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
$2
Average
$69
Median
$39
High
$292
Each hospital's average First Health rate, under the methodology and billing class chosen below.
38 hospitals; the 90th percentile is 16.5× 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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66 hospital rates
iThe hospitals that file a First Health 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 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 3 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $225 | $220 | $43 | 19% | — | $124 – $260 |
| 4 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $220 | $43 | 19% | — | $124 – $260 |
| 5 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 6 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 7 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · inpatient | 1 | $40 | $40 | $0 | 1% | — | $40 – $40 |
| 8 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 1 | $40 | $40 | $0 | 1% | — | $40 – $40 |
| 9 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 10 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 11 | East Alabama Medical Center OPELIKA, AL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 12 | East Alabama Medical Center OPELIKA, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 13 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · inpatientfrom % of charges | 1 | $37 | $34 | $7 | 21% | — | $22 – $44 |
| 14 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $34 | $7 | 21% | — | $22 – $44 |
| 15 | Fairview Health Services Edina, MN percent of total billed charges · inpatientfrom % of charges | 1 | $37 | $34 | $7 | 21% | — | $22 – $44 |
| 16 | Fairview Health Services Edina, MN percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $33 | $7 | 21% | — | $22 – $44 |
| 17 | Fairview Health Services Minneapolis, MN percent of total billed charges · inpatientfrom % of charges | 1 | $37 | $34 | $7 | 21% | — | $22 – $44 |
| 18 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $33 | $7 | 21% | — | $22 – $44 |
| 19 | Fairview Health Services Burnsville, MN percent of total billed charges · inpatientfrom % of charges | 1 | $37 | $34 | $7 | 21% | — | $22 – $44 |
| 20 | Fairview Health Services Burnsville, MN percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $33 | $7 | 21% | — | $22 – $44 |
| 21 | Fairview Health Services Wyoming, MN percent of total billed charges · inpatientfrom % of charges | 1 | $37 | $34 | $7 | 21% | — | $22 – $44 |
| 22 | Fairview Health Services Wyoming, MN percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $33 | $7 | 21% | — | $22 – $44 |
| 23 | Fairview Health Services Princeton, MN percent of total billed charges · inpatientfrom % of charges | 1 | $37 | $34 | $7 | 21% | — | $22 – $44 |
| 24 | Fairview Health Services Princeton, MN percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $33 | $7 | 21% | — | $22 – $44 |
| 25 | Fairview Maple Grove Surgery Center Maple Grove, MN percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $33 | $7 | 21% | — | $22 – $41 |
← Payers reporting HCPCS C9113 · Snapshot 20261111T120946Z-9134e7f7