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.
Original text from hospital filings
HC Eculizumab 10 Mg (Soliris)
Low
$21
Average
$11.5k
Median
$11.9k
High
$26.4k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 105.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
18 hospital rates
iThe hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $216 | $216 | — | — | — | $216 – $216 |
| 2 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 3 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 4 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 5 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13.7k | $13.7k | $13.7k | 100% | — | $0 – $27.4k |
| 6 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13.7k | $13.7k | $13.7k | 100% | — | $0 – $27.4k |
| 7 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $227 | $227 | — | — | — | $227 – $227 |
| 8 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 9 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 10 | Lake Charles Memorial Hospital Charles., LA fee schedule · outpatient | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 11 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $23.5k | $23.5k | — | — | — | $23.5k – $23.5k |
| 12 | Penn Medicine Princeton Medical Center Princeton, NJ facility · fee schedule · outpatient | 1 | $23.5k | $23.5k | — | — | — | $23.5k – $23.5k |
| 13 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · fee schedule · outpatient | 1 | $23.5k | $23.5k | — | — | — | $23.5k – $23.5k |
| 14 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · fee schedule · outpatient | 1 | $23.5k | $23.5k | — | — | — | $23.5k – $23.5k |
| 15 | The Chester County Hospital West Chester, PA facility · fee schedule · outpatient | 1 | $23.5k | $23.5k | — | — | — | $23.5k – $23.5k |
| 16 | University Health Truman Medical Center Kansas City, MO facility · fee schedule · outpatient | 1 | $398 | $398 | — | — | — | $398 – $398 |
| 17 | University Hospital & Clinics, Inc. Lafayette, LA other · outpatient | 1 | $26.4k | $26.4k | $11 | 0% | — | $26.4k – $26.4k |
| 18 | Westchester Medical Center Valhalla, NY facility · fee schedule · outpatient | 1 | $23.5k | $23.5k | — | — | — | $23.5k – $23.5k |
← Payers reporting HCPCS J1300 · Snapshot 20261111T120946Z-9134e7f7