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
DeKalb, MS
See all hospitals reporting HCPCS J1303 →Price type
Kemper CAH, Inc.’s median price of $27.2k is 7444% 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: 11 payers, 15 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 Ms all payor fee schedule · outpatient | $179 | $179 | $0 | 0% | — | $179 – $179 |
| 2 | Molina all payor fee schedule · outpatient | $222 | $222 | — | — | — | $222 – $222 |
| 3 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $37.0k | $37.0k | $21.2k | 57% | — | $15.9k – $58.2k |
| 4 | Optum all payor other · outpatient | $46.5k | $46.5k | $26.6k | 57% | — | $19.9k – $73.1k |
| 5 | UnitedHealthcare all payor other · outpatient | $46.5k | $46.5k | $26.6k | 57% | — | $19.9k – $73.1k |
| 6 | Cigna all payor other · outpatient | $52.1k | $52.1k | $29.8k | 57% | — | $22.3k – $81.9k |
| 7 | Cigna Healthspring all payor other · outpatient | $54.8k | $54.8k | $31.3k | 57% | — | $23.5k – $86.1k |
| 8 | Humana all payor other · outpatient | $54.8k | $54.8k | $31.3k | 57% | — | $23.5k – $86.1k |
| 9 | Ambetter all payor other · outpatient | $55.3k | $55.3k | $31.6k | 57% | — | $23.7k – $86.9k |
| 10 | Molina all payor other · outpatient | $55.3k | $55.3k | $31.6k | 57% | — | $23.7k – $86.9k |
| 11 | WellCare all payor other · outpatient | $55.3k | $55.3k | $31.6k | 57% | — | $23.7k – $86.9k |
| 12 | Aetna all payor other · outpatient | $59.3k | $59.3k | $33.9k | 57% | — | $25.4k – $93.2k |
| 13 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $59.3k | $59.3k | $33.9k | 57% | — | $25.4k – $93.2k |
| 14 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $68.5k | $68.5k | $39.1k | 57% | — | $29.3k – $107.6k |
| 15 | MultiPlan all payor other · inpatient | $77.6k | $77.6k | $44.3k | 57% | — | $33.2k – $121.9k |
Last updated: Apr 1, 2026
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