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
Ulysses, KS
See all hospitals reporting HCPCS J1303 →Price type
Commonspirit Kansas, Inc.’s median price of $20.8k is 5685% above the median hospital's median price ($360), higher than 92% 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: 6 payers, 13 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 Ks commercial ppo/hmo fee schedule · outpatient | $260 | $260 | — | — | — | $260 – $260 |
| 2 | Aetna managed medicare percent of total billed charges · outpatientfrom % of charges | $7.2k | $13.5k | $9.0k | 67% | — | $7.2k – $26.3k |
| 3 | Humana managed medicare percent of total billed charges · outpatientfrom % of charges | $7.2k | $13.5k | $9.0k | 67% | — | $7.2k – $26.3k |
| 4 | Medicare medicare percent of total billed charges · outpatientfrom % of charges | $7.2k | $13.5k | $9.0k | 67% | — | $7.2k – $26.3k |
| 5 | UnitedHealthcare managed medicare percent of total billed charges · outpatientfrom % of charges | $7.2k | $13.5k | $9.0k | 67% | — | $7.2k – $26.3k |
| 6 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $17.9k | $33.9k | $22.5k | 67% | — | $17.9k – $65.7k |
| 7 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $17.9k | $33.9k | $22.5k | 67% | — | $17.9k – $65.7k |
| 8 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges | $18.7k | $35.3k | $23.5k | 67% | — | $18.7k – $68.5k |
| 9 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges | $18.7k | $35.3k | $23.5k | 67% | — | $18.7k – $68.5k |
| 10 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $20.2k | $38.1k | $25.4k | 67% | — | $20.2k – $74.0k |
| 11 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $20.2k | $38.1k | $25.4k | 67% | — | $20.2k – $74.0k |
| 12 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $20.8k | $39.4k | $26.2k | 67% | — | $20.8k – $76.4k |
| 13 | MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges | $20.8k | $39.4k | $26.2k | 67% | — | $20.8k – $76.4k |
Last updated: Feb 3, 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.