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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS J3101 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$193 – $2136 plans$219 – $226$547 – $564
Cascade Valley HospitalArlington$162 – $1713 plans$6,042 – $11,993$7,552 – $14,991
Deaconess Medical CenterSpokaneFile dated 2026-08-27$193 – $2138 plans$296 – $306$739 – $765
EvergreenHealth Medical CenterKirkland$158 – $1615 plans$39,046$48,808
EvergreenHealth MonroeMonroe$153 – $1585 plans$39,046$48,808
Harborview Medical CenterSeattleFile dated 2026-04-01$172 – $1895 plans——
Highline Medical CenterBurienFile dated 2026-02-28$191 – $22011 plans$7,108 – $11,847$23,278 – $38,797
Island HospitalAnacortes$201 – $21311 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$197 – $2377 plans$16,935$24,193
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$203 – $2216 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$193 – $2137 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$193 – $2137 plans$218 – $224$546 – $560
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$193 – $2137 plans$219 – $226$547 – $564
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$193 – $2137 plans$218 – $227$545 – $567
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$199 – $2137 plans$296 – $306$740 – $766
Olympic Medical CenterPort AngelesFile dated 2026-06-24$211 – $2725 plans$16,416$20,520
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$197 – $2053 plans$2,597 – $6,565$5,194 – $13,131
PeaceHealth Peace Island Medical CenterFriday Harbor—$16,310 – $16,701$25,092 – $25,694
PeaceHealth Southwest Medical CenteVancouver$187 – $21513 plans$1,486 – $16,701$2,286 – $25,694
PeaceHealth St John Medical CenterLongview$146 – $20614 plans$5,245 – $16,701$8,069 – $25,694
PeaceHealth St Joseph Medical CenterBellingham$187 – $2068 plans$8,174 – $16,701$12,575 – $25,694
PeaceHealth United General Medical CenterSedro Woolley—$4,360 – $16,701$6,707 – $25,694
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$197 – $2377 plans$21,728$31,040
Providence Centralia HospitalCentraliaFile dated 2026-04-01$197 – $3166 plans$22,966$44,166
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$197 – $2175 plans$21,728$31,040
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$16,057 – $21,728$22,939 – $31,040
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$197 – $2176 plans——
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$197 – $2175 plans$23,379$33,398
Providence St Peter HospitalOlympiaFile dated 2026-04-01$197 – $3166 plans$22,966$44,166
Skagit Valley HospitalMount Vernon$162 – $1754 plans$6,042 – $11,993$7,552 – $14,991
St Anthony HospitalGig HarborFile dated 2026-02-28$195 – $22412 plans$7,080 – $11,800$23,278 – $38,797
St Clare HospitalLakewoodFile dated 2026-02-28$184 – $21212 plans$6,710 – $11,183$23,278 – $38,797
St Elizabeth HospitalEnumclawFile dated 2026-02-28$4,190 – $8,53512 plans$8,226 – $13,709$23,278 – $38,797
St Francis Community HospitalFederal WayFile dated 2026-02-28$191 – $22012 plans$7,305 – $12,175$23,278 – $38,797
St Joseph Medical CenterTacomaFile dated 2026-02-28$180 – $22412 plans$7,710 – $12,849$23,278 – $38,797
St Michael Medical CenterSilverdaleFile dated 2026-02-28$196 – $21610 plans$10,274 – $17,123$23,278 – $38,797
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$197 – $2377 plans$11,832$24,649
Swedish IssaquahIssaquahFile dated 2026-04-01$197 – $2377 plans$11,832 – $18,810$24,649 – $39,187
Swedish Medical CenterSeattleFile dated 2026-04-01$197 – $2377 plans$11,832 – $18,810$24,649 – $39,187
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$197 – $2377 plans$11,832 – $18,810$24,649 – $39,187
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$193 – $2137 plans$219 – $222$547 – $556
Three Rivers HospitalBrewster—$13,679$13,679
University of Washington Medical CtrSeattleFile dated 2026-04-01$172 – $1895 plans——
Virginia Mason Medical CenterSeattle$121 – $1819 plans$290$570
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$193 – $2178 plans$214 – $278$536 – $694

Lowest and highest amounts each hospital lists for this code as an outpatient, 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