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
ULTOMIRIS 300 MG/3ML IV SOLN
Flushing, NY
See all hospitals reporting HCPCS J1303 →Price type
NewYork-Presbyterian Queens’s median price of $2.1k is 492% above the median hospital's median price ($360), higher than 75% 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: 9 payers, 21 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 | Anthem medicare advantage fee schedule · both | $214 | $214 | — | — | — | $214 – $214 |
| 2 | UnitedHealthcare all commercial plans fee schedule · both | $219 | $219 | — | — | — | $219 – $219 |
| 3 | Anthem all commercial plans fee schedule · both | $225 | $225 | — | — | — | $225 – $225 |
| 4 | Cigna medicare advantage fee schedule · both | $225 | $225 | — | — | — | $225 – $225 |
| 5 | Aetna medicare advantage fee schedule · both | $232 | $232 | — | — | — | $232 – $232 |
| 6 | UnitedHealthcare medicare advantage fee schedule · both | $232 | $232 | — | — | — | $232 – $232 |
| 7 | WellCare medicare advantage fee schedule · both | $233 | $233 | — | — | — | $233 – $233 |
| 8 | Aetna commercial fee schedule · both | $637 | $637 | — | — | — | $637 – $637 |
| 9 | Molina all nys essential plans fee schedule · both | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 10 | Molina medicaid/child health plus fee schedule · both | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 11 | Anthem medicaid fee schedule · both | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 12 | Anthem nystateofhealth plans fee schedule · both | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 13 | UnitedHealthcare medicaid fee schedule · both | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 14 | UnitedHealthcare child health plus fee schedule · both | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 15 | Cigna all commercial plans percent of total billed charges · bothfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 16 | Anthem child health plus fee schedule · both | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 17 | MultiPlan all commercial plans percent of total billed charges · bothfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 18 | Beechstreet all commercial plans percent of total billed charges · bothfrom % of charges | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 19 | First Health all commercial plans percent of total billed charges · bothfrom % of charges | $6.7k | $6.7k | $224 | 3% | — | $6.5k – $6.9k |
| 20 | Anthem all nys essential plans fee schedule · both | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 21 | UnitedHealthcare all nys essential plans fee schedule · both | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
Last updated: Mar 31, 2026
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