421256 — Alteplase 0.81 Mg/kg IV Infusion 100 Mg Vial
Cite this view
HANK Price Transparency. (n.d.). ALTEPLASE 0.81 MG/KG IV INFUSION 100 MG VIAL (OTHER 421256) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/421256?code_type=OTHER
“ALTEPLASE 0.81 MG/KG IV INFUSION 100 MG VIAL (OTHER 421256) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/421256?code_type=OTHER. Accessed .
“ALTEPLASE 0.81 MG/KG IV INFUSION 100 MG VIAL (OTHER 421256) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/421256?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $12,309–$16,107 (25th–75th percentile) across 1 hospital · 11 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 421256 — 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 |
|---|---|---|---|---|---|---|---|
| JOHNSON MEMORIAL HOSPITAL | [Blue Cross] | [Hmo,Ppo] | $8,485.52 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Uhc United Health Care] | [Hmo,Ppo] | $11,523.54 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Cross] | [Federal] | $11,785.44 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Cross] | [Federal] | $11,785.44 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Umr] | [Hmo,Ppo] | $12,833.04 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Humana] | [Hmo,Ppo] | $13,094.94 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Plus] | [Pmap] | $13,618.73 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Prime West] | [Hmo,Ppo] | $14,142.53 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Plus] | [Non Pmap] | $14,928.23 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Cigna] | [Hmo,Ppo] | $15,713.92 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Medica Non Pmap] | [Hmo,Ppo] | $15,713.92 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Ucare] | [Hmo,Ppo] | $16,499.62 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Health Partners] | [Hmo,Ppo] | $17,547.21 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Aetna] | [Aetna Hmo,Ppo] | $18,856.71 | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Plus] | [Nonpmap] | — | $26,189.87 | $22,261.39 | 2026-05-06 | MRF ↗ |