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
Covington, GA
See all hospitals reporting HCPCS J1303 →Price type
Piedmont Newton’s median price of $66.5k is 18351% above the median hospital's median price ($360), higher than 99% 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, 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 | $28.9k | $28.9k | — | — | — | $28.9k – $28.9k |
| 2 | Blue Cross Blue Shield blue cross ppo fee schedule · both | $28.9k | $28.9k | — | — | — | $28.9k – $28.9k |
| 3 | Caresource caresource medicaid fee schedule · both | $29.0k | $29.0k | — | — | — | $29.0k – $29.0k |
| 4 | UnitedHealthcare united healthcare fee schedule · both | $48.2k | $48.2k | — | — | — | $48.2k – $48.2k |
| 5 | UnitedHealthcare united healthcare exchange fee schedule · both | $48.2k | $48.2k | — | — | — | $48.2k – $48.2k |
| 6 | Cigna cigna fee schedule · both | $66.5k | $66.5k | — | — | — | $66.5k – $66.5k |
| 7 | Cigna cigna connect fee schedule · both | $66.5k | $66.5k | — | — | — | $66.5k – $66.5k |
| 8 | Aetna aetna hmo percent of total billed charges · bothfrom % of charges | $96.4k | $96.4k | — | — | — | $96.4k – $96.4k |
| 9 | Aetna aetna ppo percent of total billed charges · bothfrom % of charges | $96.4k | $96.4k | — | — | — | $96.4k – $96.4k |
| 10 | First Health first health percent of total billed charges · bothfrom % of charges | $99.2k | $99.2k | — | — | — | $99.2k – $99.2k |
| 11 | Kaiser kaiser percent of total billed charges · bothfrom % of charges | $106.3k | $106.3k | — | — | — | $106.3k – $106.3k |
| 12 | Beechstreet beechstreet percent of total billed charges · bothfrom % of charges | $120.5k | $120.5k | — | — | — | $120.5k – $120.5k |
| 13 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $120.5k | $120.5k | — | — | — | $120.5k – $120.5k |
Last updated: Jul 1, 2026
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