APC 7048

Alteplase clot-busting drug injection

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Alteplase recombinant

Payers reporting APC 7048

Payer pricing summary

Low

$49

Average

$1.0k

Median

$159

High

$16.6k

Payer rate distribution

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#
1	Excellus case rate · outpatient · +1 other terms	4	$129	$132	$48	37%	503–530	$94 – $212
2	Highmark case rate · outpatient · +2 other terms	5	$94	$128	$45	35%	4–40	$94 – $207
3	First Health other · outpatient · +1 other terms	2	$4.9k	$4.9k	—	—	2–20	$4.9k – $4.9k
4	Bcbs Mi percent of total billed charges · outpatientfrom % of charges	1	$782	$782	—	—	1–10	$782 – $782
5	Bcbs Mn other · outpatient	1	$8.3k	$8.3k	—	—	1–10	$8.3k – $8.3k
6	Ucare other · outpatient	1	$16.6k	$16.6k	—	—	1–10	$16.6k – $16.6k
7	UnitedHealthcare fee schedule · outpatient · +7 other terms	174	$95	$95	$2	2%	—	$89 – $101
8	Humana fee schedule · outpatient · +6 other terms	161	$94	$99	$27	27%	—	$89 – $375
9	Aetna fee schedule · outpatient · +6 other terms	155	$95	$97	$11	11%	—	$89 – $160
10	WellCare fee schedule · outpatient · +4 other terms	131	$97	$99	$4	4%	—	$91 – $124
11	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	126	$96	$96	$4	4%	—	$91 – $137
12	Devoted fee schedule · outpatient · +2 other terms	122	$94	$94	$1	1%	—	$94 – $99
13	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$98	$97	$3	3%	—	$94 – $106
14	Molina fee schedule · outpatient · +5 other terms	69	$138	$135	$51	38%	—	$91 – $246
15	Superior Healthplan fee schedule · outpatient	40	$99	$99	$1	1%	—	$99 – $104
16	Anthem fee schedule · outpatient · +3 other terms	31	$94	$94	$2	2%	—	$91 – $99
17	Oscar fee schedule · outpatient · +2 other terms	27	$93	$102	$21	20%	—	$92 – $160
18	Medicare facility · fee schedule · outpatient · +2 other terms	20	$94	$96	$9	9%	—	$94 – $197
19	Ambetter facility · fee schedule · outpatient · +5 other terms	17	$174	$154	$61	40%	—	$94 – $424
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$113	$113	$0	0%	—	$112 – $113
21	Cigna fee schedule · outpatient · +4 other terms	17	$96	$124	$54	43%	—	$91 – $231
22	Clover fee schedule · outpatient · +3 other terms	15	$100	$100	$1	1%	—	$99 – $104
23	Kaiser fee schedule · outpatient · +4 other terms	15	$96	$95	$1	1%	—	$93 – $96
24	Optum facility · fee schedule · outpatient · +4 other terms	10	$94	$94	—	—	—	$94 – $94
25	Medica facility · fee schedule · outpatient	5	$98	$98	$0	0%	—	$98 – $99

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