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 INTRAVENOUS SOLUTION
Canal Winchester, OH
See all hospitals reporting HCPCS J3101 →Price type
Diley Ridge Medical Center’s median price of $11.0k is 2636% above the median hospital's median price ($402), higher than 79% 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: 19 payers, 25 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 | Oscar oscar facility · fee schedule · both | $6,647 | $5,539 | $3,324 – $6,647 |
| 2 | Anthem anthem bcbs pathway grp hmo facility · fee schedule · both | $12,153 | $10,128 | $6,077 – $12,153 |
| 3 | Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges | $10,450 | $10,496 | $10,450 – $10,588 |
| 4 | Medcost cofinity facility · percent of total billed charges · bothfrom % of charges | $10,869 | $10,917 | $10,869 – $11,013 |
| 5 | Anthem anthem blue access ppo blue pref hmo facility · fee schedule · both | $14,023 | $11,686 | $7,011 – $14,023 |
| 6 | Blue Cross Blue Shield anthem blue access ppo blue pref hmo facility · fee schedule · both | $14,023 | $11,686 | $7,011 – $14,023 |
| 7 | Carefirst anthem blue access ppo blue pref hmo facility · fee schedule · both | $14,023 | $11,686 | $7,011 – $14,023 |
| 8 | Excellus anthem blue access ppo blue pref hmo facility · fee schedule · both | $14,023 | $11,686 | $7,011 – $14,023 |
| 9 | Highmark anthem blue access ppo blue pref hmo facility · fee schedule · both | $14,023 | $11,686 | $7,011 – $14,023 |
| 10 | Premera anthem blue access ppo blue pref hmo facility · fee schedule · both | $14,023 | $11,686 | $7,011 – $14,023 |
| 11 | Regence anthem blue access ppo blue pref hmo facility · fee schedule · both | $14,023 | $11,686 | $7,011 – $14,023 |
| 12 | Wellmark anthem blue access ppo blue pref hmo facility · fee schedule · both | $14,023 | $11,686 | $7,011 – $14,023 |
| 13 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $11,777 | $11,829 | $11,777 – $11,933 |
| 14 | Humana choice care humana facility · percent of total billed charges · bothfrom % of charges | $11,900 | $11,953 | $11,900 – $12,058 |
| 15 | Humana humana one facility · percent of total billed charges · bothfrom % of charges | $11,900 | $11,953 | $11,900 – $12,058 |
| 16 | First Health aetna first health facility · percent of total billed charges · bothfrom % of charges | $12,265 | $12,320 | $12,265 – $12,428 |
| 17 | UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges | $12,870 | $12,927 | $12,870 – $13,041 |
| 18 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $13,050 | $13,107 | $13,050 – $13,223 |
| 19 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $13,150 | $13,208 | $13,150 – $13,324 |
| 20 | Caresource caresource marketplace facility · percent of total billed charges · bothfrom % of charges | $16,990 | $17,065 | $16,990 – $17,215 |
| 21 | Medical Mutual medical mutual ohio health traditional facility · percent of total billed charges · bothfrom % of charges | $17,711 | $17,790 | $17,711 – $17,946 |
| 22 | MultiPlan multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $18,596 | $18,678 | $18,596 – $18,842 |
| 23 | Phcs multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $18,596 | $18,678 | $18,596 – $18,842 |
| 24 | Aetna aetnaio health facility · percent of total billed charges · bothfrom % of charges | $23,274 | $23,377 | $23,274 – $23,582 |
| 25 | Anthem anthem bcbs blue trad facility · percent of total billed charges · bothfrom % of charges | $23,274 | $23,377 | $23,274 – $23,582 |
Last updated: Mar 31, 2026
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