4876955 — 25682-0028-01 - Ravulizumab 100 Mg/ml Sol
Cite this view
HANK Price Transparency. (n.d.). 25682-0028-01 - RAVULIZUMAB 100 MG/ML SOL (OTHER 4876955) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4876955?code_type=OTHER
“25682-0028-01 - RAVULIZUMAB 100 MG/ML SOL (OTHER 4876955) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4876955?code_type=OTHER. Accessed .
“25682-0028-01 - RAVULIZUMAB 100 MG/ML SOL (OTHER 4876955) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4876955?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $43,013–$54,705 (25th–75th percentile) across 1 hospital · 17 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 4876955 — 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 |
|---|---|---|---|---|---|---|---|
| VAIL HEALTH HOSPITAL Both | Medicare | — | $221.75 | $60,581.85 | $45,436.39 | 2026-05-13 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Medicare | — | $221.75 | $60,581.85 | $45,436.39 | 2026-05-22 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Bcbs Mtn Enhanced Op | — | $37,984.82 | $60,581.85 | $45,436.39 | 2026-05-13 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Bcbs Mtn Enhanced Op | — | $37,984.82 | $60,581.85 | $45,436.39 | 2026-05-22 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Bcbs Hmo Pathway Op | — | $40,286.93 | $60,581.85 | $45,436.39 | 2026-05-13 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Bcbs Hmo Pathway Op | — | $40,286.93 | $60,581.85 | $45,436.39 | 2026-05-22 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Vail Health Op | — | $40,589.84 | $60,581.85 | $45,436.39 | 2026-05-13 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Vail Health Op | — | $40,589.84 | $60,581.85 | $45,436.39 | 2026-05-22 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Town Of Vail Op | — | $43,013.11 | $60,581.85 | $45,436.39 | 2026-05-22 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Eagle County Government Employees Op | — | $43,013.11 | $60,581.85 | $45,436.39 | 2026-05-22 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Eagle County Government Employees Op | — | $43,013.11 | $60,581.85 | $45,436.39 | 2026-05-13 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Town Of Vail Op | — | $43,013.11 | $60,581.85 | $45,436.39 | 2026-05-13 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Vail Resorts Op | — | $43,921.84 | $60,581.85 | $45,436.39 | 2026-05-13 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Vail Resorts Op | — | $43,921.84 | $60,581.85 | $45,436.39 | 2026-05-22 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Sonnenalp Op | — | $49,071.30 | $60,581.85 | $45,436.39 | 2026-05-13 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Sonnenalp Op | — | $49,071.30 | $60,581.85 | $45,436.39 | 2026-05-22 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Town Of Avon Op | — | $49,192.46 | $60,581.85 | $45,436.39 | 2026-05-13 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Town Of Avon Op | — | $49,192.46 | $60,581.85 | $45,436.39 | 2026-05-22 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Rmhp Comm. Op | — | $53,312.03 | $60,581.85 | $45,436.39 | 2026-05-13 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Rmhp Comm. Op | — | $53,312.03 | $60,581.85 | $45,436.39 | 2026-05-22 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Cigna Comm. Op | — | $54,523.67 | $60,581.85 | $45,436.39 | 2026-05-22 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Cigna Comm. Op | — | $54,523.67 | $60,581.85 | $45,436.39 | 2026-05-13 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Gallegos Op | — | $54,523.67 | $60,581.85 | $45,436.39 | 2026-05-13 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Gallegos Op | — | $54,523.67 | $60,581.85 | $45,436.39 | 2026-05-22 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Uhc Colorado Op | — | $54,705.41 | $60,581.85 | $45,436.39 | 2026-05-22 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Uhc Colorado Op | — | $54,705.41 | $60,581.85 | $45,436.39 | 2026-05-13 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Aetna Op | — | $55,129.48 | $60,581.85 | $45,436.39 | 2026-05-13 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Aetna Op | — | $55,129.48 | $60,581.85 | $45,436.39 | 2026-05-22 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Multiplan Phcs Comm. Op | — | $56,341.12 | $60,581.85 | $45,436.39 | 2026-05-13 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Multiplan Phcs Comm. Op | — | $56,341.12 | $60,581.85 | $45,436.39 | 2026-05-22 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Kaiser Permanente Comm. Op | — | $57,552.76 | $60,581.85 | $45,436.39 | 2026-05-13 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Bcbs Comm. Op | — | $57,552.76 | $60,581.85 | $45,436.39 | 2026-05-22 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Kaiser Permanente Comm. Op | — | $57,552.76 | $60,581.85 | $45,436.39 | 2026-05-22 | MRF ↗ |
| VAIL HEALTH HOSPITAL Both | Bcbs Comm. Op | — | $57,552.76 | $60,581.85 | $45,436.39 | 2026-05-13 | MRF ↗ |