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
Summit, WI
See all hospitals reporting HCPCS J1303 →Price type
Aurora Medical Center Summit’s median price of $269 is 26% below the median hospital's median price ($362), higher than 35% 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: 6 payers, 11 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 | Anthem blue priority fee schedule · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 2 | UnitedHealthcare charter fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 3 | UnitedHealthcare exchange fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 4 | UnitedHealthcare hmo fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 5 | UnitedHealthcare nexus fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 6 | Aetna hmo fee schedule · outpatient | $227 | $227 | — | — | — | $227 – $227 |
| 7 | Healthpartners employee trust fund fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 8 | Anthem blue preferred fee schedule · outpatient | $264 | $264 | — | — | — | $264 – $264 |
| 9 | Healthpartners robin fee schedule · outpatient | $269 | $269 | — | — | — | $269 – $269 |
| 10 | Cigna ppo-gppo fee schedule · outpatient | $331 | $331 | — | — | — | $331 – $331 |
| 11 | Molina commercial fee schedule · outpatient | $538 | $538 | — | — | — | $538 – $538 |
Last updated: Nov 21, 2025
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.