Alteplase (tPA) 100mg stroke dose

Hospital buy vs billed (illustrative WAC/GPO/340B blend) Genentech specialty · Stroke code drug — cost is clinical, not margin play

What the hospital pays (acquisition)$8,200

Cash$12,000

Medicaid$8,500

Medicare$9,800

Insured$15,000

Medicaid

$8,500

Medicare

$9,800

Cash

$12,000

Insured

$15,000

Insured path is $3,000 (25%) above cash. Hospital buy $8,200 vs insured $15,000.

Payers: modeled — see evidence.