25395946 — Ravulizumab(ultomiris)inj:1100mg
Cite this view
HANK Price Transparency. (n.d.). RAVULIZUMAB(ULTOMIRIS)INJ:1100MG (OTHER 25395946) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/25395946?code_type=OTHER
“RAVULIZUMAB(ULTOMIRIS)INJ:1100MG (OTHER 25395946) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/25395946?code_type=OTHER. Accessed .
“RAVULIZUMAB(ULTOMIRIS)INJ:1100MG (OTHER 25395946) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/25395946?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $57,482–$94,846 (25th–75th percentile) across 1 hospital · 5 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 25395946 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Humana | Medicare | $22,061.71 | $114,964.60 | $91,971.68 | 2026-05-09 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | United Healthcare | Commercial | $57,482.30 | $114,964.60 | $91,971.68 | 2026-05-09 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Cigna | Commercial | $83,924.16 | $114,964.60 | $91,971.68 | 2026-05-09 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Blue Cross Nwb | Commercial | $94,845.80 | $114,964.60 | $91,971.68 | 2026-05-09 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Blue Cross Phs Ppo | Commercial | $94,845.80 | $114,964.60 | $91,971.68 | 2026-05-09 | MRF ↗ |