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
Arlington, TX
See all hospitals reporting HCPCS J1303 →Price type
AMH Cath Labs LLC’s median price of $236 is 35% below the median hospital's median price ($362), higher than 25% 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: 5 payers, 9 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 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 2 | Humana medicare advantage case rate · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 4 | Molina medicare advantage case rate · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $248 | $248 | — | — | — | $248 – $248 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 9 | UnitedHealthcare ppo fee schedule · outpatient | $858 | $858 | — | — | — | $858 – $858 |
Last updated: Apr 21, 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.