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 INTRAVENOUS SOLUTION
Macon, GA
See all hospitals reporting HCPCS J1303 →Price type
Piedmont Macon’s median price of $18.1k is 4932% above the median hospital's median price ($360), higher than 90% 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 | Blue Cross Blue Shield blue cross hmo fee schedule · both | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 2 | Blue Cross Blue Shield blue cross ppo fee schedule · both | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 3 | Anthem anthem pathway fee schedule · both | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 4 | Caresource caresource medicaid fee schedule · both | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 5 | UnitedHealthcare united healthcare fee schedule · both | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 6 | UnitedHealthcare united healthcare exchange fee schedule · both | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 7 | Cigna cigna fee schedule · both | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
| 8 | Phcs phcs percent of total billed charges · bothfrom % of charges | $23.2k | $23.2k | — | — | — | $23.2k – $23.2k |
| 9 | Aetna aetna hmo percent of total billed charges · bothfrom % of charges | $26.3k | $26.3k | — | — | — | $26.3k – $26.3k |
| 10 | Aetna aetna ppo percent of total billed charges · bothfrom % of charges | $26.3k | $26.3k | — | — | — | $26.3k – $26.3k |
| 11 | First Health first health percent of total billed charges · bothfrom % of charges | $27.1k | $27.1k | — | — | — | $27.1k – $27.1k |
| 12 | Beechstreet beechstreet percent of total billed charges · bothfrom % of charges | $30.9k | $30.9k | — | — | — | $30.9k – $30.9k |
| 13 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $34.8k | $34.8k | — | — | — | $34.8k – $34.8k |
Last updated: Jul 1, 2026
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