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
$593
Median
$9
High
$13.0k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
199 hospitals; the 90th percentile is 16.6× 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.
Filter by billing methodology
Filter by billing class
205 hospital rates
iThe hospitals that file a WellCare 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 | 1 | $4 | $4 | — | — | 83 | $4 – $4 |
| 2 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | 80 | $12 – $12 |
| 3 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | 56 | $9 – $9 |
| 4 | Scotland Memorial Hospital Inc. Laurinburg, NC facility · fee schedule · both | 1 | $4 | $4 | — | — | 52 | $4 – $4 |
| 5 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | 51 | $32 – $32 |
| 6 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | 28 | $24 – $24 |
| 7 | Novant Health Mint Hill Medical Center, LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $64 | — | — | 20 | $64 – $64 |
| 8 | Brunswick Community Hospital, LLC Bolivia, NC percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | 19 | $23 – $23 |
| 9 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · inpatientfrom % of charges | 1 | $4 | $4 | — | — | 15 | $4 – $4 |
| 10 | Deaconess Health System Gibson General Hospital Princeton, IN facility · other · inpatient | 1 | $14 | $14 | — | — | 11–110 | $14 – $14 |
| 11 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $12 | $11 | $4 | 31% | 11–110 | $6 – $19 |
| 12 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $13 | $13 | — | — | 11 | $13 – $13 |
| 13 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $10 | $10 | — | — | 7–70 | $10 – $10 |
| 14 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $3 | $3 | — | — | 1–10 | $3 – $3 |
| 15 | Appalachian Regional Healthcare, Inc. Middlesboro, KY other · outpatient | 1 | $12 | $12 | — | — | 1–10 | $12 – $12 |
| 16 | Baptist Health Medical Center - Arkadelphia Arkadelphia, AR other · outpatient | 1 | $4 | $4 | — | — | 1–10 | $4 – $4 |
| 17 | East Carolina Health-Chowan, Inc. Edenton, NC percent of total billed charges · bothfrom % of charges | 1 | $7 | $7 | — | — | 1–10 | $7 – $7 |
| 18 | FAIRFIELD MEMORIAL HOSPITAL FAIRFIELD, IL percent of total billed charges · bothfrom % of charges | 1 | $7 | $7 | — | — | 1–10 | $7 – $7 |
| 19 | Indiana University Health Bedford Inc. Bedford, IN percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 20 | Indiana University Health Paoli Inc. Paoli, IN percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 21 | Indiana University Health White Memorial Hospital Inc. Monticello, IN percent of total billed charges · outpatientfrom % of charges | 1 | $4.2k | $4.2k | — | — | 1–10 | $4.2k – $4.2k |
| 22 | Mercy Hospital Booneville Booneville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | 1–10 | $4 – $4 |
| 23 | Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | 1–10 | $35 – $35 |
| 24 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | 1–10 | $21 – $21 |
| 25 | The Outer Banks Hospital, Inc. Nags Head, NC percent of total billed charges · bothfrom % of charges | 1 | $8 | $8 | — | — | 1–10 | $8 – $8 |
← Payers reporting HCPCS J2470 · Snapshot 20261111T120946Z-9134e7f7