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 IV KIT
Newburgh, IN
See all hospitals reporting HCPCS J3101 →Price type
Deaconess Hospital, Inc’s median price of $371 is 8% below the median hospital's median price ($402), higher than 46% 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: 13 payers, 28 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 | Anthem commercial facility · case rate · outpatient | $154.67 | $154.67 | $154.67 – $154.67 |
| 2 | Anthem commercial facility · per diem · outpatient | $154.67 | $154.67 | $154.67 – $154.67 |
| 3 | Anthem medicare advantage facility · case rate · outpatient | $154.67 | $154.67 | $154.67 – $154.67 |
| 4 | Bcbs Il dual medicare/medicaid facility · case rate · outpatient | $154.67 | $154.67 | $154.67 – $154.67 |
| 5 | Bcbs Il medicare advantage facility · case rate · outpatient | $154.67 | $154.67 | $154.67 – $154.67 |
| 6 | Humana fide-snp facility · case rate · outpatient | $154.67 | $154.67 | $154.67 – $154.67 |
| 7 | Humana medicare advantage facility · case rate · outpatient | $154.67 | $154.67 | $154.67 – $154.67 |
| 8 | Molina dual medicare/medicaid facility · case rate · outpatient | $154.67 | $154.67 | $154.67 – $154.67 |
| 9 | Molina fide-snp facility · case rate · outpatient | $154.67 | $154.67 | $154.67 – $154.67 |
| 10 | UnitedHealthcare government facility · case rate · outpatient | $154.67 | $154.67 | $154.67 – $154.67 |
| 11 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $154.67 | $154.67 | $154.67 – $154.67 |
| 12 | WellCare dual medicare/medicaid facility · case rate · outpatient | $154.67 | $154.67 | $154.67 – $154.67 |
| 13 | WellCare medicare advantage facility · case rate · outpatient | $154.67 | $154.67 | $154.67 – $154.67 |
| 14 | Ambetter commercial facility · case rate · outpatient | $232.01 | $232.01 | $232.01 – $232.01 |
| 15 | Caresource commercial facility · case rate · outpatient | $232.01 | $232.01 | $232.01 – $232.01 |
| 16 | UnitedHealthcare commercial facility · fee schedule · outpatient | $259.83 | $259.83 | $259.83 – $259.83 |
| 17 | Anthem hmo facility · fee schedule · outpatient | $344.44 | $344.44 | $344.44 – $344.44 |
| 18 | Aetna Better Health managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $5,619 | $5,619 | $5,619 – $5,619 |
| 19 | Humana managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $5,619 | $5,619 | $5,619 – $5,619 |
| 20 | Molina managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $5,619 | $5,619 | $5,619 – $5,619 |
| 21 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $5,619 | $5,619 | $5,619 – $5,619 |
| 22 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $5,619 | $5,619 | $5,619 – $5,619 |
| 23 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $13,507 | $13,507 | $13,507 – $13,507 |
| 24 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $14,383 | $14,383 | $14,383 – $14,383 |
| 25 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $14,608 | $14,608 | $14,608 – $14,608 |
Last updated: Feb 11, 2026
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