3000872 — Activase Inj [100mg]
Cite this view
HANK Price Transparency. (n.d.). Activase Inj [100mg] (CDM 3000872) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3000872?code_type=CDM
“Activase Inj [100mg] (CDM 3000872) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3000872?code_type=CDM. Accessed .
“Activase Inj [100mg] (CDM 3000872) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3000872?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $48–$28,161 (25th–75th percentile) across 2 hospitals · 4 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 3000872 — 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 |
|---|---|---|---|---|---|---|---|
| TYLER COUNTY HOSPITAL Both | Blue Cross and Blue Shield | Blue Advantage HMO | $30.00 | $59.00 | $44.00 | 2025-04-15 | MRF ↗ |
| TYLER COUNTY HOSPITAL Both | Blue Cross and Blue Shield | Blue Essentials | $47.00 | $59.00 | $44.00 | 2025-04-15 | MRF ↗ |
| TYLER COUNTY HOSPITAL Both | Blue Cross and Blue Shield | PPO/POS Network Participation | $47.00 | $59.00 | $44.00 | 2025-04-15 | MRF ↗ |
| TYLER COUNTY HOSPITAL Both | Blue Cross and Blue Shield | Traditional Indemnity | $50.00 | $59.00 | $44.00 | 2025-04-15 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Both | Aetna | Commercial | $13,728.00 | $35,201.00 | $21,121.00 | 2026-05-22 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Both | Superior Health Plan | PPO | $20,769.00 | $35,201.00 | $21,121.00 | 2026-05-22 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Both | Superior Health Plan | HMO | $20,769.00 | $35,201.00 | $21,121.00 | 2026-05-22 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Both | Blue Cross Blue Shield of Texas | HMO | $28,161.00 | $35,201.00 | $21,121.00 | 2026-05-22 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Both | Blue Cross Blue Shield of Texas | Blue Essentials | $28,161.00 | $35,201.00 | $21,121.00 | 2026-05-22 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Both | Blue Cross Blue Shield of Texas | Commercial | $28,161.00 | $35,201.00 | $21,121.00 | 2026-05-22 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Both | Superior Health Plan | Commercial | $35,201.00 | $35,201.00 | $21,121.00 | 2026-05-22 | MRF ↗ |