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NDC 9999910584

PANTOPRAZOLE 2 MG/ML SUSPENSION IN SODIUM BICARBONATE

Reported by 20 hospitals in the network under the percent of billed charges methodology.

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.

Reflects a negotiated percentage 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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