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
PORTE, IN
See all hospitals reporting HCPCS J3101 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE’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, 9 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 in mcd-nir-michigan city fee schedule · both | $6,534 | $6,534 | $4,356 – $8,712 |
| 2 | Medicaid in mdc mi city caresource 120% of in mcd fee schedule · both | $7,841 | $7,841 | $5,227 – $10,454 |
| 3 | Bcbs Il anthem blue access ppo with copps - michigan city/laporte fee schedule · both | $14,023 | $14,023 | $9,349 – $18,697 |
| 4 | Bcbs In anthem blue access ppo with copps - michigan city/laporte fee schedule · both | $14,023 | $14,023 | $9,349 – $18,697 |
| 5 | Blue Cross Blue Shield anthem blue access ppo with copps - michigan city/laporte fee schedule · both | $14,023 | $14,023 | $9,349 – $18,697 |
| 6 | Blue Cross Blue Shield anthem healthsync pos with copps - michigan city/laporte fee schedule · both | $14,023 | $14,023 | $9,349 – $18,697 |
| 7 | Aetna aetna-nir-michigan city fee schedule · both | $27,410 | $27,410 | $18,273 – $36,547 |
| 8 | Cigna cigna hmo-nid-michigan city & laporte percent of total billed charges · bothfrom % of charges | $33,550 | $33,550 | $33,344 – $33,755 |
| 9 | Cigna cigna ppo-nid-michigan city percent of total billed charges · bothfrom % of charges | $35,161 | $35,161 | $34,945 – $35,376 |
Last updated: Jan 1, 2026
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