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
Inj., ravulizumab-cwvz 10 mg
Saint Louis, MO
See all hospitals reporting HCPCS J1303 →Price type
SSM-SLUH, Inc.’s median price of $234 is 35% below the median hospital's median price ($360), higher than 23% 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: 6 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 | UnitedHealthcare employee fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 2 | UnitedHealthcare non-ppo other commercial plan fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 3 | UnitedHealthcare options ppo fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 4 | Blue Cross Blue Shield anthem medicare managed care plan fee schedule · outpatient | $222 | $222 | — | — | — | $222 – $222 |
| 5 | Aetna medicare managed care plan fee schedule · outpatient | $227 | $227 | — | — | — | $227 – $227 |
| 6 | Humana medicare managed care plan fee schedule · outpatient | $231 | $231 | — | — | — | $231 – $231 |
| 7 | Aetna advantra medicare managed care plan fee schedule · outpatient | $231 | $231 | — | — | — | $231 – $231 |
| 8 | Oscar exchange fee schedule · outpatient | $261 | $261 | $11 | 4% | — | $250 – $272 |
| 9 | Cigna all commercial plans fee schedule · outpatient | $358 | $358 | $59 | 16% | — | $299 – $418 |
| 10 | Blue Cross Blue Shield anthem pathway exchange fee schedule · outpatient | $484 | $484 | — | — | — | $484 – $484 |
| 11 | Blue Cross Blue Shield anthem blue access choice all commercial plans fee schedule · outpatient | $721 | $721 | — | — | — | $721 – $721 |
| 12 | Blue Cross Blue Shield anthem blue preferred hmo/pos fee schedule · outpatient | $721 | $721 | — | — | — | $721 – $721 |
| 13 | Blue Cross Blue Shield anthem blue access ppo fee schedule · outpatient | $842 | $842 | — | — | — | $842 – $842 |
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.