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
Inj., ravulizumab-cwvz 10 mg
Devils Lake, ND
See all hospitals reporting HCPCS J1303 →Price type
Altru Hospital Devils Lake’s median price of $231 is 36% below the median hospital's median price ($360), higher than 20% of the 1,650 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: 5 payers, 10 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 | Medica medicaid managed care plan facility · fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 4 | Medica all commercial plans facility · fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 5 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 6 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 7 | Aetna medicare managed care plan facility · fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $263 | $287 | $47 | 16% | — | $246 – $353 |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $321 | $321 | $84 | 26% | — | $236 – $405 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $441 | $441 | — | — | — | $441 – $441 |
Last updated: Mar 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.