6001789 — Alteplase (activase) 100mg IV Powder
Cite this view
HANK Price Transparency. (n.d.). ALTEPLASE (ACTIVASE) 100MG IV POWDER (OTHER 6001789) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/6001789?code_type=OTHER
“ALTEPLASE (ACTIVASE) 100MG IV POWDER (OTHER 6001789) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/6001789?code_type=OTHER. Accessed .
“ALTEPLASE (ACTIVASE) 100MG IV POWDER (OTHER 6001789) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/6001789?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $8,334–$14,091 (25th–75th percentile) across 1 hospital · 9 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 6001789 — 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 |
|---|---|---|---|---|---|---|---|
| W J MANGOLD MEMORIAL HOSPITAL Both | United Healthcare | Commercial | $8,316.00 | $20,328.00 | $20,328.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Both | United Healthcare | Mediare Advantage | $8,334.48 | $20,328.00 | $20,328.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Both | Firstcare | Medicare | $8,334.48 | $20,328.00 | $20,328.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Both | Amerigroup | Medicare Advantage | $8,334.48 | $20,328.00 | $20,328.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Both | Humana | Medicare Advantage | $8,334.48 | $20,328.00 | $20,328.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Both | Tricare | Tricare | $8,585.81 | $20,328.00 | $20,328.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Both | Firstcare | Medicaid | $13,009.92 | $20,328.00 | $20,328.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Both | Amerigroup | Chip | $13,009.92 | $20,328.00 | $20,328.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Both | Amerigroup | Medicaid | $13,009.92 | $20,328.00 | $20,328.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Both | Firstcare | Chip | $13,009.92 | $20,328.00 | $20,328.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Both | Firstcare | Ppo | $13,860.00 | $20,328.00 | $20,328.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Both | Firstcare | Commercial | $13,860.00 | $20,328.00 | $20,328.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Both | Teamchoice | Ppo | $14,784.00 | $20,328.00 | $20,328.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Both | Blue Cross Blue Shield | Commercial | $14,784.00 | $20,328.00 | $20,328.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Both | Cigna Healthcare | Commercial | $14,784.00 | $20,328.00 | $20,328.00 | 2026-05-17 | MRF ↗ |
| W J MANGOLD MEMORIAL HOSPITAL Both | Aetna Health Inc. | Commercial | $15,708.00 | $20,328.00 | $20,328.00 | 2026-05-17 | MRF ↗ |