4 | Catholic Health Initiatives Colorado | Lehi, UT | $108 | $122 | $36 | — | $71 | $199 |
| 5 | St Francis Hospital | Colorado Springs, CO | $91 | $97 | $36 | — | $47 | $169 |
| 6 | Longmont United Hospital | Longmont, CO | $80 | $98 | $43 | — | $47 | $179 |
| 7 | Catholic Health Initiatives Colorado | Frisco, CO | $120 | $131 | $42 | — | $54 | $183 |
| 8 | Commonspirit Kansas, Inc. | Ulysses, KS | $166 | $139 | $53 | — | $64 | $189 |
| 9 | Commonspirit Kansas, Inc. | Dodge City, KS | $159 | $153 | $28 | — | $70 | $179 |
| 10 | Catholic Health Initiatives Colorado | Pueblo, CO | $116 | $117 | $40 | — | $55 | $175 |
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