26680087 — Activase Vl 100mg
Cite this view
HANK Price Transparency. (n.d.). Activase Vl 100mg (CDM 26680087) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/26680087?code_type=CDM
“Activase Vl 100mg (CDM 26680087) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/26680087?code_type=CDM. Accessed .
“Activase Vl 100mg (CDM 26680087) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/26680087?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $19,484–$23,761 (25th–75th percentile) across 1 hospital · 5 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 26680087 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| PECOS COUNTY MEMORIAL HOSPITAL Both | Aetna | Commercial | $14,256.00 | $31,681.00 | $23,761.00 | 2026-05-05 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Both | Cigna | Commercial | $19,009.00 | $31,681.00 | $23,761.00 | 2026-05-05 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Both | Blue Cross and Blue Shield | HMO | $19,959.00 | $31,681.00 | $23,761.00 | 2026-05-05 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Both | Blue Cross and Blue Shield | Essentials | $21,226.00 | $31,681.00 | $23,761.00 | 2026-05-05 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Both | Blue Cross and Blue Shield | PPO | $22,177.00 | $31,681.00 | $23,761.00 | 2026-05-05 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Both | Humana | Commercial | $25,345.00 | $31,681.00 | $23,761.00 | 2026-05-05 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Both | MultiPlan | PPO | $28,513.00 | $31,681.00 | $23,761.00 | 2026-05-05 | MRF ↗ |