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 25 mg Solr 1 each Vial
Houma, LA
See all hospitals reporting HCPCS J3101 →Price type
Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System’s median price of $368 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: 10 payers, 22 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 | Bcbs La bc hmo facility · fee schedule · outpatient | $178.71 | $178.71 | $178.71 – $178.71 |
| 2 | Bcbs La bc ppo facility · fee schedule · outpatient | $178.71 | $178.71 | $178.71 – $178.71 |
| 3 | Blue Cross Blue Shield blue cross of la blue connect facility · fee schedule · outpatient | $178.71 | $178.71 | $178.71 – $178.71 |
| 4 | Blue Cross Blue Shield medicare blue cross advantage facility · fee schedule · outpatient | $186.97 | $186.97 | $186.97 – $186.97 |
| 5 | Humana humana facility · fee schedule · outpatient | $186.97 | $186.97 | $186.97 – $186.97 |
| 6 | Humana humana medicare pffs/hmo facility · fee schedule · outpatient | $186.97 | $186.97 | $186.97 – $186.97 |
| 7 | Medicare medicare facility · fee schedule · outpatient | $186.97 | $186.97 | $186.97 – $186.97 |
| 8 | UnitedHealthcare united healthcare medicare facility · fee schedule · outpatient | $186.97 | $186.97 | $186.97 – $186.97 |
| 9 | UnitedHealthcare va ccn optum - uhc facility · fee schedule · outpatient | $186.97 | $186.97 | $186.97 – $186.97 |
| 10 | UnitedHealthcare uhc select facility · other · outpatient | $198.19 | $198.19 | $198.19 – $198.19 |
| 11 | UnitedHealthcare united healthcare facility · other · outpatient | $198.19 | $198.19 | $198.19 – $198.19 |
| 12 | UnitedHealthcare united healthcare heritage facility · other · outpatient | $198.19 | $198.19 | $198.19 – $198.19 |
| 13 | UnitedHealthcare united healthcare navigate facility · other · outpatient | $198.19 | $198.19 | $198.19 – $198.19 |
| 14 | Aetna aetna facility · fee schedule · outpatient | $343.88 | $343.88 | $343.88 – $343.88 |
| 15 | Medicaid medicaid facility · other · outpatient | $8,911 | $8,911 | $8,911 – $8,911 |
| 16 | UnitedHealthcare uhc community health/medicaid facility · other · outpatient | $8,911 | $8,911 | $8,911 – $8,911 |
| 17 | Aetna aetna/medicaid facility · other · outpatient | $9,179 | $9,179 | $9,179 – $9,179 |
| 18 | Humana louisiana managed medicaid-humana facility · other · outpatient | $9,354 | $9,354 | $9,354 – $9,354 |
| 19 | MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges | $32,359 | $32,359 | $32,359 – $32,359 |
| 20 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $32,359 | $32,359 | $32,359 – $32,359 |
| 21 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $33,405 | $33,405 | $33,405 – $33,405 |
| 22 | Tricare champus/tricare facility · fee schedule · outpatient | $49,784 | $49,784 | $49,784 – $49,784 |
Last updated: Feb 27, 2026
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