304189 — Alteplase Vial 100mg
Cite this view
HANK Price Transparency. (n.d.). Alteplase Vial 100mg (CDM 304189) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/304189?code_type=CDM
“Alteplase Vial 100mg (CDM 304189) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/304189?code_type=CDM. Accessed .
“Alteplase Vial 100mg (CDM 304189) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/304189?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10,674–$20,864 (25th–75th percentile) across 1 hospital · 9 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 304189 — 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 |
|---|---|---|---|---|---|---|---|
| CALAIS COMMUNITY HOSPITAL Both | Anthem | Medicare Advantage | $5,017.00 | $24,260.00 | $18,195.00 | 2025-10-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Both | United Healthcare | Medicare Advantage | $5,017.00 | $24,260.00 | $18,195.00 | 2025-10-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Both | Humana | Commercial | $10,674.00 | $24,260.00 | $18,195.00 | 2025-10-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Both | Wellcare | HMO | $10,674.00 | $24,260.00 | $18,195.00 | 2025-10-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Both | Partners Direct Health | Commercial | $14,071.00 | $24,260.00 | $18,195.00 | 2025-10-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Both | Anthem | Commercial | $19,262.00 | $24,260.00 | $18,195.00 | 2025-10-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Both | Cigna | Commercial | $20,403.00 | $24,260.00 | $18,195.00 | 2025-10-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Both | United Healthcare | PPO | $20,864.00 | $24,260.00 | $18,195.00 | 2025-10-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Both | Aetna | Commercial | $20,864.00 | $24,260.00 | $18,195.00 | 2025-10-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Both | Martins Point | PPO | $21,834.00 | $24,260.00 | $18,195.00 | 2025-10-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Both | Harvard Pilgrim | Commercial | $22,198.00 | $24,260.00 | $18,195.00 | 2025-10-01 | MRF ↗ |