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
Injection, pantoprazole sodium, 40 mg
Low
$4
Average
$514
Median
$22
High
$5.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
34 payers; the 90th percentile is 287.7× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 53 | $15 | $22 | $24 | 110% | — | $4 – $104 |
| 2 | Humana fee schedule · outpatient · +9 other terms | 46 | $70 | $63 | $33 | 53% | — | $4 – $95 |
| 3 | Aetna facility · fee schedule · outpatient · +10 other terms | 33 | $12 | $12 | $3 | 25% | — | $5 – $19 |
| 4 | Cigna fee schedule · both · +9 other terms | 29 | $6 | $12 | $9 | 70% | — | $5 – $23 |
| 5 | Anthem facility · case rate · outpatient · +7 other terms | 15 | $9 | $10 | $2 | 23% | — | $6 – $15 |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $9 | $10 | $2 | 23% | — | $6 – $15 |
| 7 | Molina facility · case rate · outpatient · +2 other terms | 15 | $9 | $10 | $2 | 23% | — | $6 – $15 |
| 8 | UnitedHealthcare facility · case rate · outpatient · +11 other terms | 15 | $9 | $10 | $2 | 23% | — | $6 – $15 |
| 9 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $6 | $6 | $2 | 29% | — | $3 – $7 |
| 10 | Optum facility · case rate · outpatient · +3 other terms | 11 | $8 | $9 | $2 | 22% | — | $7 – $13 |
| 11 | MultiPlan percent of total billed charges · outpatientfrom % of charges · +4 other terms | 10 | $43 | $47 | $14 | 30% | — | $43 – $90 |
| 12 | Ucare percent of total billed charges · outpatientfrom % of charges · +2 other terms | 9 | $25 | $25 | $1 | 4% | — | $20 – $25 |
| 13 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $5 | $5 | — | — | — | $5 – $5 |
| 14 | Highmark facility · fee schedule · outpatient · +1 other terms | 6 | $70 | $106 | $92 | 87% | — | $5 – $363 |
| 15 | WellCare facility · per diem · inpatient | 5 | $5.8k | $5.5k | $1.1k | 20% | — | $3.6k – $6.9k |
| 16 | First Health facility · fee schedule · outpatient · +4 other terms | 4 | $13 | $13 | — | — | — | $13 – $13 |
| 17 | Kaiser facility · per diem · inpatient · +4 other terms | 4 | $5.2k | $5.0k | $1.1k | 22% | — | $3.3k – $6.3k |
| 18 | Bcbs Tx facility · fee schedule · outpatient | 3 | $6 | $6 | $0 | 2% | — | $6 – $6 |
| 19 | Medica fee schedule · outpatient · +5 other terms | 3 | $7 | $7 | — | — | — | $7 – $7 |
| 20 | Sanford Health Plan fee schedule · outpatient · +5 other terms | 3 | $5 | $5 | — | — | — | $5 – $5 |
| 21 | Amerihealth Caritas professional · fee schedule · outpatient | 2 | $15 | $15 | — | — | — | $15 – $15 |
| 22 | Bcbs Ks facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $57 | $57 | $6 | 11% | — | $46 – $65 |
| 23 | Devoted facility · percent of total billed charges · inpatientfrom % of charges | 2 | $34 | $34 | — | — | — | $34 – $34 |
| 24 | Phcs facility · percent of total billed charges · inpatientfrom % of charges · +3 other terms | 2 | $6 | $6 | $0 | 8% | — | $5 – $6 |
| 25 | Regence facility · per diem · inpatient | 2 | $5.0k | $5.0k | $1.6k | 32% | — | $3.4k – $6.7k |
← Hospitals reporting HCPCS S0164 · Snapshot 20261112T181611Z-3fa9fb76