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

Blue Cross Blue Shield pricing summary

Low

Average

$27

Median

$13

High

$1.4k

Blue Cross Blue Shield rate distribution

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424 hospital rates

#		Plans
1	Saint Luke’s East Hospital Summit, MO percent of total billed charges · bothfrom % of charges	11	$48	$54	$20	37%	77–86	$27 – $103
2	Saint Luke’s East Hospital Summit, MO fee schedule · both	7	$5	$6	$2	31%	63–108	$4 – $9
3	Saint Luke’s North Hospital Smithville, MO percent of total billed charges · bothfrom % of charges	11	$49	$53	$17	33%	39–48	$27 – $103
4	Saint Luke’s North Hospital City, KS percent of total billed charges · bothfrom % of charges	11	$49	$53	$17	33%	39–48	$27 – $103
5	Saint Luke’s South Hospital, Inc Leawood, KS fee schedule · both	7	$5	$6	$2	32%	17–44	$4 – $9
6	Saint Luke’s North Hospital Smithville, MO fee schedule · both	7	$5	$5	$2	29%	16–61	$4 – $9
7	Saint Luke’s North Hospital City, KS fee schedule · both	7	$5	$5	$2	29%	16–61	$4 – $9
8	Barnes Jewish St. Peters Hospital St. Peters, MO fee schedule · both	2	$9	$9	$0	1%	2–20	$9 – $9
9	Humboldt County Memorial Hospital Humboldt, IA facility · percent of total billed charges · outpatientfrom % of charges	2	$31	$37	$31	85%	2–20	$7 – $78
10	Memorial Hospital Shiloh, IL fee schedule · both	2	$9	$9	$0	1%	2–20	$9 – $9
11	Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges	2	$50	$50	—	—	2–20	$50 – $50
12	Progress West Hospital O'Fallon, MO fee schedule · both	2	$9	$9	$0	1%	2–20	$9 – $9
13	The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges	2	$95	$95	—	—	2–20	$95 – $95
14	Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges	1	$18	$18	—	—	1–10	$18 – $18
15	ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient	2	$92	$92	$2	3%	—	$90 – $95
16	ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient	3	$90	$82	$15	18%	—	$61 – $95
17	ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient	1	$43	$43	—	—	—	$43 – $43
18	ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient	2	$92	$92	$2	3%	—	$90 – $95
19	ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient	2	$92	$92	$2	3%	—	$90 – $95
20	ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · inpatient	2	$92	$92	$2	3%	—	$90 – $95
21	ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient	3	$90	$78	$20	25%	—	$51 – $95
22	AdventHealth Avista Louisville, CO fee schedule · outpatient	1	$12	$12	—	—	—	$12 – $12
23	AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient	1	$12	$12	—	—	—	$12 – $12
24	AdventHealth Littleton Littleton, CO fee schedule · outpatient	1	$12	$12	—	—	—	$12 – $12
25	AdventHealth Parker Aurora, CO fee schedule · outpatient	1	$12	$12	—	—	—	$12 – $12

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← Payers reporting HCPCS J2471 · Snapshot 20261111T120946Z-9134e7f7

HCPCS J2471