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 300MG/3 ML VL
Duncan, OK
See all hospitals reporting HCPCS J1303 →Price type
Duncan Regional Hospital’s median price of $26.0k is 7125% above the median hospital's median price ($360), higher than 95% 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, 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 | Blue Cross Blue Shield blue advantage hmo case rate · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 2 | Blue Cross Blue Shield blue choice ppo case rate · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 3 | Blue Cross Blue Shield blue lincs hmo case rate · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 4 | Blue Cross Blue Shield blue preferred case rate · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 5 | Blue Cross Blue Shield blue traditional ppo case rate · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 6 | Humana all plans fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 7 | Medica ppo percent of total billed charges · outpatientfrom % of charges | $16.8k | $16.8k | — | — | — | $16.8k – $16.8k |
| 8 | Healthcare Highways sync ppo percent of total billed charges · outpatientfrom % of charges | $17.6k | $17.6k | — | — | — | $17.6k – $17.6k |
| 9 | Healthcare Highways logix ppo percent of total billed charges · outpatientfrom % of charges | $26.0k | $26.0k | — | — | — | $26.0k – $26.0k |
| 10 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $27.2k | $27.2k | — | — | — | $27.2k – $27.2k |
| 11 | Aetna all plans percent of total billed charges · outpatientfrom % of charges | $34.0k | $34.0k | — | — | — | $34.0k – $34.0k |
| 12 | Cigna ppo/pos percent of total billed charges · outpatientfrom % of charges | $36.0k | $36.0k | — | — | — | $36.0k – $36.0k |
| 13 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $36.0k | $36.0k | — | — | — | $36.0k – $36.0k |
Last updated: Mar 14, 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.