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NDC 00143-9284-01

PANTOPRAZOLE 40 MG IV SOLR

Reported by 32 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$3

Average

$47

Median

$45

High

$154

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalWinfield, IL$5$43$39$72$25
2Northwestern Memorial HospitalChicago, IL$2$30$34$72$24
3Northwestern Medicine Kishwaukee HospitalDeKalb, IL$12$47$47$66$14
4Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$2$4$5$9$2
5Northwestern Medicine Delnor HospitalGeneva, IL$4$20$18$30$8
6Palos Community HospitalPalos Heights, IL$1$6$5$8$2
7Alegent Creighton HealthOmaha, NE$16$60$58$85$22
8Alegent Health Memorial Hospital, SchuylerSchuyler, NE$21$96$84$113$21
9Alegent Creighton HealthPlainview, NE$61$96$88$135$15
10Alegent Creighton HealthPapillion, NE$18$60$58$85$22
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