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HANK Price Transparency. (n.d.).
INJECTION, PANTOPRAZOLE SODIUM, 40 MG (HCPCS S0164) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 27, 2026 , from http://ppman.hank.ai/transparency/procedure/S0164/by-state?code_type=HCPCS
“INJECTION, PANTOPRAZOLE SODIUM, 40 MG (HCPCS S0164) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/S0164/by-state?code_type=HCPCS. Accessed
June 27, 2026 .
“INJECTION, PANTOPRAZOLE SODIUM, 40 MG (HCPCS S0164) by State,” HANK Price Transparency ,
accessed June 27, 2026 ,
http://ppman.hank.ai/transparency/procedure/S0164/by-state?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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HCPCS · across United States
S0164 — Injection, Pantoprazole Sodium, 40 Mg
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$22
National median
$10 – $35
IQR (p25 – p75)
483
hospitals filing
49
states
Walking in without insurance?
Cash / self-pay price
Cash median
$28
vs. negotiated
+29.0%
Hospitals reporting
122
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for S0164 (HCPCS), with interquartile range
State Median p25 p75
NV $207 $12 $212
ID $179 $173 $348
IA $58 $15 $85
UT $56 $56 $56
WY $40 $39 $41
DE $39 $39 $39
FL $39 $39 $39
MA $36 $8 $39
AL $34 $27 $34
SC $34 $33 $35
MN $32 $26 $33
AZ $31 $21 $36
WV $26 $22 $29
AK $24 $5 $43
OH $22 $14 $31
GA $22 $14 $35
IN $22 $22 $217
CO $22 $21 $22
TX $22 $19 $27
KS $21 $14 $21
MS $20 $18 $78
LA $20 $20 $20
IL $18 $10 $63
KY $13 $7 $19
WA $12 $5 $17
CA $11 $8 $78
NC $11 $9 $13
NE $10 $7 $14
NM $10 $10 $10
CT $10 $7 $15
MT $9 $9 $29
NH $9 $4 $9
AR $9 $4 $9
OK $8 $8 $38
NJ $8 $3 $32
HI $8 $8 $14
MI $8 $5 $14
VA $7 $7 $10
VT $7 $3 $7
MD $6 $5 $7
NY $5 $5 $6
TN $5 $5 $9
WI $5 $5 $5
SD $5 $5 $5
ND $5 $5 $5
PA $5 $3 $28
RI $5 $5 $5
ME $5 $5 $5
MO $5 $5 $5