NDC 70010-0064-01
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.
Generation details were not recorded for this description.
Original text from hospital filings
PANTOPRAZOLE DR 40 MG GRANULES DELAYED-RELEASE FOR SUSP IN PACKET
Reported by 11 hospitals in the network under the fee schedule methodology.
Low
$1
Average
$113
Median
$23
High
$509
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 11 hospitals; the 90th percentile is 265.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Saint Joseph Health System, Inc Mt. Sterling, KY | $184 | $188 | $98 | 52% | — | $83 – $360 |
| 2 | Saint Joseph Health System, Inc London, KY | $85 | $163 | $124 | 76% | — | $57 – $360 |
| 3 | Benefis Hospitals Inc Falls, MT | $23 | $23 | $3 | 14% | — | $20 – $27 |
| 4 | Sharp Chula Vista Medical Center Chula Vista, CA | $1 | $509 | $880 | 173% | — | $0 – $2.0k |
| 5 | Sharp Mesa Vista Hospital San Diego, CA | $314 | $314 | $312 | 100% | — | $0 – $725 |
| 6 | Grossmont Hospital Corporation La Mesa, CA | $1 | $1 | $0 | 11% | — | $0 – $1 |
| 7 | Sharp Coronado Hospital and Healthcare Center Coronado, CA | $1 | $1 | — | — | — | $0 – $1 |
| 8 | Nebraska Medical Center Omaha, NE | $9 | $10 | $5 | 51% | — | $1 – $27 |
| 9 | Bellevue Medical Center Llc Bellevue, NE | $5 | $5 | $1 | 14% | — | $1 – $9 |
| 10 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $4 | $4 | — | — | — | $0 – $4 |
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