Payer comparison · HCPCS J3101 · SULLIVAN, MO

J3101 — Tenecteplase 50 Mg Intravenous Solution

What each payer pays MISSOURI BAPTIST SULLIVAN HOSPITAL (CCN 261337) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$18,075 All-payer median here

$17,577 Cash / self-pay here

27 payer/plan-name variants

← This hospital National rates for J3101 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

PHCS (Private Healthcare Systems)	$23,436	29.7%	2
Medica	$23,436	29.7%	3
HEALTHCARE SOL MERCY [609]	$21,971	21.6%	2
MED-PAY [480]	$21,971	21.6%	2
HEALTHSCOPE BENEFITS [258]	$19,837	9.7%	2
BCBS OOS [607]	$19,364	7.1%	6
Blue Cross Blue Shield Association	$19,247	6.5%	8
BLUE CROSS BLUE SHIELD TRADITIONAL [500]	$19,247	6.5%	8
HOPE TRUST [806]	$16,991	-6.0%	1
ALLIED BENEFIT SYSTEMS	$16,991	-6.0%	1
COX HEALTH PLAN	$16,112	-10.9%	3
Cigna Healthcare	$16,076	-11.1%	3
AMERICAN POSTAL WORKERS UNION HEALTH PLAN	$16,076	-11.1%	1
Priority Health	$16,076	-11.1%	1
NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) HEALTH BENEFIT PLAN	$16,076	-11.1%	1
CONSOCIATE [478]	$15,819	-12.5%	4
SARAH BUSH LINCOLN [636]	$15,819	-12.5%	2
HEALTH ALLIANCE MEDICAL PLAN OF ILLINOIS	$14,648	-19.0%	1
UnitedHealthcare	$13,598	-24.8%	2
Humana	$12,992	-28.1%	4
Devoted Health	$7,075	-60.9%	1
BLUE CROSS BLUE SHIELD MEDICARE [263]	$6,832	-62.2%	1
BCBS of Illinois	$6,832	-62.2%	1
BCBS MEDICARE OOS [611]	$6,832	-62.2%	1
BCBS MEDICARE ALT [649]	$6,832	-62.2%	1
ESSENCE HEALTHCARE [221]	$6,445	-64.3%	1
Aetna	$6,445	-64.3%	2

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.