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Intravenous Clot-Dissolving Therapy For Stroke

South Dakota rates for HCPCS 37195

This treatment delivers a clot-dissolving medication through a vein to break up a blood clot blocking blood flow to the brain during an acute stroke. It is given as quickly as possible after stroke symptoms begin, since the medication works best within a narrow time window. The goal is to restore blood flow and limit permanent brain damage.

Rates data updated July 2026.

How much does Intravenous Clot-Dissolving Therapy For Stroke cost?

$891

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $851 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$891$813 to $1,000
FacilityA hospital or hospital-owned outpatient department$851$851 to $851

How much rates vary

Facilitymedian $851 · 10th to 90th $851 to $2,138Professionalmedian $891 · 10th to 90th $646 to $1,259
$500$1K$2K$5Kfacility $851professional $891

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$891.25
Avera
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,000.00
Typical High
$1,258.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,148.15
Typical High
$2,187.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$645.65
Typical High
$6,025.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,659.59
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$741.31
Typical High
$1,096.48
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$691.83
Typical High
$707.95

Where South Dakota sits

The same service costs 11.2 times more in California than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 42nd of 51

$891

CA $4,898HI $437

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.