Highest Ranked Midsize Car In Initial Quality. The New Nissan Altima. Starting at 19900 USD. Shift The Way You Move. Nissan. The Altima is a mid-size car manufactured by Japanese automaker Nissan. The fourth generation Nissan Altima was announced at the 2006 New York Auto Show on April 12, 2006. It is the first vehicle to use the smaller Nissan D platform, with a new front and upgraded rear suspension.