HCPCS J3101

Injection, tenecteplase, 1 mg

Current code48 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS J3101 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$219 – $226$547 – $564
Cascade Medical CenterLeavenworth$13,074 – $19,6484 plans$18,802$23,502
Cascade Valley HospitalArlington$175 – $15,6094 plans$6,042 – $11,993$7,552 – $14,991
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$296 – $306$739 – $765
EvergreenHealth Medical CenterKirkland—$39,046$48,808
EvergreenHealth MonroeMonroe$1581 plan$39,046$48,808
Highline Medical CenterBurienFile dated 2026-02-28—$7,108 – $11,847$23,278 – $38,797
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$16,935$24,193
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$218 – $224$546 – $560
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$219 – $226$547 – $564
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$218 – $227$545 – $567
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$296 – $306$740 – $766
Olympic Medical CenterPort AngelesFile dated 2026-06-24$5,178 – $5,6715 plans$16,416$20,520
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$2,597 – $6,565$5,194 – $13,131
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$21,728$31,040
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$22,966$44,166
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$21,728$31,040
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$16,057 – $21,728$22,939 – $31,040
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$16,057 – $21,728$22,939 – $31,040
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$23,379$33,398
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$22,966$44,166
Skagit Valley HospitalMount Vernon—$6,042 – $11,993$7,552 – $14,991
St Anthony HospitalGig HarborFile dated 2026-02-28—$7,080 – $11,800$23,278 – $38,797
St Clare HospitalLakewoodFile dated 2026-02-28—$6,710 – $11,183$23,278 – $38,797
St Elizabeth HospitalEnumclawFile dated 2026-02-28$6,518 – $12,8695 plans$8,226 – $13,709$23,278 – $38,797
St Francis Community HospitalFederal WayFile dated 2026-02-28—$7,305 – $12,175$23,278 – $38,797
St Joseph Medical CenterTacomaFile dated 2026-02-28—$7,710 – $12,849$23,278 – $38,797
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$10,274 – $17,123$23,278 – $38,797
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$11,832$24,649
Swedish IssaquahIssaquahFile dated 2026-04-01—$11,832 – $18,810$24,649 – $39,187
Swedish Medical CenterSeattleFile dated 2026-04-01—$11,832 – $18,810$24,649 – $39,187
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$11,832 – $18,810$24,649 – $39,187
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$219 – $222$547 – $556
Three Rivers HospitalBrewster$9,5761 plan$13,679$13,679
Virginia Mason Medical CenterSeattle—$290$570
Yakima Valley MemorialYakimaFile dated 2026-08-27—$214 – $278$536 – $694

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national)
$231 (APC 9002)
Surgery center payment (national)
$231