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
$2
Average
$30
Median
$26
High
$121
Each hospital's average Sanford Health Plan rate, under the methodology and billing class chosen below.
84 hospitals; the 90th percentile is 7.8× 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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142 hospital rates
iThe hospitals that file a Sanford Health Plan 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 | Sanford Fargo Medical Center Fargo, ND percent of total billed charges · outpatientfrom % of charges | 4 | $7 | $7 | $1 | 10% | 50 | $6 – $8 |
| 2 | Prairie Lakes Health Care System Inc. Watertown, SD percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | 19 | $9 – $9 |
| 3 | Sanford Medical Center Bismarck Bismarck, ND percent of total billed charges · outpatientfrom % of charges | 4 | $12 | $12 | $1 | 11% | 14–140 | $10 – $15 |
| 4 | Sanford Luverne Medical Center Luverne, MN percent of total billed charges · outpatientfrom % of charges | 5 | $41 | $41 | $8 | 19% | 5–50 | $27 – $49 |
| 5 | Sanford Bemidji Medical Center Bemidji, MN percent of total billed charges · outpatientfrom % of charges | 4 | $31 | $32 | $3 | 11% | 4–40 | $26 – $38 |
| 6 | Sanford Mayville Medical Center Mayville, ND percent of total billed charges · outpatientfrom % of charges | 3 | $27 | $25 | $6 | 25% | 3–30 | $17 – $32 |
| 7 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $38 | $38 | $0 | 1% | 1–10 | $37 – $38 |
| 8 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 9 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 10 | Astera Health Wadena, MN percent of total billed charges · inpatientfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 11 | Astera Health Wadena, MN percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 12 | CARRINGTON HEALTH CENTER Carrington, ND fee schedule · inpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 13 | CARRINGTON HEALTH CENTER Carrington, ND fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 14 | Essentia Health Ada 201 9th St W Ada, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $21 | $18 | $6 | 33% | — | $4 – $23 |
| 15 | Essentia Health Ada 201 9th St W Ada, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $21 | $18 | $6 | 33% | — | $4 – $23 |
| 16 | Essentia Health Duluth Duluth, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $21 | $18 | $6 | 33% | — | $4 – $23 |
| 17 | Essentia Health Duluth Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $21 | $18 | $6 | 33% | — | $4 – $23 |
| 18 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · inpatientfrom % of charges | 2 | $21 | $18 | $6 | 33% | — | $4 – $23 |
| 19 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · outpatientfrom % of charges | 2 | $21 | $18 | $6 | 33% | — | $4 – $23 |
| 20 | Essentia Health Fosston 900 Hilligoss Blvd SE Fosston, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $21 | $18 | $6 | 33% | — | $4 – $23 |
| 21 | Essentia Health Fosston 900 Hilligoss Blvd SE Fosston, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $21 | $18 | $6 | 33% | — | $4 – $23 |
| 22 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $21 | $18 | $6 | 33% | — | $4 – $23 |
| 23 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $21 | $18 | $6 | 33% | — | $4 – $23 |
| 24 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $21 | $18 | $6 | 33% | — | $4 – $23 |
| 25 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $21 | $18 | $6 | 33% | — | $4 – $23 |
← Payers reporting HCPCS J2470 · Snapshot 20261112T181611Z-3fa9fb76