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
$1
Average
$70
Median
$21
High
$2.1k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
81 hospitals; the 90th percentile is 22.3× 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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105 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $141 | $141 | — | — | 1–10 | $141 – $141 |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $11 | $10 | $6 | 56% | — | $2 – $19 |
| 3 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 6 | $175 | $169 | $37 | 22% | — | $85 – $236 |
| 6 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 9 | $155 | $153 | $41 | 27% | — | $61 – $236 |
| 7 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · bothfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 8 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · inpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 9 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · bothfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 10 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · inpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 11 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 12 | Billings Clinic Billings, MT fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 13 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 14 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $30 | $41 | $24 | 59% | — | $14 – $80 |
| 15 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $37 | $22 | 59% | — | $14 – $80 |
| 16 | Cottage Health SANTA BARBARA, CA facility · percent of total billed charges · inpatientfrom % of charges | 6 | $121 | $112 | $20 | 18% | — | $70 – $126 |
| 17 | Cottage Health SANTA BARBARA, CA facility · percent of total billed charges · outpatientfrom % of charges | 6 | $121 | $112 | $20 | 18% | — | $70 – $126 |
| 18 | Cottage Health Solvang, CA facility · percent of total billed charges · inpatientfrom % of charges | 6 | $121 | $112 | $20 | 18% | — | $70 – $126 |
| 19 | Cottage Health Solvang, CA facility · percent of total billed charges · outpatientfrom % of charges | 7 | $116 | $101 | $31 | 31% | — | $41 – $126 |
| 20 | Cottage Health Santa Barbara, CA facility · percent of total billed charges · inpatientfrom % of charges | 6 | $121 | $112 | $20 | 18% | — | $70 – $126 |
| 21 | Cottage Health Santa Barbara, CA facility · percent of total billed charges · outpatientfrom % of charges | 6 | $121 | $112 | $20 | 18% | — | $70 – $126 |
| 22 | Danbury Hospital New Milford, CT fee schedule · outpatient | 4 | $7 | $7 | $0 | 6% | — | $6 – $8 |
| 23 | Duncan Regional Hospital Duncan, OK case rate · outpatient | 5 | $8 | $8 | — | — | — | $8 – $8 |
| 24 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 25 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · fee schedule · outpatient | 2 | $6 | $6 | — | — | — | $6 – $6 |
← Payers reporting HCPCS C9113 · Snapshot 20261111T120946Z-9134e7f7