HCPCS J3101
Injection, tenecteplase, 1 mg
Current code48 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $4,427 – $6,559 | $219 – $226 | $547 – $564 |
| Cascade Valley Hospital | $175 – $15,609 | $6,042 – $11,993 | $7,552 – $14,991 |
| Deaconess Medical Center | $4,051 – $4,289 | $296 – $306 | $739 – $765 |
| EvergreenHealth Medical Center | — | $39,046 | $48,808 |
| EvergreenHealth Monroe | $158 | $39,046 | $48,808 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $7,108 – $11,847 | $23,278 – $38,797 |
| Island Hospital | $4,179 – $4,534 | — | — |
| Kadlec Regional Medical Center | — | $16,935 | $24,193 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $4,190 – $4,525 | — | — |
| MultiCare Auburn Medical Center | $4,114 – $4,443 | $218 – $224 | $546 – $560 |
| MultiCare Covington Medical Center | $4,114 – $4,443 | $219 – $226 | $547 – $564 |
| MultiCare Good Samaritan Hospital | $4,209 – $4,546 | $218 – $227 | $545 – $567 |
| MultiCare Valley Hospital | $4,022 – $4,258 | $296 – $306 | $740 – $766 |
| Olympic Medical Center | $5,178 – $5,671 | $16,416 | $20,520 |
| Overlake Hospital Medical Center & Clinics | — | $2,597 – $6,565 | $5,194 – $13,131 |
| PeaceHealth Peace Island Medical Center | — | $16,310 – $16,701 | $25,092 – $25,694 |
| PeaceHealth Southwest Medical Cente | $194 | $1,486 – $16,701 | $2,286 – $25,694 |
| PeaceHealth St John Medical Center | $146 – $196 | $5,245 – $16,701 | $8,069 – $25,694 |
| PeaceHealth St Joseph Medical Center | $196 | $8,174 – $16,701 | $12,575 – $25,694 |
| PeaceHealth United General Medical Center | — | $4,360 – $16,701 | $6,707 – $25,694 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $21,728 | $31,040 |
| Providence Centralia Hospital | — | $22,966 | $44,166 |
| Providence Holy Family Hospital | — | $21,728 | $31,040 |
| Providence Mount Carmel Hospital | — | $16,057 – $21,728 | $22,939 – $31,040 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Joseph Hospital | — | $16,057 – $21,728 | $22,939 – $31,040 |
| Providence St Mary Medical Center | — | $23,379 | $33,398 |
| Providence St Peter Hospital | — | $22,966 | $44,166 |
| Skagit Valley Hospital | — | $6,042 – $11,993 | $7,552 – $14,991 |
| St Anthony Hospital | — | $7,080 – $11,800 | $23,278 – $38,797 |
| St Clare Hospital | — | $6,710 – $11,183 | $23,278 – $38,797 |
| St Elizabeth Hospital | $3,957 – $8,031 | $8,226 – $13,709 | $23,278 – $38,797 |
| St Francis Community Hospital | — | $7,305 – $12,175 | $23,278 – $38,797 |
| St Joseph Medical Center | — | $7,710 – $12,849 | $23,278 – $38,797 |
| St Michael Medical Center | — | $10,274 – $17,123 | $23,278 – $38,797 |
| Swedish Edmonds Hospital | — | $11,832 | $24,649 |
| Swedish Issaquah | — | $11,832 – $18,810 | $24,649 – $39,187 |
| Swedish Medical Center | — | $11,832 – $18,810 | $24,649 – $39,187 |
| Swedish Medical Center / Cherry Hill | — | $11,832 – $18,810 | $24,649 – $39,187 |
| Tacoma General Allenmore Hospital | $4,211 – $4,547 | $219 – $222 | $547 – $556 |
| Three Rivers Hospital | $9,576 | $13,679 | $13,679 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $290 | $570 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $4,023 – $4,674 | $214 – $278 | $536 – $694 |
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