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
$58
Median
$18
High
$12.7k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1472 hospitals; the 90th percentile is 11.2× 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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2,217 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Springhill Memorial Hospital Mobile, AL other · outpatient | 2 | $3 | $3 | $1 | 20% | 298 | $2 – $3 |
| 2 | ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. DBA INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL JUNCTION, CO facility · percent of total billed charges · outpatientfrom % of charges | 12 | $35 | $32 | $10 | 31% | 153 | $10 – $55 |
| 3 | Clinch Valley Health Richlands, VA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $26 | $71 | $95 | 133% | 84–174 | $16 – $298 |
| 4 | Saint Luke’s East Hospital Summit, MO fee schedule · both | 13 | $16 | $13 | $3 | 23% | 67–112 | $7 – $16 |
| 5 | Indiana University Health Arnett Inc. Lafayette, IN fee schedule · outpatient | 2 | $2.2k | $2.2k | $2.2k | 98% | 64 | $37 – $4.4k |
| 6 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 2 | $27 | $27 | — | — | 64–73 | $27 – $27 |
| 7 | Scotland Memorial Hospital Inc. Laurinburg, NC facility · fee schedule · both | 1 | $4 | $4 | — | — | 52 | $4 – $4 |
| 8 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | 50 | $32 – $32 |
| 9 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $184 | $215 | $149 | 69% | 47 | $57 – $435 |
| 10 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | 43 | $9 – $9 |
| 11 | Novant Health Mint Hill Medical Center, LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $66 | — | — | 42 | $66 – $66 |
| 12 | Indiana University Health North Hospital Inc. Carmel, IN fee schedule · outpatient | 2 | $2.1k | $2.1k | $2.0k | 98% | 41 | $37 – $4.1k |
| 13 | Indiana University Health Bloomington Inc. Bloomington, IN fee schedule · outpatient | 2 | $3.5k | $3.5k | $3.5k | 99% | 40 | $37 – $6.9k |
| 14 | Scotland Memorial Hospital Inc. Laurinburg, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $18 | $18 | — | — | 39–390 | $18 – $18 |
| 15 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 1 | $16 | $16 | — | — | 37 | $16 – $16 |
| 16 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN fee schedule · outpatient | 2 | $2.7k | $2.7k | $2.6k | 99% | 36 | $37 – $5.3k |
| 17 | Methodist Hospitals of Dallas Coppell, TX percent of total billed charges · bothfrom % of charges | 3 | $6 | $6 | $1 | 21% | 35 | $3 – $6 |
| 18 | Methodist Hospitals of Dallas Souhtlake, TX percent of total billed charges · bothfrom % of charges | 3 | $6 | $6 | $1 | 21% | 35 | $3 – $6 |
| 19 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 1 | $14 | $14 | — | — | 35 | $14 – $14 |
| 20 | Sturdy Memorial Hospital Attleboro, MA percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | 34 | $5 – $5 |
| 21 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 1 | $14 | $14 | — | — | 31 | $14 – $14 |
| 22 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | 31 | $22 – $22 |
| 23 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $10 | $10 | $2 | 18% | 30 | $8 – $12 |
| 24 | Indiana University Health West Hospital Inc. Avon, IN fee schedule · outpatient | 2 | $2.1k | $2.1k | $2.0k | 98% | 27 | $37 – $4.1k |
| 25 | Baptist Health Medical Center - Arkadelphia Arkadelphia, AR other · outpatient | 1 | $4 | $4 | — | — | 26 | $4 – $4 |
← Payers reporting HCPCS J2470 · Snapshot 20261111T120946Z-9134e7f7