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
Buda, TX
See all hospitals reporting HCPCS J1303 →Price type
Baylor Scott & White Medical Center - Buda’s median price of $8.9k is 2370% above the median hospital's median price ($360), higher than 82% 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: 8 payers, 27 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 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · fee schedule · inpatient | $209 | $209 | — | — | — | $209 – $209 |
| 2 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $213 | $213 | — | — | — | $213 – $213 |
| 3 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · fee schedule · inpatient | $217 | $217 | — | — | — | $217 – $217 |
| 4 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · fee schedule · outpatient | $219 | $219 | — | — | — | $219 – $219 |
| 5 | Humana medicare facility · fee schedule · outpatient | $224 | $224 | — | — | — | $224 – $224 |
| 6 | Superior Healthplan medicare hmo/medicare ppo facility · fee schedule · outpatient | $224 | $224 | — | — | — | $224 – $224 |
| 7 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 8 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 9 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 10 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $268 | $268 | — | — | — | $268 – $268 |
| 11 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $281 | $281 | — | — | — | $281 – $281 |
| 12 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $369 | $369 | — | — | — | $369 – $369 |
| 13 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $4.4k | $2.9k | 66% | — | $2.3k – $8.5k |
| 14 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $2.5k | $4.7k | $3.1k | 66% | — | $2.5k – $9.1k |
| 15 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $8.9k | $16.7k | $11.1k | 66% | — | $8.9k – $32.4k |
| 16 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $8.9k | $16.7k | $11.1k | 66% | — | $8.9k – $32.4k |
| 17 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $8.9k | $16.9k | $11.2k | 66% | — | $8.9k – $32.7k |
| 18 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $9.5k | $17.9k | $11.9k | 66% | — | $9.5k – $34.8k |
| 19 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $10.2k | $19.3k | $12.8k | 66% | — | $10.2k – $37.4k |
| 20 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $10.4k | $19.7k | $13.1k | 66% | — | $10.4k – $38.2k |
| 21 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $10.6k | $20.0k | $13.3k | 66% | — | $10.6k – $38.8k |
| 22 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges | $10.8k | $20.4k | $13.5k | 66% | — | $10.8k – $39.5k |
| 23 | Humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges | $12.5k | $23.6k | $15.7k | 66% | — | $12.5k – $45.8k |
| 24 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $12.5k | $23.6k | $15.7k | 66% | — | $12.5k – $45.8k |
| 25 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $13.5k | $25.4k | $16.9k | 66% | — | $13.5k – $49.3k |
Last updated: Jun 13, 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.