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 MGI
Austin, TX
See all hospitals reporting HCPCS J3101 →Price type
Ascension Seton’s median price of $153 is 62% below the median hospital's median price ($402), higher than 2% 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: 4 payers, 22 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 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $93.96 | $93.96 | $93.96 – $93.96 |
| 2 | UnitedHealthcare 4498_united healthcare (aus,nw,sw, bas) 20250701 other · outpatient | $152.70 | $152.70 | $152.70 – $152.70 |
| 3 | UnitedHealthcare 4499_united healthcare (del) 20250701 other · outpatient | $152.70 | $152.70 | $152.70 – $152.70 |
| 4 | UnitedHealthcare 4500_united healthcare (wil,hays) 20250701 other · outpatient | $152.70 | $152.70 | $152.70 – $152.70 |
| 5 | UnitedHealthcare 4501_united healthcare nexus city hmo (aus,nw,sw,bas) 20250701 other · outpatient | $152.70 | $152.70 | $152.70 – $152.70 |
| 6 | UnitedHealthcare 4502_united healthcare nexus city hmo (del) 20250701 other · outpatient | $152.70 | $152.70 | $152.70 – $152.70 |
| 7 | UnitedHealthcare 4503_united healthcare nexus city hmo (wil,hays) 20250701 other · outpatient | $152.70 | $152.70 | $152.70 – $152.70 |
| 8 | UnitedHealthcare 4504_united healthcare nexus city ppo (aus,nw,sw,bas) 20250401 other · outpatient | $152.70 | $152.70 | $152.70 – $152.70 |
| 9 | UnitedHealthcare 4506_united healthcare nexus city ppo (wil,hays) 20250701 other · outpatient | $152.70 | $152.70 | $152.70 – $152.70 |
| 10 | UnitedHealthcare 4507_united healthcare standard nexus aco (aus,nw,sw,bas) 20250701 other · outpatient | $152.70 | $152.70 | $152.70 – $152.70 |
| 11 | UnitedHealthcare 4508_united healthcare standard nexus aco (del) 20250701 other · outpatient | $152.70 | $152.70 | $152.70 – $152.70 |
| 12 | UnitedHealthcare 4509_united healthcare standard nexus aco (wil,hays) 20250701 other · outpatient | $152.70 | $152.70 | $152.70 – $152.70 |
| 13 | Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient | $156.72 | $156.72 | $156.72 – $156.72 |
| 14 | Aetna 4335_aetna sha aisd 20250101 fee schedule · outpatient | $206.83 | $206.83 | $206.83 – $206.83 |
| 15 | Aetna 4489_aetna aco hmo 20250801 fee schedule · outpatient | $212.00 | $212.00 | $212.00 – $212.00 |
| 16 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · outpatient | $232.69 | $232.69 | $232.69 – $232.69 |
| 17 | Aetna 4486_aetna hmo 20250801 fee schedule · outpatient | $258.54 | $258.54 | $258.54 – $258.54 |
| 18 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $405.72 | $405.72 | $405.72 – $405.72 |
| 19 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $415.38 | $415.38 | $415.38 – $415.38 |
| 20 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $415.38 | $415.38 | $415.38 – $415.38 |
| 21 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $460.06 | $460.06 | $460.06 – $460.06 |
| 22 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $505.94 | $505.94 | $505.94 – $505.94 |
Last updated: Jan 1, 2026
See Tenecteplase injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.