Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Generation details were not recorded for this description.
Original text from hospital filings
tenecteplase 50 mg Kit 1 each KIT
St Paul, MN
See all hospitals reporting HCPCS J3101 →Price type
Allina Health Systems’s median price of $4.1k is 909% above the median hospital's median price ($402), higher than 63% of the 2,214 hospitals reporting HCPCS J3101. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 29 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare united healthcare (um) facility · case rate · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $165.38 | $165.38 | $165.38 – $165.38 |
| 3 | Medicaid medicaid ma (u) facility · fee schedule · outpatient | $174.36 | $174.36 | $174.36 – $174.36 |
| 4 | Aetna allina aetna medicare (u) facility · fee schedule · outpatient | $177.62 | $177.62 | $177.62 – $177.62 |
| 5 | Bcbs Mn bc premier (m u) facility · other · outpatient | $186.64 | $186.64 | $186.64 – $186.64 |
| 6 | Medicare medicare (u) facility · fee schedule · outpatient | $186.97 | $186.97 | $186.97 – $186.97 |
| 7 | Blue Cross Blue Shield bc medicare (u) facility · fee schedule · outpatient | $196.32 | $196.32 | $196.32 – $196.32 |
| 8 | Medica medica medicare (u) facility · fee schedule · outpatient | $196.32 | $196.32 | $196.32 – $196.32 |
| 9 | UnitedHealthcare uhc ubh pmap (u) facility · other · outpatient | $217.95 | $217.95 | $217.95 – $217.95 |
| 10 | Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient | $219.55 | $219.55 | $219.55 – $219.55 |
| 11 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $224.25 | $224.25 | $224.25 – $224.25 |
| 12 | Bcbs Mn bc high value/performance network (mu) facility · other · outpatient | $235.68 | $235.68 | $235.68 – $235.68 |
| 13 | Bcbs Mn bc aware/blue plus (m u) facility · other · outpatient | $248.08 | $248.08 | $248.08 – $248.08 |
| 14 | Blue Cross Blue Shield allina health blueprint (mu) facility · other · outpatient | $263.67 | $263.67 | $263.67 – $263.67 |
| 15 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $4,719 | $3,923 | $2,247 – $4,719 |
| 16 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $5,207 | $4,328 | $2,479 – $5,207 |
| 17 | Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges | $8,268 | $6,872 | $3,937 – $8,268 |
| 18 | Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges | $8,796 | $7,311 | $4,188 – $8,796 |
| 19 | Medica medica dual solutions (a u) facility · percent of total billed charges · outpatientfrom % of charges | $10,414 | $8,656 | $4,959 – $10,414 |
| 20 | Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges | $12,816 | $10,653 | $6,103 – $12,816 |
| 21 | Medica medica ubh (u) facility · percent of total billed charges · inpatientfrom % of charges | $16,419 | $13,647 | $7,818 – $16,419 |
| 22 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $16,820 | $13,981 | $8,009 – $16,820 |
| 23 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $17,561 | $14,597 | $8,362 – $17,561 |
| 24 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $17,561 | $14,597 | $8,362 – $17,561 |
| 25 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $18,483 | $15,363 | $8,801 – $18,483 |
Last updated: Jun 16, 2026
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