PHA0743 — Activase 100 Mg Vial
Cite this view
HANK Price Transparency. (n.d.). ACTIVASE 100 MG VIAL (CDM PHA0743) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PHA0743?code_type=CDM
“ACTIVASE 100 MG VIAL (CDM PHA0743) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PHA0743?code_type=CDM. Accessed .
“ACTIVASE 100 MG VIAL (CDM PHA0743) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PHA0743?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,633–$10,480 (25th–75th percentile) across 1 hospital · 25 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM PHA0743 — 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 |
|---|---|---|---|---|---|---|---|
| OTHELLO COMMUNITY HOSPITAL Outpatient | UHC MCAID | UHC MCAID | $5,569.05 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | CHP MCAID | CHP MCAID | $5,569.05 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | MOLINA MCAID | MOLINA MCAID | $5,569.05 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | AMERIGROUP MCAID | AMERIGROUP MCAID | $5,569.05 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | AMBETTER MCAID | AMBETTER MCAID | $5,569.05 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | MOLINA - ALL OTHER PLANS | MOLINA - ALL OTHER PLANS | $5,633.24 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | AMBETTER - ALL OTHER PLANS | AMBETTER - ALL OTHER PLANS | $5,633.24 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | CHP - ALL OTHER PLANS | CHP - ALL OTHER PLANS | $5,633.24 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | KAISER - ALL PLANS | KAISER - ALL PLANS | $5,887.39 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $6,288.27 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | WELLCARE MCR ADV - ALL PLANS | WELLCARE MCR ADV - ALL PLANS | $6,288.27 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | MOLINA MCARE | MOLINA MCARE | $6,288.27 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | CHP MCR ADV | CHP MCR ADV | $6,288.27 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE MCR ADV - ALL PLANS | HEALTH ALLIANCE MCR ADV - ALL PLANS | $6,288.27 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | UHC MCARE HMO | UHC MCARE HMO | $6,288.27 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | TRICARE HEALTHNET - ALL PLANS | TRICARE HEALTHNET - ALL PLANS | $8,515.36 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $8,515.36 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $10,480.45 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | HMSO - ALL PLANS | HMSO - ALL PLANS | $10,480.45 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | TPSC - ALL PLANS | TPSC - ALL PLANS | $10,480.45 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | VETERANS ADMIN - ALL PLANS | VETERANS ADMIN - ALL PLANS | $10,480.45 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | ASURIS - ALL PLANS | ASURIS - ALL PLANS | $10,480.45 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $10,480.45 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | TRAVELERS - ALL PLANS | TRAVELERS - ALL PLANS | $10,480.45 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | HMA - ALL PLANS | HMA - ALL PLANS | $10,480.45 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | COMMERCIAL OTHER - ALL PLANS | COMMERCIAL OTHER - ALL PLANS | $10,480.45 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | BLUE CROSS - ALL PLANS | BLUE CROSS - ALL PLANS | $11,004.47 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $11,790.50 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $11,790.50 | $13,100.56 | $9,825.42 | 2026-04-29 | MRF ↗ |