NDC 9999911166
Reported by 20 hospitals in the network.
Filter by billing methodology
Low
$304
Average
$399
Median
$401
High
$528
| # | 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 | $314 | $342 | $135 | — | $155 | $579 |
| 2 | Catholic Health Initiatives Colorado | Salt Lake City, UT | $357 | $405 | $119 | — | $236 | $659 |
| 3 | Catholic Health Initiatives Colorado | Colorado Springs, CO | $329 | $380 | $132 | — | $178 | $579 |
| 4 | Catholic Health Initiatives Colorado | Lehi, UT | $356 | $403 | $119 | — | $236 | $659 |
| 5 | St Francis Hospital | Colorado Springs, CO | $300 | $320 | $119 | — | $155 | $560 |
| 6 | Longmont United Hospital | Longmont, CO | $263 | $323 | $141 | — | $155 | $593 |
| 7 | Catholic Health Initiatives Colorado | Frisco, CO | $395 | $434 | $140 | — | $178 | $606 |
| 8 | Commonspirit Kansas, Inc. | Ulysses, KS | $549 | $460 | $175 | — | $211 | $626 |
| 9 | Commonspirit Kansas, Inc. | Dodge City, KS | $527 | $506 | $92 | — | $230 | $593 |
| 10 | Catholic Health Initiatives Colorado | Pueblo, CO | $382 | $387 | $133 | — | $182 | $579 |
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