NDC 9999911242
Reported by 20 hospitals in the network.
Filter by billing methodology
Low
$95
Average
$138
Median
$149
High
$189
| # | 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 | $100 | $106 | $51 | — | $3 | $220 |
| 2 | Catholic Health Initiatives Colorado | Salt Lake City, UT | $134 | $151 | $51 | — | $11 | $250 |
| 3 | Catholic Health Initiatives Colorado | Colorado Springs, CO | $114 | $112 | $54 | — | $3 | $220 |
| 4 | Catholic Health Initiatives Colorado | Lehi, UT | $133 | $150 | $51 | — | $11 | $250 |
| 5 | St Francis Hospital | Colorado Springs, CO | $99 | $99 | $43 | — | $3 | $213 |
| 6 | Longmont United Hospital | Longmont, CO | $88 | $105 | $57 | — | $3 | $225 |
| 7 | Catholic Health Initiatives Colorado | Frisco, CO | $150 | $155 | $57 | — | $68 | $230 |
| 8 | Commonspirit Kansas, Inc. | Ulysses, KS | $200 | $159 | $77 | — | $6 | $238 |
| 9 | Commonspirit Kansas, Inc. | Dodge City, KS | $200 | $173 | $60 | — | $6 | $225 |
| 10 | Catholic Health Initiatives Colorado | Pueblo, CO | $113 | $127 | $48 | — | $69 | $220 |
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