Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) at CHI St. Vincent Hospital Hot Springs

300 Werner Street, Hot Springs, AR · CommonSpirit Health · · NPI 1619915949

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$35,645.25

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$35,645.25

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$93.21 with TotalCare vs $23,232.40 with Aetna — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
TotalCare Medicaid|All Plans $93.21 ↓ -100%
Summit Medicaid|All Plans $93.21 ↓ -100%
Empower Medicaid|All Plans $93.21 ↓ -100%
United Commercial|Options $162.43 ↓ -100%
United Commercial|Non-Options $162.43 ↓ -100%
Humana Medicare|All Plans $163.47 ↓ -100%
BCBS - AR Medicare|PFFS $163.47 ↓ -100%
Centene Commercial|QualChoice $164.47 ↓ -100%
United Medicare|All Plans $168.37 ↓ -100%
Cigna Medicare|Healthspring $168.37 ↓ -100%
BCBS - AR Medicare|HMO PPO $168.37 ↓ -100%
Centene Medicare|Allwell $171.64 ↓ -100%
Aetna Medicare|All Plans $171.64 ↓ -100%
BCBS - AR Commercial|TrueBlue Exchange $185.45 ↓ -99%
BCBS - AR Commercial|All Other Plans $185.45 ↓ -99%
Centene Commercial|Ambetter Exchange $302.18 ↓ -99%
Cigna Commercial|All Other Plans $5,517.70 ↓ -85%
Cigna Commercial|AHN $10,164.18 ↓ -71%
Cigna Commercial|NBR $10,454.58 ↓ -71%
Multiplan Commercial|All Plans $23,232.40 ↓ -35%
Aetna Commercial|All Other Plans $23,232.40 ↓ -35%
Aetna Commercial|HMO $23,232.40 ↓ -35%
Aetna Commercial|PPO $23,232.40 ↓ -35%

Visitor-reported prices

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Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) at other Arkansas hospitals

Hospital City Cash price Negotiated range
Mercy Hospital Berryville Berryville $16,720.61 $2,053.00 – $24,614.00
Mercy Hospital Boonville Booneville $16,718.98 $2,053.00 – $24,614.00
Mercy Hospital Ozark River Ozark $16,718.98 $2,053.00 – $24,614.00
Mercy Hospital Paris Academy Paris $16,718.98 $2,053.00 – $24,614.00
Mercy Hospital Waldron Waldron $16,718.98 $2,053.00 – $24,614.00
Mercy Orthopedic Hospital Fort Smith Fort Smith $17,220.55 $183.42 – $34,777.00

All Arkansas hospitals for this procedure →