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.
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Original text from hospital filings
TENECTEPLASE 50 MG INTRAVENOUS SOLR [140163]
Arlington, TX
See all hospitals reporting HCPCS J3101 →Price type
AMH Cath Labs LLC’s median price of $5.7k is 1314% above the median hospital's median price ($402), higher than 66% 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, 33 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.
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| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $172.22 | $172.22 | $172.22 – $172.22 |
| 2 | Humana medicare advantage case rate · outpatient | $179.11 | $179.11 | $179.11 – $179.11 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $179.11 | $179.11 | $179.11 – $179.11 |
| 4 | Molina medicare advantage case rate · outpatient | $180.83 | $180.83 | $180.83 – $180.83 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $180.83 | $180.83 | $180.83 – $180.83 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $189.44 | $189.44 | $189.44 – $189.44 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $191.17 | $191.17 | $191.17 – $191.17 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $194.61 | $194.61 | $194.61 – $194.61 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $247.30 | $247.30 | $247.30 – $247.30 |
| 10 | Blue Cross Blue Shield exchange fee schedule · outpatient | $253.58 | $253.58 | $253.58 – $253.58 |
| 11 | Blue Cross Blue Shield ppo fee schedule · outpatient | $274.83 | $274.83 | $274.83 – $274.83 |
| 12 | UnitedHealthcare all payer fee schedule · outpatient | $590.21 | $590.21 | $590.21 – $590.21 |
| 13 | UnitedHealthcare ppo fee schedule · outpatient | $590.21 | $590.21 | $590.21 – $590.21 |
| 14 | Blue Cross Blue Shield traditional fee schedule · outpatient | $1,124 | $1,124 | $1,124 – $1,124 |
| 15 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $1,339 | $1,339 | $1,339 – $1,339 |
| 16 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $1,339 | $1,339 | $1,339 – $1,339 |
| 17 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $1,407 | $1,407 | $1,407 – $1,407 |
| 18 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $1,446 | $1,446 | $1,446 – $1,446 |
| 19 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $1,473 | $1,473 | $1,473 – $1,473 |
| 20 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $5,203 | $5,203 | $5,203 – $5,203 |
| 21 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $6,178 | $6,178 | $6,178 – $6,178 |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $6,937 | $6,937 | $6,937 – $6,937 |
| 23 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $8,238 | $8,238 | $8,238 – $8,238 |
| 24 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $8,318 | $8,318 | $8,318 – $8,318 |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $10,458 | $10,458 | $10,458 – $10,458 |
Last updated: Apr 21, 2026
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