NDC 9999910763
Reported by 20 hospitals in the network.
Filter by billing methodology
Low
$65
Average
$94
Median
$102
High
$129
| # | 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 | $68 | $73 | $35 | — | $3 | $150 |
| 2 | Catholic Health Initiatives Colorado | Salt Lake City, UT | $91 | $103 | $35 | — | $11 | $171 |
| 3 | Catholic Health Initiatives Colorado | Colorado Springs, CO | $78 | $76 | $37 | — | $3 | $150 |
| 4 | Catholic Health Initiatives Colorado | Lehi, UT | $91 | $102 | $35 | — | $11 | $171 |
| 5 | St Francis Hospital | Colorado Springs, CO | $67 | $68 | $29 | — | $3 | $145 |
| 6 | Longmont United Hospital | Longmont, CO | $60 | $72 | $39 | — | $3 | $154 |
| 7 | Catholic Health Initiatives Colorado | Frisco, CO | $103 | $106 | $39 | — | $46 | $157 |
| 8 | Commonspirit Kansas, Inc. | Ulysses, KS | $137 | $109 | $52 | — | $6 | $162 |
| 9 | Commonspirit Kansas, Inc. | Dodge City, KS | $137 | $118 | $41 | — | $6 | $154 |
| 10 | Catholic Health Initiatives Colorado | Pueblo, CO | $77 | $87 | $33 | — | $47 | $150 |
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