NDC 9999911026
Reported by 20 hospitals in the network.
Filter by billing methodology
Low
$149
Average
$203
Median
$214
High
$275
| # | 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 | $143 | $162 | $64 | — | $84 | $314 |
| 2 | Catholic Health Initiatives Colorado | Salt Lake City, UT | $193 | $216 | $66 | — | $125 | $356 |
| 3 | Catholic Health Initiatives Colorado | Colorado Springs, CO | $168 | $173 | $65 | — | $91 | $314 |
| 4 | Catholic Health Initiatives Colorado | Lehi, UT | $192 | $214 | $66 | — | $125 | $356 |
| 5 | St Francis Hospital | Colorado Springs, CO | $143 | $152 | $52 | — | $84 | $303 |
| 6 | Longmont United Hospital | Longmont, CO | $134 | $161 | $73 | — | $84 | $321 |
| 7 | Catholic Health Initiatives Colorado | Frisco, CO | $214 | $221 | $81 | — | $96 | $328 |
| 8 | Commonspirit Kansas, Inc. | Ulysses, KS | $297 | $241 | $98 | — | $114 | $338 |
| 9 | Commonspirit Kansas, Inc. | Dodge City, KS | $285 | $264 | $60 | — | $125 | $321 |
| 10 | Catholic Health Initiatives Colorado | Pueblo, CO | $160 | $181 | $69 | — | $98 | $314 |
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