Pantoprazole sodium injection, 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

INJECTION, PANTOPRAZOLE SODIUM IN SODIUM CHLORIDE (BAXTER), 40 MG

Payers reporting HCPCS J2472

Payer pricing summary

Low

Average

$31

Median

$10

High

$258

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +10 other terms	332	$16	$17	$8	45%	—	$8 – $60
2	Cigna fee schedule · outpatient · +7 other terms	145	$17	$29	$21	72%	—	$8 – $77
3	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	118	$22	$26	$14	53%	—	$1 – $57
4	Aetna fee schedule · outpatient · +7 other terms	84	$16	$18	$12	67%	—	$8 – $92
5	Anthem fee schedule · outpatient · +5 other terms	32	$10	$15	$7	44%	—	$9 – $42
6	Bcbs Tx fee schedule · outpatient	27	$39	$37	$11	30%	—	$14 – $61
7	Caresource facility · case rate · outpatient · +3 other terms	15	$9	$10	$2	23%	—	$6 – $15
8	Molina facility · case rate · outpatient · +1 other terms	15	$9	$10	$2	23%	—	$6 – $15
9	Wellmark fee schedule · both · +1 other terms	13	$6	$6	—	—	—	$6 – $6
10	Bcbs Nj fee schedule · outpatient	12	$7	$7	$1	15%	—	$6 – $9
11	Highmark fee schedule · outpatient · +3 other terms	12	$10	$10	$0	2%	—	$9 – $12
12	Optum facility · case rate · outpatient	11	$8	$9	$2	22%	—	$7 – $13
13	Medica fee schedule · both · +3 other terms	9	$9	$9	$0	1%	—	$9 – $10
14	Ucare fee schedule · both · +1 other terms	9	$8	$8	—	—	—	$8 – $8
15	Bcbs Mn fee schedule · both · +2 other terms	8	$9	$9	$0	1%	—	$9 – $9
16	Excellus facility · fee schedule · outpatient	5	$10	$12	$7	60%	—	$7 – $30
17	Medicaid fee schedule · outpatient · +1 other terms	4	$80	$128	$87	68%	—	$74 – $279
18	Phcs percent of total billed charges · outpatientfrom % of charges	4	$38	$42	$6	14%	—	$38 – $52
19	Bcbs Ma other · outpatient	3	$0	$0	—	—	—	$0 – $0
20	First Health professional · fee schedule · both · +2 other terms	3	$10	$10	—	—	—	$10 – $10
21	Kaiser fee schedule · outpatient · +1 other terms	3	$79	$126	$111	88%	—	$19 – $279
22	Amerihealth Caritas professional · fee schedule · outpatient	2	$9	$9	$0	1%	—	$9 – $9
23	Bcbs Ri fee schedule · outpatient	2	$9	$9	—	—	—	$9 – $9
24	Humana facility · other · outpatient · +2 other terms	2	$13	$13	$2	15%	—	$11 – $15
25	MultiPlan fee schedule · both · +2 other terms	2	$12	$12	—	—	—	$12 – $12

Page 1 of 2 · 34 payers