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
Quitman, MS
See all hospitals reporting HCPCS J1303 →Price type
Rush Medical Foundation’s median price of $31.3k is 8584% above the median hospital's median price ($360), higher than 96% 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, 16 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 | — | — | — | $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 | $42.7k | $42.7k | $24.4k | 57% | — | $18.3k – $67.1k |
| 4 | Cigna all payor other · outpatient | $50.8k | $50.8k | $29.0k | 57% | — | $21.8k – $79.9k |
| 5 | Cigna Healthspring all payor other · outpatient | $52.9k | $52.9k | $30.2k | 57% | — | $22.7k – $83.2k |
| 6 | Humana all payor other · outpatient | $52.9k | $52.9k | $30.2k | 57% | — | $22.7k – $83.2k |
| 7 | Optum all payor other · outpatient | $52.9k | $52.9k | $30.2k | 57% | — | $22.7k – $83.2k |
| 8 | UnitedHealthcare all payor other · outpatient | $52.9k | $52.9k | $30.2k | 57% | — | $22.7k – $83.2k |
| 9 | Ambetter all payor other · outpatient | $53.5k | $53.5k | $30.6k | 57% | — | $22.9k – $84.0k |
| 10 | Molina all payor other · outpatient | $53.5k | $53.5k | $30.6k | 57% | — | $22.9k – $84.0k |
| 11 | WellCare all payor other · outpatient | $53.5k | $53.5k | $30.6k | 57% | — | $22.9k – $84.0k |
| 12 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $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 | Bcbs Ms all payor other · outpatient | $73.0k | $73.0k | $41.7k | 57% | — | $31.3k – $114.7k |
| 16 | MultiPlan all payor other · inpatient | $77.6k | $77.6k | $44.3k | 57% | — | $33.2k – $121.9k |
Last updated: Apr 1, 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.