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 40 mg in 50 mL for adapter vial continuous IV 40 mg/50 mL 1 Each VIAL
Low
$0
Average
$156
Median
$12
High
$44.3k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
905 hospitals; the 90th percentile is 25.2× 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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1,222 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 | Fauquier Health Warrenton, VA facility · percent of total billed charges · outpatientfrom % of charges | 6 | $23 | $27 | $16 | 61% | 378–594 | $8 – $50 |
| 2 | Clinch Valley Health Richlands, VA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $33 | $108 | $195 | 181% | 306–576 | $8 – $729 |
| 3 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $29 | $31 | $4 | 13% | 262–289 | $29 – $39 |
| 4 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $35 | $35 | $9 | 25% | 199–235 | $26 – $44 |
| 5 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 3 | $88 | $66 | $31 | 47% | 197 | $22 – $88 |
| 6 | Brunswick Community Hospital, LLC Bolivia, NC percent of total billed charges · outpatientfrom % of charges | 3 | $88 | $67 | $31 | 46% | 176 | $23 – $88 |
| 7 | Novant Health Mint Hill Medical Center, LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 3 | $91 | $82 | $13 | 15% | 161 | $64 – $91 |
| 8 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 1 | $22 | $24 | $6 | 27% | 150 | $13 – $31 |
| 9 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 6 | $22 | $26 | $7 | 27% | 129 | $20 – $38 |
| 10 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 6 | $35 | $36 | $2 | 4% | 114–123 | $33 – $38 |
| 11 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 50 | $11 | $11 | $1 | 5% | 103–148 | $9 – $11 |
| 12 | Saint Luke’s East Hospital Summit, MO percent of total billed charges · bothfrom % of charges | 11 | $48 | $54 | $20 | 37% | 77–86 | $27 – $103 |
| 13 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $5 | $5 | $0 | 4% | 72–99 | $5 – $5 |
| 14 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 11 | $35 | $31 | $10 | 32% | 72–108 | $8 – $38 |
| 15 | Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 3 | $50 | $45 | $8 | 17% | 69–78 | $34 – $50 |
| 16 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $106 | $81 | $35 | 44% | 66 | $31 – $106 |
| 17 | Scotland Memorial Hospital Inc. Laurinburg, NC facility · fee schedule · both | 1 | $4 | $4 | — | — | 66 | $4 – $4 |
| 18 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $13 | $13 | — | — | 63 | $13 – $13 |
| 19 | Saint Luke’s East Hospital Summit, MO fee schedule · both | 7 | $5 | $6 | $2 | 31% | 63–108 | $4 – $9 |
| 20 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 2 | $5 | $5 | $0 | 0% | 57–93 | $5 – $5 |
| 21 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $16 | $15 | $3 | 20% | 56–560 | $10 – $22 |
| 22 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $16 | $15 | $3 | 21% | 52–520 | $10 – $22 |
| 23 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $18 | $18 | $3 | 19% | 48 | $15 – $21 |
| 24 | John Muir Health Walnut Creek, CA percent of total billed charges · bothfrom % of charges | 5 | $38 | $33 | $28 | 83% | 46–55 | $2 – $71 |
| 25 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 4 | $26 | $24 | $5 | 21% | 42–420 | $16 – $36 |
← Payers reporting HCPCS J2470 · Snapshot 20261111T120946Z-9134e7f7