28530 — Tenecteplase 50mg Kit 1
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TENECTEPLASE 50MG KIT 1 (CDM 28530) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/28530?code_type=CDM
MLA (9th ed.)
“TENECTEPLASE 50MG KIT 1 (CDM 28530) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/28530?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“TENECTEPLASE 50MG KIT 1 (CDM 28530) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/28530?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $45–$319 (25th–75th percentile) across 6 hospitals · 54 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 28530 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| OUACHITA COUNTY MEDICAL CENTER Both | UNITED HEALTHCARE | UNITED HEALTH CARE | $11.42 | $22.85 | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | SELF PAY | SELF PAY | $11.42 | $22.85 | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | MUNICIPAL HEALTH BENEFIT | MUNICIPAL HEALTH BENEFIT | $13.71 | $22.85 | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | CIGNA HEALTHCARE CLAIMS | CIGNA | $14.96 | $22.85 | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $15.99 | $22.85 | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | AETNA | AETNA | $17.13 | $22.85 | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | ANTHEM BLUE CROSS | ANTHEM BLUE CROSS | $20.56 | $22.85 | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | HEALTH ADVANTAGE | HEALTH ADVANTAGE | $20.56 | $22.85 | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | BLUE ADVANTAGE | BLUE ADVANTAGE | $20.56 | $22.85 | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | ARKANSAS FIRSTSOURCE | ARKANSAS FIRSTSOURCE | $20.56 | $22.85 | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | BLUE CROSS ARKANSAS | BLUE CROSS ARKANSAS | $20.56 | $22.85 | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | BLUE CARD | BLUE CARD | $20.56 | $22.85 | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | MUTUAL OF OMAHA | MUTUAL OF OMAHA | $22.85 | $22.85 | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | QUALCHOICE OF ARKANSAS | QUALCHOICE OF ARKANSAS | $22.85 | $22.85 | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | AMCO | AMCO | $22.85 | $22.85 | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | USABLE LIFE GROUP HEALTH | USABLE LIFE GROUP HEALTH | $22.85 | $22.85 | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | QUALCHOICE EXCHANGE | QUALCHOICE EXCHANGE | $22.85 | $22.85 | — | 2026-03-29 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $35.62 | $118.73 | $68.87 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $39.19 | $118.73 | $68.87 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $41.14 | $118.73 | $68.87 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Humana | Medicare|All Plans | $42.75 | $118.73 | $68.87 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | BCBS - MN | Medicare|All Plans | $42.75 | $118.73 | $68.87 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicaid|All Plans | $43.94 | $118.73 | $68.87 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicaid|All Plans | $43.94 | $118.73 | $68.87 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicare|All Plans | $44.88 | $118.73 | $68.87 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicaid|All Plans | $48.33 | $118.73 | $68.87 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|Federal Plans | $66.49 | $118.73 | $68.87 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|All Other Plans | $67.68 | $118.73 | $68.87 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Health Partners | Commercial|All Plans | $71.24 | $118.73 | $68.87 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|New Business | $86.68 | $118.73 | $68.87 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|All Other Plans | $94.99 | $118.73 | $68.87 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Ucare | Commercial|All Plans | $104.49 | $118.73 | $68.87 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Sanford Health Plan | Commercial|All Plans | $112.80 | $118.73 | $68.87 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $112.80 | $118.73 | $68.87 | 2026-02-28 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ANTHEM PATHWAYS | 946_ANTHEM PATHWAYS MEWI SEWI 20230101 | $164.03 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ACA | 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 | $191.36 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $194.22 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $194.22 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $194.22 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $194.22 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $205.87 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $205.87 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $205.87 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $205.87 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NETWORK HEALTH PLAN | 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 | $222.61 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1161_MOLINA MARKETPLACE ASWI 20241001 | $229.18 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $229.18 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $229.18 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ALLIANCE | 885_ALLIANCE MEWI SEWI 20221001 | $230.42 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $261.66 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | PREVEA COMMERCIAL AND EXCHANGE | 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 | $265.57 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | TRILOGY | 1271_TRILOGY 20250701 | $268.02 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | TRILOGY | 1271_TRILOGY 20250701 | $268.02 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $271.91 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $271.91 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $271.91 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $271.91 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA PPO | 961_HUMANA PPO MEWI SEWI 20230301 | $273.38 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA HMO POS | 936_HUMANA HMO POS MEWI SEWI 20230301 | $273.38 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA WVN | 962_HUMANA WVN MEWI SEWI 20230301 | $273.38 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $273.38 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HEALTH PAYMENT SYSTEMS | 997_HEALTH PAYMENT SYSTEMS 20230701 | $281.19 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1163_WEA TRUST PPO ASWI 20241001 | $291.33 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $291.33 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 432_WEA TRUST SELECT POS ASWI 20180201 | $291.33 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $291.33 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | AETNA | 1279_AETNA MIL 20250701 | $299.10 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | AETNA | 1279_AETNA MIL 20250701 | $299.10 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | TRILOGY | 1007_TRILOGY MEWI SEWI 20230701 | $312.43 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | WPS | 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 | $312.43 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ARISE | 1008_ARISE PREMIER MEWI SEWI 20230701 | $316.34 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $318.52 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $318.52 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | AETNA | 472_AETNA MEWI SEWI 20180701 | $324.15 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA PROVIDER AND POS | 433_WEA PROVIDER AND POS ASWI 20180201 | $330.17 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | AETNA | 1278_AETNA ASWI 20250701 | $334.06 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1281_FIRST HEALTH 20240101 ASWI | $334.06 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $337.94 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $337.94 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | WEA | 267_WEA ALL POLICIES 20160101 | $343.68 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | EOS/MULITPLAN | 235_HEALTH EOS/MULTIPLAN 20160401 | $343.68 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 390_NEHA PPO ON/NEAR SITE 20180701 | $345.71 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 390_NEHA PPO ON/NEAR SITE 20180701 | $345.71 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | NEHA PPO BROAD | 388_NEHA PPO BROAD 20180701 | $345.71 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA PPO BROAD | 388_NEHA PPO BROAD 20180701 | $345.71 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NEHA PPO ON/NEAR SITE | 569_NEHA PPO ON/NEAR SITE 20200101 | $347.58 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NEHA PPO BROAD | 568_NEHA PPO BROAD 20200101 | $347.58 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | HUMANA BEHAVIORAL WVN | 728_HUMANA BEHAVIORAL HEALTH WVN MEWI SEWI 20210101 | $351.49 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | HUMANA BEHAVIORAL HMO PPO | 935_HUMANA BEHAVIORAL HEALTH HMO PPO MEWI SEWI 20230301 | $351.49 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CIGNA | 1004_CIGNA 20230701 | $359.30 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN WC | 1016_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20230701 | $365.13 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN WC | 1016_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20230701 | $365.13 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | EOS/MULTIPLAN WC | 910_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20160401 | $371.01 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $388.44 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $388.44 | $388.44 | $205.87 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $390.54 | $390.54 | $222.61 | 2026-01-01 | MRF ↗ |
| TIOGA MEDICAL CENTER Both | Blue Cross Blue Shield North Dakota | PPO | $13,587.00 | $13,587.00 | $13,587.00 | 2026-05-27 | MRF ↗ |