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
50242-0120-47 - tenecteplase 50 mg Powd [F]
Norwalk, OH
See all hospitals reporting HCPCS J3101 →Price type
Fisher-Titus Medical Center’s median price of $10.6k is 2533% above the median hospital's median price ($402), higher than 78% 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: 12 payers, 40 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 | Optum vaccnoptum professional · fee schedule · outpatient | $157.47 | $157.47 | $157.47 – $157.47 |
| 2 | Optum vaccnoptum facility · fee schedule · outpatient | $162.43 | $162.43 | $162.43 – $162.43 |
| 3 | Aetna aetnamedicare facility · fee schedule · outpatient | $172.22 | $172.22 | $172.22 – $172.22 |
| 4 | Anthem anthemmedicare facility · fee schedule · outpatient | $172.22 | $172.22 | $172.22 – $172.22 |
| 5 | Caresource caresourcemedicare facility · fee schedule · outpatient | $172.22 | $172.22 | $172.22 – $172.22 |
| 6 | Medical Mutual mmomedicare facility · fee schedule · outpatient | $172.22 | $172.22 | $172.22 – $172.22 |
| 7 | UnitedHealthcare unitedmedicare facility · fee schedule · outpatient | $172.22 | $172.22 | $172.22 – $172.22 |
| 8 | WellCare wellcaremedicare facility · fee schedule · outpatient | $172.22 | $172.22 | $172.22 – $172.22 |
| 9 | Anthem anthembluepos/ppo facility · fee schedule · outpatient | $175.46 | $175.46 | $175.46 – $175.46 |
| 10 | Anthem anthempathwayhmo/hic/tiered facility · fee schedule · outpatient | $175.46 | $175.46 | $175.46 – $175.46 |
| 11 | Anthem anthemtraditional facility · fee schedule · outpatient | $175.46 | $175.46 | $175.46 – $175.46 |
| 12 | UnitedHealthcare unitedexchange facility · fee schedule · outpatient | $175.66 | $175.66 | $175.66 – $175.66 |
| 13 | Anthem anthemmedicaid facility · case rate · outpatient | $2,961 | $2,961 | $2,961 – $2,961 |
| 14 | Caresource caresourcemedicaid facility · case rate · outpatient | $2,961 | $2,961 | $2,961 – $2,961 |
| 15 | Molina molinamedicaid facility · case rate · outpatient | $3,050 | $3,050 | $3,050 – $3,050 |
| 16 | UnitedHealthcare unitedmedicaid facility · case rate · outpatient | $3,050 | $3,050 | $3,050 – $3,050 |
| 17 | Aetna aetnamedicare facility · percent of total billed charges · inpatientfrom % of charges | $5,472 | $4,549 | $2,309 – $5,974 |
| 18 | Aetna aetnamedicare facility · percent of total billed charges · outpatientfrom % of charges | $5,472 | $4,549 | $2,309 – $5,974 |
| 19 | Medical Mutual mmonorthernohio facility · percent of total billed charges · outpatientfrom % of charges | $7,186 | $5,975 | $3,032 – $7,846 |
| 20 | Anthem anthempathwayhmo/hic/tiered facility · percent of total billed charges · outpatientfrom % of charges | $8,937 | $7,430 | $3,771 – $9,758 |
| 21 | Medical Mutual mmonorthernohio facility · percent of total billed charges · inpatientfrom % of charges | $10,597 | $8,810 | $4,471 – $11,570 |
| 22 | Tricare tricare east facility · percent of total billed charges · outpatientfrom % of charges | $13,679 | $11,373 | $5,772 – $14,935 |
| 23 | Anthem anthempathwayhmo/hic/tiered facility · percent of total billed charges · inpatientfrom % of charges | $13,798 | $11,472 | $5,822 – $15,065 |
| 24 | Cigna cignacommercialhmo facility · percent of total billed charges · inpatientfrom % of charges | $14,591 | $12,131 | $6,157 – $15,931 |
| 25 | Cigna cignacommercialhmo facility · percent of total billed charges · outpatientfrom % of charges | $14,591 | $12,131 | $6,157 – $15,931 |
Last updated: Apr 29, 2026
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