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 (ACTIVASE/TPA) 2 MG IN NS 250ML INSTILLATION
LAFAYETTE, IN
See all hospitals reporting HCPCS J2997 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE’s median price of $388 is 85% above the median hospital's median price ($210), higher than 64% of the 2,300 hospitals reporting HCPCS J2997. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 17 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 | Medicare medicare-wir-lafayette other · both | $93.83 | $93.83 | $93.83 – $93.83 |
| 2 | UnitedHealthcare uhc all payer-wid-lafayette fee schedule · both | $154.82 | $154.82 | $154.82 – $154.82 |
| 3 | UnitedHealthcare united healthcare charter-wid-lafayette fee schedule · both | $154.82 | $154.82 | $154.82 – $154.82 |
| 4 | UnitedHealthcare united healthcare options ppo-wid-lafaye fee schedule · both | $154.82 | $154.82 | $154.82 – $154.82 |
| 5 | Aetna aetna-wid fee schedule · both | $607.70 | $607.70 | $607.70 – $607.70 |
| 6 | Medicaid in mcd-wir-lafayette fee schedule · both | $277.20 | $1,340 | $184.80 – $4,620 |
| 7 | Medicaid in mcd lafayet caresource 120% of in mcd fee schedule · both | $332.64 | $1,608 | $221.76 – $5,544 |
| 8 | Aetna aetna-nid-dyer-munster-crn point fee schedule · both | $548.89 | $2,653 | $365.92 – $9,148 |
| 9 | Bcbs Il anthem blue access ppo with copps - lafayette fee schedule · both | $562.98 | $2,721 | $375.32 – $9,383 |
| 10 | Bcbs In anthem blue access ppo with copps - lafayette fee schedule · both | $562.98 | $2,721 | $375.32 – $9,383 |
| 11 | Blue Cross Blue Shield anthem blue access ppo with copps - lafayette fee schedule · both | $562.98 | $2,721 | $375.32 – $9,383 |
| 12 | Blue Cross Blue Shield anthem franciscan employee copps- all locations fee schedule · both | $562.98 | $2,721 | $375.32 – $9,383 |
| 13 | Blue Cross Blue Shield anthem healthsync hmo with copps - lafayette fee schedule · both | $562.98 | $2,721 | $375.32 – $9,383 |
| 14 | Blue Cross Blue Shield anthem healthsync pos with copps - lafayette fee schedule · both | $562.98 | $2,721 | $375.32 – $9,383 |
| 15 | Humana choice care-wir percent of total billed charges · bothfrom % of charges | $1,445 | $6,009 | $832.71 – $20,312 |
| 16 | Cigna cigna-wid-lafayette percent of total billed charges · bothfrom % of charges | $1,472 | $6,118 | $847.90 – $20,682 |
| 17 | Cigna cigna behavioral health-wid-lafayette percent of total billed charges · bothfrom % of charges | $1,714 | $7,125 | $987.36 – $24,084 |
Last updated: Jan 1, 2026
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