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 IV SOLN
Crowley, LA
See all hospitals reporting HCPCS J1303 →Price type
Acadia General Hospital, Inc’s median price of $233 is 36% below the median hospital's median price ($362), higher than 22% of the 1,645 hospitals reporting HCPCS J1303. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 14 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs La all payor fee schedule · outpatient | $216 | $219 | $4 | 2% | — | $216 – $225 |
| 2 | Aetna all payor fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 3 | Humana all payor fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 4 | Optum all payor fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 5 | Tricare all payor other · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 6 | UnitedHealthcare all payor fee schedule · outpatient | $230 | $230 | $4 | 2% | — | $225 – $234 |
| 7 | WellCare all payor fee schedule · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 8 | Aetna Better Health all payor other · outpatient | $10.5k | $10.5k | $6.0k | 57% | — | $4.5k – $16.5k |
| 9 | Amerihealth Caritas all payor other · outpatient | $10.5k | $10.5k | $6.0k | 57% | — | $4.5k – $16.5k |
| 10 | Humana all payor other · outpatient | $10.5k | $10.5k | $6.0k | 57% | — | $4.5k – $16.5k |
| 11 | UnitedHealthcare all payor other · outpatient | $10.5k | $10.5k | $6.0k | 57% | — | $4.5k – $16.5k |
| 12 | Aetna all payor other · inpatient | $48.4k | $48.4k | $27.7k | 57% | — | $20.7k – $76.1k |
| 13 | Aetna all payor other · outpatient | $48.4k | $48.4k | $27.7k | 57% | — | $20.7k – $76.1k |
| 14 | Cigna all payor other · outpatient | $52.0k | $52.0k | $29.7k | 57% | — | $22.3k – $81.7k |
Last updated: Apr 1, 2026
See Ravulizumab injection (Ultomiris), per 10 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.