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
$1
Average
$65
Median
$15
High
$6.6k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
283 hospitals; the 90th percentile is 14.4× 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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360 hospital rates
iThe hospitals that file a Molina 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 | Methodist Hospitals of Dallas Richardson, TX percent of total billed charges · bothfrom % of charges | 1 | $5 | $5 | — | — | 74 | $5 – $5 |
| 2 | Methodist Hospitals of Dallas Richardson, TX percent of total billed charges · bothfrom % of charges | 1 | $5 | $5 | — | — | 74 | $5 – $5 |
| 3 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · bothfrom % of charges | 3 | $23 | $23 | — | — | 44 | $23 – $23 |
| 4 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $11 | $11 | $0 | 1% | 38–101 | $11 – $11 |
| 5 | Methodist Hospitals of Dallas Coppell, TX percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | 34 | $12 – $12 |
| 6 | Methodist Hospitals of Dallas Souhtlake, TX percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | 34 | $12 – $12 |
| 7 | Methodist Hospitals of Dallas Mansfield, TX percent of total billed charges · bothfrom % of charges | 1 | $5 | $5 | — | — | 26 | $5 – $5 |
| 8 | Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | 22 | $3 – $3 |
| 9 | Hemet Global Medical Center Hemet, CA facility · other · outpatient | 1 | $4 | $4 | — | — | 17 | $4 – $4 |
| 10 | FAIRFIELD MEMORIAL HOSPITAL FAIRFIELD, IL percent of total billed charges · bothfrom % of charges | 2 | $7 | $7 | — | — | 16 | $7 – $7 |
| 11 | Mission Regional Medical Center Mission, TX percent of total billed charges · outpatientfrom % of charges | 2 | $3 | $3 | $0 | 2% | 13–22 | $3 – $3 |
| 12 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · inpatient | 1 | $10 | $10 | — | — | 9–90 | $10 – $10 |
| 13 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · outpatient | 1 | $10 | $10 | — | — | 9–90 | $10 – $10 |
| 14 | Deaconess Health System Union County Hospital Morganfield, KY facility · other · inpatient | 1 | $9 | $9 | — | — | 8–80 | $9 – $9 |
| 15 | Deaconess Health System Union County Hospital Morganfield, KY facility · percent of total billed charges · outpatientfrom % of charges | 4 | $12 | $29 | $46 | 159% | 8–80 | $5 – $155 |
| 16 | Pocahontas Community Hospital Pocahontas, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $57 | $57 | $4 | 7% | 6–60 | $53 – $60 |
| 17 | Abbeville Area Medical Center Abbeville, SC facility · other · outpatient | 1 | $24 | $24 | — | — | 4–40 | $24 – $24 |
| 18 | Loring Hospital Sac City, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $91 | $91 | — | — | 4–40 | $91 – $91 |
| 19 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $11 | $11 | $3 | 29% | 4–40 | $8 – $14 |
| 20 | Humboldt County Memorial Hospital Humboldt, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $71 | $72 | $2 | 3% | 3–30 | $70 – $76 |
| 21 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | $1 | 9% | 2–20 | $13 – $15 |
| 22 | Harlingen Medical Center Harlingen, TX percent of total billed charges · outpatientfrom % of charges | 2 | $7 | $7 | $1 | 19% | 2–20 | $6 – $8 |
| 23 | University Medical Center of Southern Nevada Las Vegas, NV percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 2–20 | $1 – $1 |
| 24 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | 1–10 | $3 – $3 |
| 25 | Appalachian Regional Healthcare, Inc. Williamson, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | 1–10 | $3 – $3 |
← Payers reporting HCPCS J2470 · Snapshot 20261111T120946Z-9134e7f7