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/30ML IV SOLN
Hackensack, NJ
See all hospitals reporting HCPCS J1303 →Price type
Hmh Hospitals Corporation’s median price of $584 is 62% above the median hospital's median price ($360), higher than 66% 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, 16 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Optum managed medicaid facility · fee schedule · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 2 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $206 | $206 | — | — | — | $206 – $206 |
| 3 | Aetna medicare advantage facility · fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 4 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 5 | Optum medicare advantage facility · fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 6 | Cigna hmo facility · percent of total billed charges · bothfrom % of charges | $388 | $388 | — | — | — | $388 – $388 |
| 7 | Cigna ppo facility · percent of total billed charges · bothfrom % of charges | $388 | $388 | — | — | — | $388 – $388 |
| 8 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $490 | $490 | — | — | — | $490 – $490 |
| 9 | Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $490 | $490 | — | — | — | $490 – $490 |
| 10 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $490 | $490 | — | — | — | $490 – $490 |
| 11 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $515 | $515 | — | — | — | $515 – $515 |
| 12 | WellCare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $515 | $515 | — | — | — | $515 – $515 |
| 13 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $561 | $561 | — | — | — | $561 – $561 |
| 14 | UnitedHealthcare hmo facility · percent of total billed charges · outpatientfrom % of charges | $646 | $646 | — | — | — | $646 – $646 |
| 15 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $915 | $915 | — | — | — | $915 – $915 |
| 16 | MultiPlan all products facility · percent of total billed charges · bothfrom % of charges | $973 | $973 | — | — | — | $973 – $973 |
Last updated: Dec 31, 2025
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.