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 300 MG/3ML SOLUTION 11 ML VIAL
Duluth, MN
See all hospitals reporting HCPCS J1303 →Price type
Essentia Health Duluth’s median price of $271 is 25% below the median hospital's median price ($360), higher than 37% 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, 26 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 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $162 | $162 | — | — | — | $162 – $162 |
| 2 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $195 | $195 | $0 | 0% | — | $195 – $195 |
| 3 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges | $203 | $203 | — | — | — | $203 – $203 |
| 4 | Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges | $203 | $203 | — | — | — | $203 – $203 |
| 5 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $210 | $210 | $0 | 0% | — | $210 – $210 |
| 6 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges | $220 | $220 | — | — | — | $220 – $220 |
| 7 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $221 | $221 | $0 | 0% | — | $221 – $221 |
| 8 | Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient | $222 | $222 | — | — | — | $222 – $222 |
| 9 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 10 | Healthpartners medicare facility · fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 11 | Medica medicare facility · fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 12 | Sanford Health Plan commercia-ndpers facility · fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 13 | Sanford Health Plan commercial facility · fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 14 | Ucare medicare facility · fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 15 | UnitedHealthcare medicare facility · fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 16 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $271 | $271 | $0 | 0% | — | $271 – $271 |
| 17 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $278 | $278 | — | — | — | $278 – $278 |
| 18 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $285 | $285 | $14 | 5% | — | $271 – $299 |
| 19 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $322 | $322 | $0 | 0% | — | $322 – $322 |
| 20 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $350 | $350 | — | — | — | $350 – $350 |
| 21 | Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges | $350 | $350 | — | — | — | $350 – $350 |
| 22 | Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges | $350 | $350 | — | — | — | $350 – $350 |
| 23 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $359 | $359 | $0 | 0% | — | $359 – $359 |
| 24 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $372 | $372 | $0 | 0% | — | $372 – $372 |
| 25 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $416 | $416 | $0 | 0% | — | $416 – $416 |
Last updated: Jan 1, 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.