Injection of pantoprazole (Hikma brand), 40 mg

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION

Payers reporting HCPCS J2471

Payer pricing summary

Low

Average

$112

Median

$32

High

$1.4k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +19 other terms	378	$8	$97	$1.3k	1339%	46–91	$0 – $26.1k
2	First Health other · outpatient · +11 other terms	7	$12	$14	$7	50%	1–10	$7 – $29
3	Superior Healthplan other · outpatient · +1 other terms	1	$15	$15	—	—	1–10	$15 – $15
4	Cigna fee schedule · outpatient · +14 other terms	193	$12	$20	$13	68%	—	$4 – $57
5	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	154	$14	$19	$14	73%	—	$0 – $95
6	Aetna fee schedule · outpatient · +19 other terms	119	$13	$16	$9	59%	—	$1 – $95
7	Anthem fee schedule · outpatient · +13 other terms	36	$7	$11	$5	45%	—	$4 – $31
8	Bcbs Tx fee schedule · outpatient	30	$28	$26	$9	33%	—	$11 – $45
9	MultiPlan fee schedule · inpatient · +10 other terms	24	$85	$67	$30	44%	—	$0 – $105
10	Caresource fee schedule · outpatient · +11 other terms	23	$9	$9	$3	30%	—	$1 – $14
11	Humana other · outpatient · +13 other terms	23	$8	$12	$12	99%	—	$2 – $62
12	Bcbs La fee schedule · outpatient · +2 other terms	19	$7	$7	—	—	—	$7 – $7
13	Phcs fee schedule · inpatient · +8 other terms	19	$71	$69	$27	39%	—	$45 – $120
14	Aetna Better Health other · outpatient · +6 other terms	18	$8	$10	$12	123%	—	$2 – $62
15	Amerihealth Caritas other · outpatient · +6 other terms	18	$8	$10	$12	123%	—	$2 – $62
16	Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms	18	$49	$48	$20	41%	—	$6 – $95
17	Medcost percent of total billed charges · inpatientfrom % of charges · +5 other terms	16	$30	$30	$10	33%	—	$12 – $59
18	Molina facility · case rate · outpatient · +12 other terms	15	$9	$10	$2	23%	—	$6 – $15
19	Healthpartners facility · percent of total billed charges · outpatientfrom % of charges · +4 other terms	14	$29	$30	$7	25%	—	$15 – $44
20	Magellan percent of total billed charges · outpatientfrom % of charges · +3 other terms	13	$33	$32	$9	29%	—	$5 – $48
21	Medica fee schedule · outpatient · +11 other terms	13	$50	$55	$34	62%	—	$0 – $96
22	Wellmark fee schedule · both · +8 other terms	13	$7	$7	—	—	—	$7 – $7
23	Bcbs Nj fee schedule · outpatient · +1 other terms	12	$6	$6	—	—	—	$6 – $6
24	Highmark fee schedule · outpatient · +10 other terms	12	$7	$7	$1	9%	—	$4 – $9
25	Optum facility · case rate · outpatient · +6 other terms	11	$8	$9	$2	23%	—	$7 – $13

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