4016261_ERX — Alteplase 100 Mg IV Solution (stroke, Infusion - Tua/ahpl)
Cite this view
HANK Price Transparency. (n.d.). ALTEPLASE 100 MG IV SOLUTION (STROKE, INFUSION - TUA/AHPL) (CDM 4016261_ERX) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4016261_ERX?code_type=CDM
“ALTEPLASE 100 MG IV SOLUTION (STROKE, INFUSION - TUA/AHPL) (CDM 4016261_ERX) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4016261_ERX?code_type=CDM. Accessed .
“ALTEPLASE 100 MG IV SOLUTION (STROKE, INFUSION - TUA/AHPL) (CDM 4016261_ERX) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4016261_ERX?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $12,477–$41,248 (25th–75th percentile) across 1 hospital · 27 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4016261_ERX — 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 |
|---|---|---|---|---|---|---|---|
| MID-COLUMBIA MEDICAL CENTER Outpatient | FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $2,500.00 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | MODA MCR ADV | MODA MCR ADV | $11,882.65 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | REGENCE BCBS VA TRIWEST | REGENCE BCBS VA TRIWEST | $11,882.65 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | TRICARE - ALL OTHER PLANS | TRICARE - ALL OTHER PLANS | $11,882.65 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | COMMUNITY HP MCR ADV - ALL PLANS | COMMUNITY HP MCR ADV - ALL PLANS | $11,882.65 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | VA CCN TRIWEST - ALL PLANS | VA CCN TRIWEST - ALL PLANS | $11,882.65 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | MOLINA MCR ADV | MOLINA MCR ADV | $11,882.65 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | HEALTHNET MCR ADV | HEALTHNET MCR ADV | $12,120.30 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | REGENCE BCBS MCR ADV | REGENCE BCBS MCR ADV | $12,476.78 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | HUMANA - ALL PLANS | HUMANA - ALL PLANS | $12,476.78 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | DEVOTED MCR ADV - ALL PLANS | DEVOTED MCR ADV - ALL PLANS | $12,833.26 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | MOLINA - ALL OTHER PLANS | MOLINA - ALL OTHER PLANS | $13,070.91 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | EMPLOYEE HEALTH PLAN - ALL PLANS | EMPLOYEE HEALTH PLAN - ALL PLANS | $21,388.76 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | NOROCOR - ALL PLANS | NOROCOR - ALL PLANS | $22,004.90 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | COORDINATED CARE MCAID - ALL PLANS | COORDINATED CARE MCAID - ALL PLANS | $22,885.10 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | UHC MEDICAID AND CHIP | UHC MEDICAID AND CHIP | $22,885.10 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | MOLINA MCAID | MOLINA MCAID | $22,885.10 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | AMERIGROUP MCAID - ALL PLANS | AMERIGROUP MCAID - ALL PLANS | $22,885.10 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | REGENCE BCBS HEALTHY OPTIONS MCAID | REGENCE BCBS HEALTHY OPTIONS MCAID | $27,462.12 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | MODA HEALTH PLAN - ALL OTHER PLANS | MODA HEALTH PLAN - ALL OTHER PLANS | $29,046.47 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | REGENCE BCBS - ALL OTHER PLANS | REGENCE BCBS - ALL OTHER PLANS | $34,776.54 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | HEALTHSCAPE - ALL PLANS | HEALTHSCAPE - ALL PLANS | $35,207.84 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $39,608.82 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | COVENTRY - ALL PLANS | COVENTRY - ALL PLANS | $39,608.82 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $40,621.05 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $41,457.23 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $41,809.31 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | PROVIDENCE PPO - ALL PLANS | PROVIDENCE PPO - ALL PLANS | $41,809.31 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | MULTIPLAN/PHCS - ALL PLANS | MULTIPLAN/PHCS - ALL PLANS | $41,809.31 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $41,809.31 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | TRPN - THREE RIVERS - ALL PLANS | TRPN - THREE RIVERS - ALL PLANS | $41,809.31 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $41,809.31 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | AHP - AMERICAS HLTH PLAN - ALL PLANS | AHP - AMERICAS HLTH PLAN - ALL PLANS | $42,689.51 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | PACIFIC SOURCE - ALL PLANS | PACIFIC SOURCE - ALL PLANS | $52,811.76 | $44,009.80 | $21,124.70 | 2026-05-13 | MRF ↗ |