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
RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION
Low
$118
Average
$13.0k
Median
$10.1k
High
$57.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 57.7× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +25 other terms | 428 | $264 | $20.6k | $74.7k | 363% | 2–20 | $1 – $421.9k |
| 2 | UnitedHealthcare fee schedule · outpatient · +28 other terms | 649 | $330 | $5.5k | $34.1k | 615% | 1–10 | $0 – $393.1k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +26 other terms | 370 | $347 | $3.3k | $16.3k | 489% | 1–10 | $0 – $135.4k |
| 4 | Cigna fee schedule · outpatient · +25 other terms | 380 | $331 | $13.9k | $49.8k | 357% | — | $1 – $306.8k |
| 5 | Humana fee schedule · outpatient · +20 other terms | 353 | $225 | $2.1k | $11.1k | 519% | — | $0 – $92.3k |
| 6 | Molina fee schedule · outpatient · +24 other terms | 150 | $245 | $11.0k | $32.9k | 300% | — | $1 – $165.7k |
| 7 | WellCare fee schedule · outpatient · +16 other terms | 141 | $230 | $297 | $327 | 110% | — | $207 – $2.5k |
| 8 | Anthem fee schedule · outpatient · +24 other terms | 133 | $300 | $1.5k | $10.5k | 709% | — | $209 – $96.4k |
| 9 | Caresource fee schedule · outpatient · +17 other terms | 89 | $258 | $397 | $890 | 224% | — | $1 – $7.5k |
| 10 | Kaiser fee schedule · outpatient · +20 other terms | 78 | $336 | $19.5k | $58.3k | 299% | — | $1 – $287.7k |
| 11 | Ambetter facility · fee schedule · outpatient · +15 other terms | 71 | $403 | $929 | $5.0k | 535% | — | $221 – $53.7k |
| 12 | Devoted fee schedule · outpatient · +12 other terms | 63 | $225 | $226 | $11 | 5% | — | $205 – $254 |
| 13 | Highmark facility · fee schedule · outpatient · +15 other terms | 57 | $297 | $378 | $223 | 59% | — | $111 – $1.2k |
| 14 | MultiPlan fee schedule · outpatient · +13 other terms | 49 | $14.4k | $183.3k | $166.3k | 91% | — | $225 – $431.5k |
| 15 | Optum fee schedule · outpatient · +19 other terms | 48 | $225 | $7.8k | $22.7k | 290% | — | $200 – $87.2k |
| 16 | Amerihealth Caritas facility · fee schedule · outpatient · +11 other terms | 37 | $234 | $1.7k | $8.6k | 502% | — | $220 – $51.8k |
| 17 | Medicare fee schedule · outpatient · +12 other terms | 35 | $221 | $259 | $272 | 105% | — | $213 – $2.5k |
| 18 | Oscar facility · fee schedule · outpatient · +16 other terms | 35 | $287 | $286 | $60 | 21% | — | $225 – $416 |
| 19 | Medica fee schedule · outpatient · +17 other terms | 34 | $1.1k | $7.0k | $22.3k | 320% | — | $235 – $115.0k |
| 20 | Clover fee schedule · outpatient · +7 other terms | 29 | $244 | $501 | $670 | 134% | — | $213 – $2.5k |
| 21 | Bcbs Tx fee schedule · outpatient · +3 other terms | 28 | $883 | $797 | $331 | 42% | — | $207 – $1.5k |
| 22 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms | 27 | $259 | $259 | $55 | 21% | — | $206 – $369 |
| 23 | Tricare facility · fee schedule · outpatient · +14 other terms | 26 | $28.4k | $36.3k | $38.5k | 106% | — | $37 – $147.3k |
| 24 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $217 | $217 | $3 | 1% | — | $201 – $225 |
| 25 | Bcbs Mn fee schedule · outpatient · +8 other terms | 25 | $319 | $304 | $104 | 34% | — | $168 – $444 |
← Hospitals reporting HCPCS J1303 · Snapshot 20261111T120946Z-9134e7f7