NDC 9999910828
Reported by 20 hospitals in the network.
Filter by billing methodology
Low
$114
Average
$165
Median
$180
High
$227
| # | 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 | $126 | $59 | — | $23 | $264 |
| 2 | Catholic Health Initiatives Colorado | Salt Lake City, UT | $160 | $182 | $60 | — | $50 | $300 |
| 3 | Catholic Health Initiatives Colorado | Colorado Springs, CO | $128 | $132 | $63 | — | $23 | $264 |
| 4 | Catholic Health Initiatives Colorado | Lehi, UT | $159 | $180 | $60 | — | $50 | $300 |
| 5 | St Francis Hospital | Colorado Springs, CO | $115 | $118 | $50 | — | $23 | $255 |
| 6 | Longmont United Hospital | Longmont, CO | $105 | $125 | $67 | — | $22 | $270 |
| 7 | Catholic Health Initiatives Colorado | Frisco, CO | $180 | $182 | $75 | — | $34 | $276 |
| 8 | Commonspirit Kansas, Inc. | Ulysses, KS | $240 | $192 | $90 | — | $25 | $285 |
| 9 | Commonspirit Kansas, Inc. | Dodge City, KS | $240 | $208 | $69 | — | $25 | $270 |
| 10 | Catholic Health Initiatives Colorado | Pueblo, CO | $135 | $152 | $58 | — | $83 | $264 |
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