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
Orange, TX
See all hospitals reporting HCPCS J1303 →Price type
CHRISTUS Hospital - Orange’s median price of $236 is 34% below the median hospital's median price ($360), higher than 26% 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: 7 payers, 19 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 | UnitedHealthcare all payer fee schedule · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 3 | Aetna mm fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 4 | Bcbs Tx mm fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 5 | Humana gold choice mm fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 6 | Molina medicare adv mm fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 7 | UnitedHealthcare mm fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 8 | WellCare mm fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 9 | Devoted mm fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 10 | Aetna new business fee schedule · outpatient | $395 | $395 | — | — | — | $395 – $395 |
| 11 | Aetna epo fee schedule · outpatient | $439 | $439 | — | — | — | $439 – $439 |
| 12 | Aetna hmo fee schedule · outpatient | $439 | $439 | — | — | — | $439 – $439 |
| 13 | Aetna pos fee schedule · outpatient | $439 | $439 | — | — | — | $439 – $439 |
| 14 | Aetna ppo fee schedule · outpatient | $439 | $439 | — | — | — | $439 – $439 |
| 15 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $833 | $833 | — | — | — | $833 – $833 |
| 16 | Bcbs Tx heb fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 17 | Bcbs Tx hmo fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 18 | Bcbs Tx ppo fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | Bcbs Tx traditional fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Jan 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.