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
Enumclaw, WA
See all hospitals reporting HCPCS J1303 →Price type
Enumclaw Regional Hospital Association’s median price of $84.6k is 23389% above the median hospital's median price ($360), higher than 100% 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: 10 payers, 33 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 | Premera commercial|all plans case rate · outpatient | $222 | $222 | — | — | — | $222 – $222 |
| 2 | UnitedHealthcare commercial|cascade care fee schedule · outpatient | $226 | $226 | — | — | — | $226 – $226 |
| 3 | Regence commercial|all plans case rate · outpatient | $243 | $243 | — | — | — | $243 – $243 |
| 4 | Aetna commercial|awh fee schedule · outpatient | $281 | $281 | — | — | — | $281 – $281 |
| 5 | Aetna commercial|all other plans fee schedule · outpatient | $331 | $331 | — | — | — | $331 – $331 |
| 6 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $355 | $355 | — | — | — | $355 – $355 |
| 7 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $373 | $373 | — | — | — | $373 – $373 |
| 8 | Kaiser commercial|hmo fee schedule · outpatient | $667 | $667 | — | — | — | $667 – $667 |
| 9 | Kaiser commercial|ppo fee schedule · outpatient | $734 | $734 | — | — | — | $734 – $734 |
| 10 | UnitedHealthcare commercial|navigate fee schedule · inpatient | $52.3k | $52.3k | — | — | — | $52.3k – $52.3k |
| 11 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $55k | $55k | — | — | — | $55k – $55k |
| 12 | UnitedHealthcare commercial|cascade care fee schedule · inpatient | $55k | $55k | — | — | — | $55k – $55k |
| 13 | Kaiser medicare|all plans fee schedule · outpatient | $79.1k | $76.9k | $8.5k | 11% | — | $57.5k – $86.3k |
| 14 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $79.2k | $77.0k | $8.5k | 11% | — | $57.6k – $86.4k |
| 15 | Molina medicaid|all plans fee schedule · outpatient | $79.6k | $77.4k | $8.6k | 11% | — | $57.9k – $86.8k |
| 16 | Optum medicare|all plans fee schedule · outpatient | $79.9k | $77.7k | $8.6k | 11% | — | $58.1k – $87.2k |
| 17 | Premera medicare|all plans fee schedule · outpatient | $81.5k | $79.3k | $8.8k | 11% | — | $59.3k – $88.9k |
| 18 | Regence medicare|all plans fee schedule · outpatient | $81.5k | $79.3k | $8.8k | 11% | — | $59.3k – $88.9k |
| 19 | Humana medicare|all plans fee schedule · outpatient | $84.6k | $82.3k | $9.1k | 11% | — | $61.6k – $92.3k |
| 20 | Molina medicare|all plans fee schedule · outpatient | $85.4k | $83.1k | $9.2k | 11% | — | $62.1k – $93.2k |
| 21 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $85.4k | $83.1k | $9.2k | 11% | — | $62.1k – $93.2k |
| 22 | Aetna medicare|all plans fee schedule · outpatient | $96.7k | $94.0k | $10.4k | 11% | — | $70.3k – $105.5k |
| 23 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $130.4k | $126.9k | $14.1k | 11% | — | $94.9k – $142.3k |
| 24 | Molina medicaid|all plans fee schedule · inpatient | $131.0k | $127.5k | $14.1k | 11% | — | $95.3k – $143.0k |
| 25 | Molina commercial|marketplace exchange fee schedule · outpatient | $151.9k | $147.7k | $16.4k | 11% | — | $110.5k – $165.7k |
Last updated: Feb 28, 2026
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