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NDC 9999910584

PANTOPRAZOLE 2 MG/ML SUSPENSION IN SODIUM BICARBONATE

Reported by 20 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

$76

Average

$99

Median

$100

High

$131

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Catholic Health Initiatives ColoradoColorado Springs, CO$78$85$34—$39$144
2Catholic Health Initiatives ColoradoSalt Lake City, UT$89$101$30—$59$164
3Catholic Health Initiatives ColoradoColorado Springs, CO$82$95$33—$44$144
4Catholic Health Initiatives ColoradoLehi, UT$89$100$30—$59$164
5St Francis HospitalColorado Springs, CO$75$80$30—$39$139
6Longmont United HospitalLongmont, CO$66$80$35—$39$148
7Catholic Health Initiatives ColoradoFrisco, CO$98$108$35—$44$151
8Commonspirit Kansas, Inc.Ulysses, KS$137$115$44—$53$156
9Commonspirit Kansas, Inc.Dodge City, KS$131$126$23—$57$148
10Catholic Health Initiatives ColoradoPueblo, CO$95$97$33—$45$144
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