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 IV SOLN
Monroe, LA
See all hospitals reporting HCPCS J1303 →Price type
Brfhh Monroe, Llc’s median price of $462 is 28% above the median hospital's median price ($362), higher than 59% of the 1,644 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: 10 payers, 17 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 | Bcbs La all payor fee schedule · outpatient | $216 | $218 | $3 | 2% | — | $216 – $225 |
| 2 | Aetna all payor fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 3 | Humana all payor fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 4 | Optum all payor fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 5 | UnitedHealthcare all payor fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 6 | Cigna all payor fee schedule · outpatient | $312 | $312 | — | — | — | $312 – $312 |
| 7 | Humana all payor other · outpatient | $2.0k | $4.4k | $5.4k | 123% | — | $217 – $13.5k |
| 8 | Aetna Better Health all payor other · outpatient | $8.6k | $8.6k | $4.9k | 57% | — | $3.7k – $13.5k |
| 9 | Amerihealth Caritas all payor other · outpatient | $8.6k | $8.6k | $4.9k | 57% | — | $3.7k – $13.5k |
| 10 | UnitedHealthcare all payor other · outpatient | $8.6k | $8.6k | $4.9k | 57% | — | $3.7k – $13.5k |
| 11 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $16.3k | $17.2k | $10.0k | 58% | — | $6.7k – $29.6k |
| 12 | Cigna all payor other · inpatient | $26.9k | $26.9k | $15.4k | 57% | — | $11.5k – $42.3k |
| 13 | Aetna all payor other · inpatient | $35.0k | $35.0k | $20.0k | 57% | — | $15.0k – $54.9k |
| 14 | First Health all payor other · inpatient | $35.0k | $35.0k | $20.0k | 57% | — | $15.0k – $54.9k |
| 15 | Aetna all payor other · outpatient | $37.1k | $37.1k | $21.2k | 57% | — | $15.9k – $58.2k |
| 16 | First Health all payor other · outpatient | $37.1k | $37.1k | $21.2k | 57% | — | $15.9k – $58.2k |
| 17 | MultiPlan all payor other · outpatient | $37.7k | $37.7k | $21.5k | 57% | — | $16.1k – $59.2k |
Last updated: Apr 1, 2026
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