Injection of pantoprazole sodium at AMH Cath Labs LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PANTOPRAZOLE 40 MG INTRAVENOUS SOLR [5989]

Arlington, TX

See all hospitals reporting HCPCS C9113 →

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How this price compares nationally

AMH Cath Labs LLC’s median price of $13 is 2% below the median hospital's median price ($13), higher than 49% of the 317 hospitals reporting HCPCS C9113. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS C9113 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 8 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$2	$2	—	—	—	$2 – $2
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$2	$2	—	—	—	$2 – $2
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$2	$2	—	—	—	$2 – $2
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$2	$2	—	—	—	$2 – $2
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$2	$2	—	—	—	$2 – $2
6	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$7	$7	—	—	—	$7 – $7
7	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$8	$8	—	—	—	$8 – $8
8	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
9	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
10	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
11	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$12	$12	—	—	—	$12 – $12
12	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$12	$12	—	—	—	$12 – $12
13	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$13	$13	—	—	—	$13 – $13
14	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$13	$13	—	—	—	$13 – $13
15	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$13	$13	—	—	—	$13 – $13
16	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
17	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
18	Aetna asa percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
19	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
20	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
21	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$19	$19	—	—	—	$19 – $19
22	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$20	$20	—	—	—	$20 – $20
23	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$20	$20	—	—	—	$20 – $20
24	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$22	$22	—	—	—	$22 – $22
25	Cigna indemnity percent of total billed charges · outpatientfrom % of charges	$22	$22	—	—	—	$22 – $22

Last updated: Apr 21, 2026

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