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
ALTEPLASE 1 MG/ML SYRINGE - PERITONEAL DIALYSIS CATHETER CARE (SIMPLE)
67 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
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| # | |||||
|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +35 other terms | 782 | $148.59 | $711.90 | $0.01 – $92,951 |
| 2 | Aetna fee schedule · outpatient · +34 other terms | 508 | $140.42 | $7,313 | $1.00 – $5,006,124 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +35 other terms | 464 | $115.15 | $1,689 | $0.01 – $61,750 |
| 4 | Cigna fee schedule · outpatient · +30 other terms | 458 | $141.61 | $1,154 | $0.09 – $77,459 |
| 5 | Humana fee schedule · outpatient · +29 other terms | 419 | $95.40 | $5,742 | $0.01 – $4,326,280 |
| 6 | Anthem fee schedule · outpatient · +30 other terms | 195 | $115.40 | $208.65 | $34.08 – $37,645 |
| 7 | Molina fee schedule · outpatient · +29 other terms | 173 | $125.24 | $413.14 | $0.78 – $17,820 |
| 8 | WellCare fee schedule · outpatient · +21 other terms | 150 | $98.69 | $1,552 | $85.90 – $1,236,080 |
| 9 | Kaiser fee schedule · outpatient · +23 other terms | 105 | $167.41 | $1,047 | $1.00 – $48,963 |
| 10 | MultiPlan fee schedule · outpatient · +21 other terms | 105 | $8,129 | $33,945 | $43.20 – $3,708,240 |
| 11 | Ambetter facility · fee schedule · outpatient · +22 other terms | 101 | $171.16 | $387.20 | $91.19 – $18,239 |
| 12 | Caresource fee schedule · outpatient · +19 other terms | 100 | $106.73 | $1,515 | $1.08 – $1,236,080 |
| 13 | Optum facility · fee schedule · outpatient · +24 other terms | 74 | $93.83 | $757.57 | $24.75 – $14,759 |
| 14 | Highmark facility · fee schedule · outpatient · +20 other terms | 73 | $139.09 | $147.86 | $39.59 – $429.64 |
| 15 | Medica fee schedule · outpatient · +23 other terms | 73 | $165.11 | $802.14 | $37.08 – $40,763 |
| 16 | Devoted facility · fee schedule · outpatient · +18 other terms | 53 | $98.52 | $97.86 | $93.83 – $104.60 |
| 17 | Regence facility · fee schedule · both · +19 other terms | 46 | $5,446 | $6,390 | $93.83 – $33,792 |
| 18 | Wellmark facility · fee schedule · both · +19 other terms | 43 | $5,687 | $6,147 | $93.83 – $33,792 |
| 19 | Amerihealth Caritas facility · fee schedule · outpatient · +18 other terms | 42 | $97.05 | $264.82 | $49.29 – $21,196 |
| 20 | Carefirst facility · fee schedule · both · +12 other terms | 42 | $5,577 | $6,500 | $93.83 – $33,792 |
| 21 | Excellus facility · fee schedule · both · +15 other terms | 42 | $5,577 | $6,215 | $91.46 – $33,792 |
| 22 | Medicare other · both · +18 other terms | 42 | $93.83 | $96.95 | $93.83 – $667.13 |
| 23 | Premera facility · fee schedule · both · +12 other terms | 42 | $5,577 | $6,514 | $93.83 – $33,792 |
| 24 | Tricare facility · fee schedule · outpatient · +20 other terms | 42 | $142.92 | $5,799 | $1.00 – $52,802 |
| 25 | Medicaid facility · fee schedule · outpatient · +14 other terms | 41 | $1,652 | $1,961 | $10.88 – $9,147 |
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