480104 — Alteplase 0.09 Mg/kg Bolus - Mhs
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ALTEPLASE 0.09 MG/KG BOLUS - MHS (LOCAL 480104) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/480104?code_type=LOCAL
MLA (9th ed.)
“ALTEPLASE 0.09 MG/KG BOLUS - MHS (LOCAL 480104) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/480104?code_type=LOCAL. Accessed .
Chicago (notes-bibliography)
“ALTEPLASE 0.09 MG/KG BOLUS - MHS (LOCAL 480104) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/480104?code_type=LOCAL.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15,990–$28,997 (25th–75th percentile) across 1 hospital · 14 payers.
“Negotiated” is the hospital’s negotiated facility rate for this LOCAL 480104 — 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 |
|---|---|---|---|---|---|---|---|
| MADISON HOSPITAL InpatientFacility | UnitedHealthcare | Minnesota Medicaid and CHIP Benefit Plans | — | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | UCare Health, Inc. | Medicare Advantage | — | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | PrimeWest Health | Minnesota Senior Health Options (MSHO) | — | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | PrimeWest Health | MinnesotaCare | — | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | Medica | Medica Advantage Solution | — | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | BlueCross BlueShield Minnesota | SecureBlue (Minnesota Senior Health Options) | — | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | BlueCross BlueShield Minnesota | Medicare Advantage | — | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | Medica | Minnesota Senior Health Options (MSHO) Medica DUAL Solution | — | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | Health Partners, Inc. | Medicare Advantage | — | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | Preferred One Administrative Services, INC. | PHCP/PIC/PAS | — | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | BlueCross BlueShield Minnesota | Minnesota Health Care Programs | $9,080.06 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | UCare Health, Inc. | Medical Assistance | — | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | Humana Insurance Company | Medicare PPO | — | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | Medica | Medical Assistance | — | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | UCare Health, Inc. | Minnesota Senior Health Options (MSHO) | — | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | UnitedHealthcare | Medicare Advantage | — | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | UCare Health, Inc. | Individual & Family Plan | — | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL OutpatientFacility | Medica | Medical Assistance | $14,130.17 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL OutpatientFacility | UnitedHealthcare | Minnesota Medicaid and CHIP Benefit Plans | $15,207.36 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL OutpatientFacility | Health Partners, Inc. | Medicare Advantage | $15,524.18 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $15,524.18 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL OutpatientFacility | Humana Insurance Company | Medicare PPO | $15,524.18 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL OutpatientFacility | UnitedHealthcare | Medicare Advantage | $15,524.18 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL OutpatientFacility | BlueCross BlueShield Minnesota | Medicare Advantage | $15,524.18 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL OutpatientFacility | BlueCross BlueShield Minnesota | SecureBlue (Minnesota Senior Health Options) | $15,524.18 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL OutpatientFacility | Medica | Medica Advantage Solution | $15,777.64 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL OutpatientFacility | Medica | Minnesota Senior Health Options (MSHO) Medica DUAL Solution | $15,777.64 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | Health Partners, Inc. | State Public Programs | $15,841.00 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL OutpatientFacility | UCare Health, Inc. | Minnesota Senior Health Options (MSHO) | $15,989.91 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL OutpatientFacility | UCare Health, Inc. | Medicare Advantage | $15,989.91 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL OutpatientFacility | UCare Health, Inc. | Medical Assistance | $15,989.91 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL OutpatientFacility | PrimeWest Health | MinnesotaCare | $16,271.88 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL OutpatientFacility | PrimeWest Health | Minnesota Senior Health Options (MSHO) | $16,300.39 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL OutpatientFacility | UCare Health, Inc. | Individual & Family Plan | $17,852.81 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | Health Partners, Inc. | Minnesota Senior Health Options (MSHO) | $19,009.20 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | Health Partners, Inc. | State of Minnesota Advantage Program | $25,820.83 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | BlueCross BlueShield Minnesota | Minnesota Advantage Health Plan | $28,060.75 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | BlueCross BlueShield Minnesota | High Value Network Plan | $28,513.80 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL OutpatientFacility | Preferred One Administrative Services, INC. | PHCP/PIC/PAS | $28,545.48 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | Sanford Health Plan | Sanford Health Plan | $29,147.44 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | Aetna | Commercial | $29,147.44 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | Aetna | PPO | $29,464.26 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | Multiplan, Inc. | Multiplan, Inc. | $29,781.08 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | UnitedHealthcare | Individual & Family | $29,781.08 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | Health Partners, Inc. | Commercial | $29,971.17 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | Humana Insurance Company | Commercial PPO | $30,097.90 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | America's PPO | America's PPO | $30,424.22 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | First Health Group Corporation | First Health Network | $30,731.54 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | BlueCross BlueShield Minnesota | Federal Employee Program | $31,175.09 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | Preferred One Administrative Services, INC. | PPO | $31,238.45 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | Medica | Individual & Family | $31,396.86 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | CorVel | Worker's Compensation | $31,682.00 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | BlueCross BlueShield Minnesota | Blue Cross Blue Plus | $31,682.00 | $31,682.00 | $26,929.70 | 2024-09-26 | MRF ↗ |