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 1100 MG/11ML IV SOLN
Falls, MT
See all hospitals reporting HCPCS J1303 →Price type
Benefis Hospitals Inc’s median price of $18.2k is 4943% above the median hospital's median price ($360), higher than 90% 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: 11 payers, 26 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 | Aetna bhs hb medicare other · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 2 | Anthem bhs hb medicare other · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 3 | Blue Cross Blue Shield bhs hb medicare other · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 4 | Kaiser bhs hb medicare other · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 5 | Medicare bhs hb medicare other · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 6 | WellCare bhs hb medicare other · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 7 | Blue Cross Blue Shield bhs hb bcbs employee health plan fee schedule · outpatient | $14.3k | $14.3k | $8.1k | 57% | — | $6.1k – $22.4k |
| 8 | Blue Cross Blue Shield bhs hb bcbs blue options fee schedule · outpatient | $19.0k | $19.0k | $10.9k | 57% | — | $8.1k – $29.9k |
| 9 | Cigna bhs hb allegiance fee schedule · outpatient | $23.2k | $23.2k | $13.2k | 57% | — | $9.9k – $36.4k |
| 10 | Healthpartners bhs hb allegiance fee schedule · outpatient | $23.2k | $23.2k | $13.2k | 57% | — | $9.9k – $36.4k |
| 11 | Kaiser bhs hb allegiance fee schedule · outpatient | $23.2k | $23.2k | $13.2k | 57% | — | $9.9k – $36.4k |
| 12 | Medical Mutual bhs hb allegiance fee schedule · outpatient | $23.2k | $23.2k | $13.2k | 57% | — | $9.9k – $36.4k |
| 13 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $30.0k | $30.0k | $17.1k | 57% | — | $12.8k – $47.1k |
| 14 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · inpatientfrom % of charges | $34.6k | $34.6k | $19.8k | 57% | — | $14.8k – $54.3k |
| 15 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $36.9k | $36.9k | $21.1k | 57% | — | $15.8k – $57.9k |
| 16 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $37.5k | $37.5k | $21.4k | 57% | — | $16.1k – $59.0k |
| 17 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $39.2k | $39.2k | $22.4k | 57% | — | $16.8k – $61.6k |
| 18 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · bothfrom % of charges | $39.2k | $39.2k | $22.4k | 57% | — | $16.8k – $61.6k |
| 19 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges | $39.6k | $39.6k | $22.6k | 57% | — | $17.0k – $62.3k |
| 20 | Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $41.5k | $41.5k | $23.7k | 57% | — | $17.8k – $65.2k |
| 21 | Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $41.5k | $41.5k | $23.7k | 57% | — | $17.8k – $65.2k |
| 22 | Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $41.5k | $41.5k | $23.7k | 57% | — | $17.8k – $65.2k |
| 23 | Medical Mutual bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $41.5k | $41.5k | $23.7k | 57% | — | $17.8k – $65.2k |
| 24 | Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges | $42.4k | $42.4k | $24.2k | 57% | — | $18.2k – $66.6k |
| 25 | First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges | $42.4k | $42.4k | $24.2k | 57% | — | $18.2k – $66.6k |
Last updated: Mar 26, 2026
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