Since I don't have an altimeter, I can only guess on altitudes. I've noticed that mine differs with speed. Going over Monarch Pass in Colorado, at 11,312', mine struggles. I can keep the speed up and the EGTs down, but I flirt with the governor a lot. Going over Cottonwood Pass, also in Colorado, with the same load, at 12,126', I didn't have anywhere close to as much trouble. The speed limit on Cottonwood Pass is 35 MPH for all but the eastern most 1 mile and then it's down to 25 or even 20 at the switchback at the top. I don't really recall, but I believe that Monarch Pass is 50+ MPH all the way except for at the top where it's 35 MPH. I'm sure that the grade comes into play some too, but I don't have a comparison. At lower elevations, I only had trouble on steeper grades. I know that there is a hill that's just west of Canon City, CO that always makes my N/A truck struggle. Going from Buena Vista, CO the Colorado Springs, CO last summer, I only had a couple of places that I had any trouble at all. It was dark and kind of rainy so I couldn't see how steep the grade was. I do feel that if I had been able to see them and build up a little bit extra speed, I would have been able to drive up them without the need to downshift.
Google the name of a city and "elevation" or use a site like this from your phone if you want to know the elevation where you are standing. https://whatismyelevation.com Apps exist for that too.
WB US-24 from Colorado Springs is where it was rolling coal for the first time. A bit further on past Woodland park it was still smokey. At the junction with CO-67, I took off the intake snorkel which seemed to help a tiny bit for my SB drive to Cripple Creek. A week or two later in Salida, I replaced the air filter to see if it would help.
At 10k elevation in CO along US-285/24 between about Nathrop and Leadville, my F250 didn't like to start if turned off. It drove ok more or less ok. If I turned if off even just to refuel, it would take tons of cranking to restart. This was after the air filter was replaced. I replaced the fuel filter too in case that was somehow the problem, but it wasn't. It's like it had bad air intrusion, even if turned off for only the time it takes to pump 10 gallons. It didn't do it at Cripple Creek but that's 9400ft, so even that 600ft made a big difference. Once I got to Avon, CO (7500ft) it had no problems. Never any starting problems until a few months later in WA where about half of the Autolite glow plugs were burned out, but that was a cold starting issue.