CPT 85421
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.
Original text from hospital filings
Fibrinolytic plasminogen
Low
$9
Average
$49
Median
$13
High
$299
Filter by billing methodology
Filter by billing class
22 hospital rates
iThe hospitals that file a Carefirst rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Children's National Hospital Washington, DC facility · fee schedule · outpatient | 2 | $459 | $459 | — | — | — | $459 – $459 |
| 2 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 3 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 4 | Diley Ridge Medical Center Canal Winchester, OH facility · fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 5 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $33 | $32 | $1 | 3% | — | $31 – $33 |
| 6 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 7 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $46 | $45 | $1 | 3% | — | $43 – $47 |
| 8 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 9 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 10 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 11 | Mount Carmel East Reynoldsburg, OH facility · fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | Mount Carmel Grove City Grove City, OH facility · fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 13 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 14 | Mount Carmel St Ann's Lewis Center, OH facility · fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 15 | Potomac Hospital Corporation of Prince William Lake Ridge, VA facility · fee schedule · outpatient | 2 | $38 | $38 | $10 | 27% | — | $28 – $48 |
| 16 | RESTON HOSPITAL CENTER Reston, VA fee schedule · outpatient | 2 | $58 | $58 | — | — | — | $58 – $58 |
| 17 | STONESPRINGS HOSPITAL CENTER Dulles, VA fee schedule · outpatient | 2 | $58 | $58 | — | — | — | $58 – $58 |
| 18 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 19 | St Joseph Mercy Chelsea Chelsea, MI facility · fee schedule · both | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 20 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · fee schedule · both | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 21 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 22 | St Mary Mercy Livonia Livonia, MI facility · fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
← Payers reporting CPT 85421 · Snapshot 20261113T090226Z-3ce6c0b8