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HCPCS J1303
ravulizumab-cwvz 100 mg/mL Soln 11 mL VIAL - as described in hospitals' own price files.
37hospitals publishing a price
$10,655median cash price
$318median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Orange County Global Medical Center | Santa Ana, CA | $35,872 | $225 | $68,984 | $225 - $378 |
| Los Angeles General Medical Center | Los Angeles, CA | $35,872 | $225 | $68,984 | $225 - $378 |
| San Francisco VA Medical Center | San Francisco, CA | $38,631 | $225 | $68,984 | $225 - $378 |
| San Mateo Medical Center | San Mateo, CA | $38,631 | $225 | $68,984 | $225 - $378 |
| Tri-City Medical Center | Oceanside, CA | $38,631 | $225 | $68,984 | $225 - $378 |
| Santa Clara Valley Medical Center | San Jose, CA | $38,631 | $225 | $68,984 | $225 - $378 |
| Sutter Medical Center, Sacramento | Sacramento, CA | $38,631 | $225 | $68,984 | $225 - $378 |
| Lompoc Valley Medical Center | Lompoc, CA | $35,872 | $225 | $68,984 | $225 - $378 |
| Sutter Roseville Medical Center | Roseville, CA | $38,631 | $225 | $68,984 | $225 - $378 |
| Medstar Franklin Square Medical Center | Rosedale, MD | $304 | $310 | $310 | $304 - $310 |
| Medstar Saint Mary'S Hospital | Leonardtown, MD | $320 | $326 | $326 | $320 - $326 |
| Medstar Montgomery Medical Center | Olney, MD | $397 | $406 | $406 | $397 - $406 |
| Medstar Southern Maryland Hospital Center | Clinton, MD | $569 | $581 | $581 | $569 - $581 |
| Milton S Hershey Medical Center | Hershey, PA | $354 | $589 | $1,069 | $192 - $855 |
| Penn State Health St. Joseph | Reading, PA | $307 | $591 | $1,182 | $12.08 - $945 |
| Doctors Hospital | Columbus, OH | $595 | - | $916 | - |
| Dublin Methodist Hospital | Dublin, OH | $595 | - | $916 | - |
| Grant Medical Center | Columbus, OH | $595 | - | $916 | - |
| Riverside Methodist Hospital | Columbus, OH | $595 | - | $916 | - |
| Ohiohealth Shelby Hospital | Shelby, OH | $602 | - | $926 | - |
| Medstar Union Memorial Hospital | Baltimore, MD | $709 | $724 | $724 | $709 - $724 |
| Medstar Harbor Hospital | Baltimore, MD | $719 | $733 | $733 | $719 - $733 |
| Medstar Good Samaritan Hospital | Baltimore, MD | $876 | $894 | $894 | $876 - $894 |
| Dupont Hospital LLC | Fort Wayne, IN | $610 | $1,028 | $2,259 | $199 - $2,033 |
| Mercy Gilbert Medical Center | Gilbert, AZ | $6,056 | - | $12,052 | $225 - $12,052 |
| Chandler Regional Medical Center | Chandler, AZ | $7,799 | - | $28,121 | $184 - $86,612 |
| Dominican Hospital | Santa Cruz, CA | $8,884 | - | $20,087 | $225 - $62,602 |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $12,425 | - | $15,930 | - |
| Providence Alaska Medical Center | Anchorage, AK | $12,425 | - | $15,930 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $17,709 | - | $36,894 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $17,709 | - | $36,894 | - |
| Swedish Issaquah | Issaquah, WA | $17,709 | - | $36,894 | - |
| Providence Holy Family Hospital | Spokane, WA | $18,198 | - | $25,998 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $24,978 | - | $71,366 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $24,978 | - | $71,366 | - |
| St. Mary'S Regional Medical Center | Enid, OK | - | $28,698 | $136,658 | $257 - $107,960 |
| Ohiohealth O'Bleness Hospital | Athens, OH | $64,632 | - | $99,433 | - |
Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.
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