NDC 9999911260
Reported by 20 hospitals in the network.
Filter by billing methodology
Low
$93
Average
$122
Median
$123
High
$162
| # | 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 | $96 | $105 | $41 | — | $48 | $177 |
| 2 | Catholic Health Initiatives Colorado | Salt Lake City, UT | $109 | $124 | $37 | — | $72 | $202 |
| 3 | Catholic Health Initiatives Colorado | Colorado Springs, CO | $101 | $116 | $40 | — | $54 | $177 |
| 4 | Catholic Health Initiatives Colorado | Lehi, UT | $109 | $123 | $37 | — | $72 | $202 |
| 5 | St Francis Hospital | Colorado Springs, CO | $92 | $98 | $36 | — | $48 | $171 |
| 6 | Longmont United Hospital | Longmont, CO | $81 | $99 | $43 | — | $48 | $182 |
| 7 | Catholic Health Initiatives Colorado | Frisco, CO | $121 | $133 | $43 | — | $55 | $186 |
| 8 | Commonspirit Kansas, Inc. | Ulysses, KS | $168 | $141 | $54 | — | $65 | $192 |
| 9 | Commonspirit Kansas, Inc. | Dodge City, KS | $161 | $155 | $28 | — | $71 | $182 |
| 10 | Catholic Health Initiatives Colorado | Pueblo, CO | $117 | $119 | $41 | — | $56 | $177 |
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