ACT1003205 — Alteplase 100 Mg IV Injection
Cite this view
HANK Price Transparency. (n.d.). Alteplase 100 mg IV injection (OTHER ACT1003205) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/ACT1003205?code_type=OTHER
“Alteplase 100 mg IV injection (OTHER ACT1003205) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/ACT1003205?code_type=OTHER. Accessed .
“Alteplase 100 mg IV injection (OTHER ACT1003205) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/ACT1003205?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,047–$11,787 (25th–75th percentile) across 1 hospital · 9 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER ACT1003205 — 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 |
|---|---|---|---|---|---|---|---|
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $5,046.74 | $13,280.90 | $9,960.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $5,046.74 | $13,280.90 | $9,960.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $5,046.74 | $13,280.90 | $9,960.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $5,046.74 | $13,280.90 | $9,960.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $5,046.74 | $13,280.90 | $9,960.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $5,046.74 | $13,280.90 | $9,960.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $9,960.68 | $13,280.90 | $9,960.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $10,810.65 | $13,280.90 | $9,960.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $11,288.77 | $13,280.90 | $9,960.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Uhc | Commercial | $11,288.77 | $13,280.90 | $9,960.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $11,952.81 | $13,280.90 | $9,960.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $11,952.81 | $13,280.90 | $9,960.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $11,952.81 | $13,280.90 | $9,960.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $12,351.24 | $13,280.90 | $9,960.68 | 2026-05-08 | MRF ↗ |