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 IV SOLN
ST, LA
See all hospitals reporting HCPCS J1303 →Price type
Kaplan General Hospital, Inc’s median price of $26.9k is 7362% 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: 10 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 La all payor fee schedule · outpatient | $216 | $216 | — | — | — | $216 – $216 |
| 2 | UnitedHealthcare all payor fee schedule · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 3 | Bcbs La all payor other · outpatient | $36.3k | $36.3k | $20.7k | 57% | — | $15.6k – $57.1k |
| 4 | Optum all payor other · outpatient | $36.3k | $36.3k | $20.7k | 57% | — | $15.6k – $57.1k |
| 5 | WellCare all payor other · outpatient | $36.3k | $36.3k | $20.7k | 57% | — | $15.6k – $57.1k |
| 6 | Tricare all payor percent of total billed charges · outpatientfrom % of charges | $42.3k | $42.3k | $24.2k | 57% | — | $18.1k – $66.5k |
| 7 | Aetna all payor other · outpatient | $39.8k | $44.4k | $27.0k | 61% | — | $15.6k – $82.4k |
| 8 | Humana all payor other · outpatient | $42.0k | $49.5k | $32.1k | 65% | — | $15.6k – $98.6k |
| 9 | UnitedHealthcare all payor other · outpatient | $42.0k | $49.5k | $32.1k | 65% | — | $15.6k – $98.6k |
| 10 | Aetna all payor other · inpatient | $52.4k | $52.4k | $30.0k | 57% | — | $22.5k – $82.4k |
| 11 | Cigna all payor other · outpatient | $56.5k | $56.5k | $32.3k | 57% | — | $24.2k – $88.8k |
| 12 | Aetna Better Health all payor other · outpatient | $62.7k | $62.7k | $35.8k | 57% | — | $26.9k – $98.6k |
| 13 | Amerihealth Caritas all payor other · outpatient | $62.7k | $62.7k | $35.8k | 57% | — | $26.9k – $98.6k |
Last updated: Apr 1, 2026
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