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
$0
Average
$12.4k
Median
$493
High
$342.7k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1147 hospitals; the 90th percentile is 162.6× 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
1,842 hospital rates
iThe hospitals that file a Aetna 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 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 25 | $629 | $645 | $82 | 13% | 35–44 | $629 – $1.0k |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | $1.1k | 82% | 4–40 | $241 – $2.4k |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 3 | $1.2k | $994 | $535 | 54% | 2–20 | $271 – $1.6k |
| 4 | Lake Charles Memorial Hospital Charles., LA fee schedule · outpatient | 1 | $503 | $503 | $282 | 56% | 2–20 | $222 – $785 |
| 5 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 25 | $629 | $645 | $82 | 13% | 1–10 | $629 – $1.0k |
| 6 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 7 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · inpatient | 1 | $48.4k | $48.4k | $27.7k | 57% | — | $20.7k – $76.1k |
| 8 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $48.4k | $48.4k | $27.7k | 57% | — | $20.7k – $76.1k |
| 9 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $36.8k | $36.8k | — | — | — | $36.8k – $36.8k |
| 10 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $400 | $379 | $107 | 28% | — | $225 – $503 |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · other · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $9.4k | $9.4k | $1.3k | 14% | — | $8.0k – $10.7k |
| 13 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · inpatient | 1 | $236 | $236 | — | — | — | $236 – $236 |
| 14 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $236 | $236 | — | — | — | $236 – $236 |
| 15 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $15.0k | $15.0k | $8.4k | 56% | — | $6.5k – $23.4k |
| 16 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $18.3k | $18.3k | $10.5k | 57% | — | $7.8k – $28.7k |
| 17 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $401 | $401 | $167 | 42% | — | $234 – $568 |
| 18 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 2 | $7.1k | $27.9k | $40.5k | 145% | — | $434 – $125.8k |
| 19 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH fee schedule · outpatient | 3 | $224 | $397 | $246 | 62% | — | $224 – $745 |
| 20 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 21 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 3 | $537 | $548 | $164 | 30% | — | $353 – $754 |
| 22 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $729 | $589 | $215 | 37% | — | $285 – $754 |
| 23 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 2 | $371 | $371 | $142 | 38% | — | $230 – $513 |
| 24 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $310 | $310 | $84 | 27% | — | $225 – $394 |
| 25 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $554 | $554 | — | — | — | $554 – $554 |
← Payers reporting HCPCS J1303 · Snapshot 20261111T120946Z-9134e7f7