HCPCS C9113

Injection, pantoprazole sodium, per vial

Retired code11 hospitals with prices

Description from CMS's HCPCS Level II code file.

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.

Prices for HCPCS C9113 by hospital
Hospital	Commercial insurance rates (lowest – highest)	Cash price	List price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27	$59.92 – $1052 plans	$33.76 – $57.76	$84.40 – $144
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27	$33.21 – $68.473 plans	$22.52 – $37.52	$56.28 – $93.80
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	$4.88 – $19.50	$9.75 – $39.00
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27	$55.34 – $68.473 plans	$37.52	$93.80

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.