5000458 — Alteplase (activase) 100mg Sdv
Cite this view
HANK Price Transparency. (n.d.). ALTEPLASE (ACTIVASE) 100MG SDV (OTHER 5000458) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5000458?code_type=OTHER
“ALTEPLASE (ACTIVASE) 100MG SDV (OTHER 5000458) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5000458?code_type=OTHER. Accessed .
“ALTEPLASE (ACTIVASE) 100MG SDV (OTHER 5000458) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5000458?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $7–$20,419 (25th–75th percentile) across 2 hospitals · 19 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5000458 — 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 |
|---|---|---|---|---|---|---|---|
| MONROE COUNTY HOSPITAL Outpatient | Bcbs Traditional Par Plan | Medicare | $3.58 | $23.00 | $17.25 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Humana Medicare Advantage Plan | Medicare | $3.58 | $23.00 | $17.25 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Bcbs Medicare Advantage Hmo Plan | Medicare | $3.58 | $23.00 | $17.25 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Bcbs Medicare Advantage Ppo Plan | Medicare | $3.58 | $23.00 | $17.25 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Amerigroup Plan | Medicaid | $4.50 | $23.00 | $17.25 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Wellcare Medicaid Advantage Plan | Medicaid | $4.59 | $23.00 | $17.25 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Caresource Plan | Medicaid | $4.73 | $23.00 | $17.25 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Bcbs Ppo Plan | Medicare | $10.13 | $23.00 | $17.25 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Uhc Plan | Commercial | $14.20 | $23.00 | $17.25 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Cigna Plan | Commercial | $15.47 | $23.00 | $17.25 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Aetna Plan | Commercial | $17.94 | $23.00 | $17.25 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Secure Health Plan | Commercial | $18.40 | $23.00 | $17.25 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Humana Plan | Commercial | $18.40 | $23.00 | $17.25 | 2026-05-06 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Medical Associates Health Plan | . | — | $25,178.00 | $17,624.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Preferred Health Choices | . | — | $25,178.00 | $17,624.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | United Healthcare | . | — | $25,178.00 | $17,624.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Corvel | Auto/Medical | — | $25,178.00 | $17,624.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Corvel | Workers Comp | — | $25,178.00 | $17,624.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Health Net | . | — | $25,178.00 | $17,624.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Blue Cross Blue Shield | Medical Rental Network | — | $25,178.00 | $17,624.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Blue Cross Blue Shield | Workers Comp | — | $25,178.00 | $17,624.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Blue Cross Blue Shield | Auto Service | — | $25,178.00 | $17,624.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Integrated Health Plan | . | — | $25,178.00 | $17,624.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Velocity | . | — | $25,178.00 | $17,624.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Harmony Health Plan | . | — | $25,178.00 | $17,624.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Harmony Health Plan | Medicaid/Chip | — | $25,178.00 | $17,624.60 | 2026-05-08 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL Inpatient | Health Choices | . | — | $25,178.00 | $17,624.60 | 2026-05-08 | MRF ↗ |