4078086 — Alteplase 100 Mg Inj
Cite this view
HANK Price Transparency. (n.d.). Alteplase 100 Mg Inj (CDM 4078086) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4078086?code_type=CDM
“Alteplase 100 Mg Inj (CDM 4078086) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4078086?code_type=CDM. Accessed .
“Alteplase 100 Mg Inj (CDM 4078086) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4078086?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $11,446–$29,822 (25th–75th percentile) across 1 hospital · 13 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4078086 — 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 |
|---|---|---|---|---|---|---|---|
| SPRINGFIELD HOSPITAL Both | MVP Health Plan | Medicare Advantage | $11,332.00 | $29,822.00 | $22,367.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Wellsense | Medicare Advantage | $11,332.00 | $29,822.00 | $22,367.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Anthem | Medicare Advantage | $11,332.00 | $29,822.00 | $22,367.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Anthem | Anthem Exchange | $11,332.00 | $29,822.00 | $22,367.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | United Healthcare | Medicare Advantage | $11,332.00 | $29,822.00 | $22,367.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Harvard Pilgrim Health Care | Medicare Advantage | $11,446.00 | $29,822.00 | $22,367.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | WellCare | Medicare Advantage | $11,672.00 | $29,822.00 | $22,367.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Anthem | Commercial | $19,990.00 | $29,822.00 | $22,367.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Cigna | Commercial | $20,935.00 | $29,822.00 | $22,367.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | MVP Health Plan | Commercial | $22,963.00 | $29,822.00 | $22,367.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Harvard Pilgrim Health Care | Commercial | $24,675.00 | $29,822.00 | $22,367.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | MultiPlan | Commercial | $24,752.00 | $29,822.00 | $22,367.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | United Healthcare | Commercial | $26,840.00 | $29,822.00 | $22,367.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Aetna | Commercial | $28,331.00 | $29,822.00 | $22,367.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Coventry | Commercial | $28,331.00 | $29,822.00 | $22,367.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Wellsense | Commercial | $29,822.00 | $29,822.00 | $22,367.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Beacon Health | Commercial | $29,822.00 | $29,822.00 | $22,367.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Blue Cross Blue Shield | Medicare Advantage | $29,822.00 | $29,822.00 | $22,367.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Manage Behavioral Health | Commercial | $29,822.00 | $29,822.00 | $22,367.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Martin's Point Healthcare | Tricare | $29,822.00 | $29,822.00 | $22,367.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Both | Cigna | Medicare Advantage | $31,015.00 | $29,822.00 | $22,367.00 | 2026-08-27 | MRF ↗ |