50242008525_2 — Alteplase 100 Mg IV Solution For Pulmonary Embolism
Cite this view
HANK Price Transparency. (n.d.). ALTEPLASE 100 MG IV SOLUTION FOR PULMONARY EMBOLISM (NDC 50242008525_2) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/50242008525_2?code_type=NDC
“ALTEPLASE 100 MG IV SOLUTION FOR PULMONARY EMBOLISM (NDC 50242008525_2) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/50242008525_2?code_type=NDC. Accessed .
“ALTEPLASE 100 MG IV SOLUTION FOR PULMONARY EMBOLISM (NDC 50242008525_2) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/50242008525_2?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $9,282–$17,395 (25th–75th percentile) across 2 hospitals · 13 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 50242008525_2 — 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 |
|---|---|---|---|---|---|---|---|
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $7,921.82 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | MOLINA | MARKETPLACE | $7,921.82 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| RUSSELL MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $7,958.47 | $32,351.50 | $11,646.54 | 2026-04-01 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | $7,974.64 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | VitalCore Physicians Group of MI | All Products | $13,203.04 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Fully Insured | $13,686.27 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | NFL Health Services - Cigna | ALL PRODUCTS | $13,731.16 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL BothFacility | Priority Health | HMO/PPO | $14,504.86 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL BothFacility | McLaren Health | Health Advantage PPO | $15,236.31 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL BothFacility | McLaren Health | Commercial HMO | $15,236.31 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| RUSSELL MEDICAL CENTER OutpatientFacility | Devoted Health | All Products | $16,175.75 | $32,351.50 | $11,646.54 | 2026-04-01 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $16,503.80 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL BothFacility | MULTIPLAN, INC. | Complementary Network | $17,692.07 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | University of Michigan | ALL PRODUCTS | $21,124.86 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL BothFacility | Priority Cigna | ALL PRODUCTS | $21,465.50 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $22,762.04 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| RUSSELL MEDICAL CENTER BothFacility | Aetna | All Products | $27,498.78 | $32,351.50 | $11,646.54 | 2026-04-01 | MRF ↗ |