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
TNKASE 50 MG IV KIT
Burlington, WI
See all hospitals reporting HCPCS J3101 →Price type
Aurora Medical Center Burlington’s median price of $396 is 2% below the median hospital's median price ($402), higher than 49% 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: 6 payers, 21 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 | UnitedHealthcare charter fee schedule · outpatient | $162.43 | $162.43 | $162.43 – $162.43 |
| 2 | UnitedHealthcare exchange fee schedule · outpatient | $162.43 | $162.43 | $162.43 – $162.43 |
| 3 | UnitedHealthcare hmo fee schedule · outpatient | $162.43 | $162.43 | $162.43 – $162.43 |
| 4 | UnitedHealthcare nexus fee schedule · outpatient | $162.43 | $162.43 | $162.43 – $162.43 |
| 5 | Anthem blue priority fee schedule · outpatient | $162.46 | $162.46 | $162.46 – $162.46 |
| 6 | Aetna hmo fee schedule · outpatient | $167.30 | $167.30 | $167.30 – $167.30 |
| 7 | Healthpartners employee trust fund fee schedule · outpatient | $189.54 | $189.54 | $189.54 – $189.54 |
| 8 | Anthem blue preferred fee schedule · outpatient | $194.95 | $194.95 | $194.95 – $194.95 |
| 9 | Healthpartners robin fee schedule · outpatient | $198.25 | $198.25 | $198.25 – $198.25 |
| 10 | Cigna ppo-gppo fee schedule · outpatient | $243.65 | $243.65 | $243.65 – $243.65 |
| 11 | Molina commercial fee schedule · outpatient | $396.33 | $396.33 | $396.33 – $396.33 |
| 12 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $695.29 | $695.29 | $636.48 – $754.10 |
| 13 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $695.29 | $695.29 | $636.48 – $754.10 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $765.75 | $765.75 | $700.98 – $830.52 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $765.75 | $765.75 | $700.98 – $830.52 |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $780.58 | $780.58 | $714.55 – $846.61 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $780.58 | $780.58 | $714.55 – $846.61 |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $784.29 | $784.29 | $717.95 – $850.63 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $784.29 | $784.29 | $717.95 – $850.63 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $788.00 | $788.00 | $721.34 – $854.65 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $788.00 | $788.00 | $721.34 – $854.65 |
Last updated: Nov 21, 2025
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