ACTIVASE — Activase 100mg Vial
Cite this view
HANK Price Transparency. (n.d.). Activase 100mg Vial (CDM ACTIVASE) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/ACTIVASE?code_type=CDM
“Activase 100mg Vial (CDM ACTIVASE) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/ACTIVASE?code_type=CDM. Accessed .
“Activase 100mg Vial (CDM ACTIVASE) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/ACTIVASE?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,336–$8,176 (25th–75th percentile) across 1 hospital · 6 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM ACTIVASE — 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 |
|---|---|---|---|---|---|---|---|
| PACIFICA HOSPITAL OF THE VALLEY Both | Aetna | Commercial | $4,088.00 | $8,176.00 | $8,176.00 | 2025-11-19 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Both | Scan Health Plan | Commercial | $5,723.00 | $8,176.00 | $8,176.00 | 2025-11-19 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Both | Molina | Medi-Cal | $8,176.00 | $8,176.00 | $8,176.00 | 2025-11-19 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Both | Heritage Provider Network | Medi-Cal | $8,176.00 | $8,176.00 | $8,176.00 | 2025-11-19 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Both | Altamed | Commercial | $8,176.00 | $8,176.00 | $8,176.00 | 2025-11-19 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Both | Blue Cross Blue Shield - CA | Medi-Cal | $8,176.00 | $8,176.00 | $8,176.00 | 2025-11-19 | MRF ↗ |