HCPCS J1303
Injection, ravulizumab-cwvz, 10 mg
Current codeInjection - Monoclonal Antibodies43 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Cascade Valley Hospital | $238 – $179,752 | $143,802 | $179,752 |
| Deaconess Medical Center | — | $348 | $871 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $97,594 – $146,394 | $319,608 – $479,422 |
| Island Hospital | $20,118 – $21,826 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | $24,922 – $27,296 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $9,544 – $34,495 | $14,683 – $53,070 |
| PeaceHealth Southwest Medical Cente | $234 | $9,544 – $34,495 | $14,683 – $53,070 |
| PeaceHealth St John Medical Center | $175 – $236 | $9,544 – $34,495 | $14,683 – $53,070 |
| PeaceHealth St Joseph Medical Center | $236 | $9,544 – $99,597 | $14,683 – $153,227 |
| PeaceHealth United General Medical Center | — | $9,544 – $34,495 | $14,683 – $53,070 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $18,198 | $25,998 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $18,198 | $25,998 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | $9,835 | $30,254 | $30,254 |
| Skagit Valley Hospital | $52,998 – $70,090 | $143,802 | $179,752 |
| St Anthony Hospital | — | $97,208 – $145,816 | $319,608 – $479,422 |
| St Clare Hospital | — | $92,124 – $138,189 | $319,608 – $479,422 |
| St Elizabeth Hospital | $54,333 – $99,240 | $112,938 – $169,411 | $319,608 – $479,422 |
| St Francis Community Hospital | — | $100,300 – $150,454 | $319,608 – $479,422 |
| St Joseph Medical Center | — | $105,853 – $158,783 | $319,608 – $479,422 |
| St Michael Medical Center | — | $141,058 – $211,592 | $319,608 – $479,422 |
| Swedish Edmonds Hospital | — | $17,709 – $36,336 | $36,894 – $75,699 |
| Swedish Issaquah | — | $17,709 – $36,336 | $36,894 – $75,699 |
| Swedish Medical Center | — | $17,709 – $36,336 | $36,894 – $75,699 |
| Swedish Medical Center / Cherry Hill | — | $17,709 – $36,336 | $36,894 – $75,699 |
| Tacoma General Allenmore Hospital | — | $296 – $296 | $741 – $741 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $435 – $457 | $854 – $897 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $226 (APC 9312)
- Surgery center payment (national)
- $226