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 100 mg/mL solution 11 mL Vial
Dillon, SC
See all hospitals reporting HCPCS J1303 →Price type
McLeod Health’s median price of $270 is 25% below the median hospital's median price ($360), higher than 36% 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: 12 payers, 20 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 | Blue Cross Blue Shield hix fee schedule · both | $176 | $176 | — | — | — | $176 – $176 |
| 2 | Tricare dha fee schedule · both | $214 | $214 | — | — | — | $214 – $214 |
| 3 | Blue Cross Blue Shield medicare advantage fee schedule · both | $225 | $225 | — | — | — | $225 – $225 |
| 4 | Medicare medicare fee schedule · both | $225 | $225 | — | — | — | $225 – $225 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $228 | $228 | — | — | — | $228 – $228 |
| 6 | Aetna medicare advantage fee schedule · both | $231 | $231 | — | — | — | $231 – $231 |
| 7 | Clover medicare advantage fee schedule · both | $234 | $234 | — | — | — | $234 – $234 |
| 8 | Humana medicare advantage fee schedule · both | $234 | $234 | — | — | — | $234 – $234 |
| 9 | WellCare medicare advantage fee schedule · both | $241 | $241 | — | — | — | $241 – $241 |
| 10 | Blue Cross Blue Shield preferred fee schedule · both | $298 | $298 | — | — | — | $298 – $298 |
| 11 | Blue Cross Blue Shield state fee schedule · both | $301 | $301 | — | — | — | $301 – $301 |
| 12 | Molina medicare advantage fee schedule · both | $240 | $306 | $94 | 31% | — | $240 – $439 |
| 13 | Blue Cross Blue Shield choice fee schedule · both | $314 | $314 | — | — | — | $314 – $314 |
| 14 | Blue Cross Blue Shield medicaid fee schedule · both | $397 | $397 | — | — | — | $397 – $397 |
| 15 | Medicaid medicaid fee schedule · both | $397 | $397 | — | — | — | $397 – $397 |
| 16 | Ambetter medicare advantage fee schedule · both | $405 | $405 | — | — | — | $405 – $405 |
| 17 | Molina medicaid fee schedule · both | $417 | $417 | — | — | — | $417 – $417 |
| 18 | Cigna commercial fee schedule · both | $531 | $531 | — | — | — | $531 – $531 |
| 19 | UnitedHealthcare commercial percent of total billed charges · bothfrom % of charges | $245.9k | $245.9k | — | — | — | $245.9k – $245.9k |
| 20 | Aetna commercial percent of total billed charges · bothfrom % of charges | $252.2k | $252.2k | — | — | — | $252.2k – $252.2k |
Last updated: Jul 20, 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.