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 SOLN FOR MI OR PE
DYER, IN
See all hospitals reporting HCPCS J3101 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER’s median price of $18.7k is 4545% above the median hospital's median price ($402), higher than 89% 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, 39 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 | Medicaid anthem care connect [315015] fee schedule · both | $6,534 | $6,534 | $4,356 – $8,712 |
| 2 | Medicaid anthem healthy indiana plan [301498] fee schedule · both | $6,534 | $6,534 | $4,356 – $8,712 |
| 3 | Medicaid anthem medicaid [109201] fee schedule · both | $6,534 | $6,534 | $4,356 – $8,712 |
| 4 | Medicaid anthem pathways for aging [324049] fee schedule · both | $6,534 | $6,534 | $4,356 – $8,712 |
| 5 | Medicaid humana healthy horizons in indiana [324050] fee schedule · both | $6,534 | $6,534 | $4,356 – $8,712 |
| 6 | Medicaid in mcd-nir-dyer fee schedule · both | $6,534 | $6,534 | $4,356 – $8,712 |
| 7 | Medicaid mdwise excel hhw [318029] fee schedule · both | $6,534 | $6,534 | $4,356 – $8,712 |
| 8 | Medicaid mdwise excel hip [318028] fee schedule · both | $6,534 | $6,534 | $4,356 – $8,712 |
| 9 | Medicaid medicaid in traditional [109206] fee schedule · both | $6,534 | $6,534 | $4,356 – $8,712 |
| 10 | Medicaid united healthcare care connect [321005] fee schedule · both | $6,534 | $6,534 | $4,356 – $8,712 |
| 11 | Medicaid united healthcare pathways for the aging [324051] fee schedule · both | $6,534 | $6,534 | $4,356 – $8,712 |
| 12 | Medicaid caresource hhw [316039] fee schedule · both | $7,841 | $7,841 | $5,227 – $10,454 |
| 13 | Medicaid caresource hip [316038] fee schedule · both | $7,841 | $7,841 | $5,227 – $10,454 |
| 14 | Medicaid in mcd dyer caresource 120% of in mcd fee schedule · both | $7,841 | $7,841 | $5,227 – $10,454 |
| 15 | Bcbs Il anthem blue access ppo with copps - dyer fee schedule · both | $14,023 | $14,023 | $9,349 – $18,697 |
| 16 | Bcbs Il bcbs il blue choice [313025] fee schedule · both | $14,023 | $14,023 | $9,349 – $18,697 |
| 17 | Bcbs In anthem blue access ppo with copps - dyer fee schedule · both | $14,023 | $14,023 | $9,349 – $18,697 |
| 18 | Blue Cross Blue Shield anthem blue access ppo with copps - dyer fee schedule · both | $14,023 | $14,023 | $9,349 – $18,697 |
| 19 | Blue Cross Blue Shield anthem federal [101403] fee schedule · both | $14,023 | $14,023 | $9,349 – $18,697 |
| 20 | Blue Cross Blue Shield anthem healthsync [319068] fee schedule · both | $14,023 | $14,023 | $9,349 – $18,697 |
| 21 | Blue Cross Blue Shield anthem healthsync hpn [322022] fee schedule · both | $14,023 | $14,023 | $9,349 – $18,697 |
| 22 | Blue Cross Blue Shield anthem healthsync pos with copps - dyer fee schedule · both | $14,023 | $14,023 | $9,349 – $18,697 |
| 23 | Blue Cross Blue Shield anthem hmo [101405] fee schedule · both | $14,023 | $14,023 | $9,349 – $18,697 |
| 24 | Blue Cross Blue Shield anthem ppo [101407] fee schedule · both | $14,023 | $14,023 | $9,349 – $18,697 |
| 25 | Blue Cross Blue Shield anthem traditional indemnity [101404] fee schedule · both | $14,023 | $14,023 | $9,349 – $18,697 |
Last updated: Jan 1, 2026
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