HCPCS C9113
Injection, pantoprazole sodium, per vial
Retired code11 hospitals with prices
This code is retired. Some hospitals still list it.
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Deaconess Medical Center | $31.35 – $105 | $33.76 – $57.76 | $84.40 – $144 |
| MultiCare Good Samaritan Hospital | $41.08 – $68.47 | $22.52 – $37.52 | $56.28 – $93.80 |
| Overlake Hospital Medical Center & Clinics | — | $4.88 – $19.50 | $9.75 – $39.00 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $5.01 | — | — |
| Providence Holy Family Hospital | $5.01 | — | — |
| Providence Regional Medical Center Everett | $5.01 | — | — |
| Swedish Edmonds Hospital | $5.01 | — | — |
| Swedish Issaquah | $5.01 | — | — |
| Swedish Medical Center | $5.01 | — | — |
| Swedish Medical Center / Cherry Hill | $5.01 | — | — |
| Tacoma General Allenmore Hospital | $68.47 | $37.52 | $93.80 |
Medicare (traditional) reference
CMS publishes no national amount for this code.