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 5 mg/mL 1 each Vial
Fairfax, VA
See all hospitals reporting HCPCS J3101 →Price type
Inova Fair Oaks Hospital’s median price of $268 is 34% below the median hospital's median price ($402), higher than 36% 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: 7 payers, 24 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 | Aetna medicare advantage fee schedule · both | $172.22 | $172.22 | $172.22 – $172.22 |
| 2 | Anthem exchange hmo fee schedule · both | $172.22 | $172.22 | $172.22 – $172.22 |
| 3 | Anthem hmo fee schedule · both | $172.22 | $172.22 | $172.22 – $172.22 |
| 4 | Anthem medicare advantage fee schedule · both | $172.22 | $172.22 | $172.22 – $172.22 |
| 5 | Anthem ppo fee schedule · both | $172.22 | $172.22 | $172.22 – $172.22 |
| 6 | UnitedHealthcare medicare advantage fee schedule · both | $172.22 | $172.22 | $172.22 – $172.22 |
| 7 | Cigna medicare advantage fee schedule · both | $179.11 | $179.11 | $179.11 – $179.11 |
| 8 | Kaiser medicare advantage fee schedule · both | $179.11 | $179.11 | $179.11 – $179.11 |
| 9 | Humana medicare advantage fee schedule · both | $189.44 | $189.44 | $189.44 – $189.44 |
| 10 | Cigna exchange fee schedule · both | $240.46 | $240.46 | $240.46 – $240.46 |
| 11 | Cigna hmo fee schedule · both | $240.46 | $240.46 | $240.46 – $240.46 |
| 12 | Cigna ppo fee schedule · both | $240.46 | $240.46 | $240.46 – $240.46 |
| 13 | Carefirst hmo fee schedule · both | $267.65 | $267.65 | $267.65 – $267.65 |
| 14 | Carefirst ppo fee schedule · both | $267.65 | $267.65 | $267.65 – $267.65 |
| 15 | UnitedHealthcare exchange fee schedule · both | $283.70 | $283.70 | $283.70 – $283.70 |
| 16 | UnitedHealthcare nonoptions fee schedule · both | $283.70 | $283.70 | $283.70 – $283.70 |
| 17 | UnitedHealthcare options fee schedule · both | $283.70 | $283.70 | $283.70 – $283.70 |
| 18 | Kaiser hmo other · both | $690.77 | $690.77 | $683.09 – $698.45 |
| 19 | Kaiser ppo other · both | $690.77 | $690.77 | $683.09 – $698.45 |
| 20 | Anthem medicaid advantage fee schedule · both | $6,898 | $6,898 | $6,898 – $6,898 |
| 21 | UnitedHealthcare medicaid advantage fee schedule · both | $7,036 | $7,036 | $7,036 – $7,036 |
| 22 | Humana medicaid advantage fee schedule · both | $7,174 | $7,174 | $7,174 – $7,174 |
| 23 | Aetna medicaid advantage fee schedule · both | $7,243 | $7,243 | $7,243 – $7,243 |
| 24 | Kaiser medicaid advantage fee schedule · both | $7,588 | $7,588 | $7,588 – $7,588 |
Last updated: Apr 1, 2026
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