Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PANTOPRAZOLE SODIUM 40 MG IV SOLR
Low
$3
Average
$78
Median
$20
High
$2.2k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
152 hospitals; the 90th percentile is 15.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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239 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $11 | $11 | $1 | 12% | — | $10 – $12 |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 2 | $9 | $9 | $1 | 14% | — | $8 – $11 |
| 3 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $13 | $11 | $5 | 46% | — | $2 – $16 |
| 4 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 5 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 6 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 2 | $131 | $129 | $25 | 20% | — | $71 – $157 |
| 7 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $147 | $151 | $44 | 29% | — | $71 – $231 |
| 8 | BRONXCARE HEALTH SYSTEM Bronx, NY other · both | 2 | $6 | $5 | $0 | 8% | — | $4 – $6 |
| 9 | BRONXCARE HEALTH SYSTEM Bronx, NY other · inpatient | 2 | $6 | $5 | $0 | 8% | — | $4 – $6 |
| 10 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 11 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · inpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 12 | BRONXCARE HEALTH SYSTEM Bronx, NY other · both | 2 | $6 | $5 | $0 | 8% | — | $4 – $6 |
| 13 | BRONXCARE HEALTH SYSTEM Bronx, NY other · inpatient | 2 | $6 | $5 | $0 | 8% | — | $4 – $6 |
| 14 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 15 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · inpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 16 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 17 | Bluffton Health System LLC Bluffton, IN facility · other · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 18 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $24 | $25 | $3 | 10% | — | $24 – $29 |
| 19 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $24 | $25 | $3 | 10% | — | $24 – $29 |
| 20 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · inpatientfrom % of charges | 2 | $45 | $48 | $12 | 25% | — | $36 – $75 |
| 21 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $51 | $11 | 23% | — | $44 – $74 |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · inpatientfrom % of charges | 1 | $68 | $63 | $22 | 35% | — | $41 – $116 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $63 | $22 | 35% | — | $41 – $116 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 2 | $45 | $48 | $12 | 25% | — | $36 – $75 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $51 | $11 | 23% | — | $44 – $74 |
← Payers reporting HCPCS C9113 · Snapshot 20261111T120946Z-9134e7f7