Ravulizumab injection (Ultomiris), per 10 mg at UPMC East

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.

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Provider: anthropic
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Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ULTOMIRIS 10MG/ML INJ

Monroeville, PA

See all hospitals reporting HCPCS J1303 →

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Pricing by billing methodology

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How this price compares nationally

UPMC East’s median price of $329 is 9% below the median hospital's median price ($360), higher than 47% of the 1,650 hospitals reporting HCPCS J1303. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1303 at UPMC East

Negotiated rates from the hospital’s own file: 6 payers, 39 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	Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient	$138	$138	—	—	—	$138 – $138
2	UnitedHealthcare all business facility · fee schedule · outpatient	$221	$221	—	—	—	$221 – $221
3	UnitedHealthcare compass exchange facility · fee schedule · outpatient	$221	$221	—	—	—	$221 – $221
4	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$225	$225	—	—	—	$225 – $225
5	Highmark medicaid facility · fee schedule · outpatient	$225	$225	—	—	—	$225 – $225
6	UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
7	UnitedHealthcare medicare facility · fee schedule · outpatient	$241	$241	—	—	—	$241 – $241
8	Aetna medicare facility · fee schedule · outpatient	$242	$242	$6	2%	—	$236 – $248
9	Highmark medicare facility · fee schedule · outpatient	$243	$243	—	—	—	$243 – $243
10	Amerihealth Caritas medicare facility · fee schedule · outpatient	$243	$243	—	—	—	$243 – $243
11	Cigna medicare facility · fee schedule · outpatient	$243	$243	—	—	—	$243 – $243
12	UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient	$248	$248	—	—	—	$248 – $248
13	UnitedHealthcare compass exchange facility · percent of total billed charges · inpatientfrom % of charges	$294	$294	—	—	—	$294 – $294
14	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$304	$304	—	—	—	$304 – $304
15	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$312	$312	—	—	—	$312 – $312
16	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$329	$329	—	—	—	$329 – $329
17	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$329	$329	—	—	—	$329 – $329
18	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$331	$331	—	—	—	$331 – $331
19	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$338	$338	—	—	—	$338 – $338
20	Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$338	$338	—	—	—	$338 – $338
21	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$338	$338	—	—	—	$338 – $338
22	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$339	$339	—	—	—	$339 – $339
23	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$346	$346	—	—	—	$346 – $346
24	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$346	$346	—	—	—	$346 – $346
25	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$346	$346	—	—	—	$346 – $346

Page 1 of 2 · 39 rates

Last updated: Mar 6, 2026

Compare to other hospitals

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.