3803412 — Activase (Alteplase) Vial: 100mg
Cite this view
HANK Price Transparency. (n.d.). Activase (Alteplase) Vial: 100mg (CDM 3803412) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3803412?code_type=CDM
“Activase (Alteplase) Vial: 100mg (CDM 3803412) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3803412?code_type=CDM. Accessed .
“Activase (Alteplase) Vial: 100mg (CDM 3803412) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3803412?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15,891–$25,630 (25th–75th percentile) across 1 hospital · 7 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 3803412 — 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 |
|---|---|---|---|---|---|---|---|
| FRIO REGIONAL HOSPITAL Both | Cigna | Medicare Advantage | $5,600.00 | $25,630.00 | $17,941.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | Superior Health Plan | Commercial | $5,895.00 | $25,630.00 | $17,941.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | Amerigroup Texas | Medicare Advantage | $5,895.00 | $25,630.00 | $17,941.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | Aetna | Commercial | $19,223.00 | $25,630.00 | $17,941.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | Blue Cross Blue Shield of Texas | HMO | $22,042.00 | $25,630.00 | $17,941.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | Blue Cross Blue Shield of Texas | Blue Advantage | $22,042.00 | $25,630.00 | $17,941.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | Blue Cross Blue Shield of Texas | Traditional | $23,067.00 | $25,630.00 | $17,941.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | United Healthcare | Commercial | $23,580.00 | $25,630.00 | $17,941.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | Humana | Medicare Advantage | $25,630.00 | $25,630.00 | $17,941.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | Humana | Commercial | $25,630.00 | $25,630.00 | $17,941.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | ChoiceCare | Commercial | $25,630.00 | $25,630.00 | $17,941.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Both | ChoiceCare | Medicare Advantage | $25,630.00 | $25,630.00 | $17,941.00 | 2026-05-15 | MRF ↗ |