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 (Cathflo Activase) 2 mg in sterile water PF 2 mL
Orange, TX
See all hospitals reporting HCPCS A4216 →Price type
CHRISTUS Hospital - Orange’s median price of $2 is 114% above the median hospital's median price ($1), higher than 62% of the 993 hospitals reporting HCPCS A4216. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 33 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Bcbs Tx heb fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Bcbs Tx hmo fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Bcbs Tx ppo fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Bcbs Tx traditional fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Aetna mm fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Bcbs Tx mm fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Humana gold choice mm fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Molina medicare adv mm fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 10 | UnitedHealthcare mm fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 11 | WellCare mm fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Devoted mm fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Humana choicecare fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 14 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $3 | $3 | $2 | 57% | — | $1 – $5 |
| 15 | UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges | $3 | $3 | $2 | 57% | — | $1 – $5 |
| 16 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $3 | $3 | $2 | 57% | — | $1 – $5 |
| 17 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $3 | $3 | $2 | 57% | — | $1 – $5 |
| 18 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $10 | $10 | $6 | 57% | — | $4 – $16 |
| 19 | Molina star km percent of total billed charges · outpatientfrom % of charges | $10 | $10 | $6 | 57% | — | $4 – $16 |
| 20 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $10 | $10 | $6 | 57% | — | $4 – $16 |
| 21 | UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges | $10 | $10 | $6 | 57% | — | $4 – $16 |
| 22 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $14 | $14 | $8 | 57% | — | $6 – $21 |
| 23 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $15 | $15 | $8 | 57% | — | $6 – $23 |
| 24 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $16 | $16 | $9 | 57% | — | $7 – $24 |
| 25 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $21 | $21 | $12 | 57% | — | $9 – $33 |
Last updated: Jan 13, 2026
See Sterile water, saline, or dextrose flush, 10 mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.