NDC 72603-0128-10

PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION

Reported by 12 hospitals in the network under the other methodology.

National pricing summary

Based on 4–40 billing samples across every hospital reporting.

Low

Average

$18

Median

$16

High

$30

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All methodologiesCase rateFee schedulePer diemPercent of billed chargesOther

Reflects a payer-specific billing methodology not covered by the standard categories.

Price distribution

Other methodology

Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 12 hospitals; the 90th percentile is 2.8× 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.

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Hospitals reporting NDC 72603-0128-10

#	Hospital	Location
1	The Charlotte Mecklenburg Hospital Authority	Albermarle, NC	$28	$28	—	4–40	$6	$45
2	Ochsner Clinic Foundation	Orleans, LA	$14	$12	$7	—	$5	$28
3	University Health Shreveport, Llc	Shreveport, LA	$11	$10	$5	—	$4	$16
4	Ochsner Lsu Health Shreveport - St. Mary Medical Center, Llc	Shreveport, LA	$9	$9	$5	—	$4	$15
5	Ochsner American Legion Hospital, LLC	Jennings, LA	$24	$25	$5	—	$6	$43
6	Scott Regional Medical Center, Inc.	Morton, MS	$18	$20	$3	—	$13	$30
7	Rush Care, Inc.	Meridian, MS	$30	$30	—	—	$30	$30
8	The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania	Philadelphia, PA	$18	$14	$8	—	$2	$22
9	Pennsylvania Hospital of the University of Pennsylvania Health System	Philadelphia, PA	$22	$18	$7	—	$2	$22
10	Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center	Philadelphia, PA	$22	$18	$7	—	$2	$22

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