6003758 — Ravulizumab-cwvz 100 mg/mL Inj 11 Ml (ultomiris)(jw-)
Cite this view
HANK Price Transparency. (n.d.). ravulizumab-cwvz 100 mg/mL Inj 11 mL (Ultomiris)(JW-) (OTHER 6003758) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/6003758?code_type=OTHER
“ravulizumab-cwvz 100 mg/mL Inj 11 mL (Ultomiris)(JW-) (OTHER 6003758) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/6003758?code_type=OTHER. Accessed .
“ravulizumab-cwvz 100 mg/mL Inj 11 mL (Ultomiris)(JW-) (OTHER 6003758) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/6003758?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $74,271–$81,805 (25th–75th percentile) across 1 hospital · 10 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 6003758 — 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 |
|---|---|---|---|---|---|---|---|
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Peak Health | Commercial | $64,583.10 | $86,110.80 | $86,110.80 | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Peak Health | Commercial | $64,583.10 | $86,110.80 | $86,110.80 | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Highmark Blue Cross | Ppo/Pos | $68,737.08 | $86,110.80 | $86,110.80 | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Highmark Blue Cross | Ppo/Pos | $68,737.08 | $86,110.80 | $86,110.80 | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Peak Health | Commercial | $73,194.18 | $86,110.80 | $86,110.80 | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Peak Health | Commercial | $73,194.18 | $86,110.80 | $86,110.80 | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Aetna | Commercial | $77,499.72 | $86,110.80 | $86,110.80 | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Aetna | Commercial | $77,499.72 | $86,110.80 | $86,110.80 | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Cigna | Commercial | $78,360.83 | $86,110.80 | $86,110.80 | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Cigna | Commercial | $78,360.83 | $86,110.80 | $86,110.80 | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | United Healthcare | Commercial | $81,460.82 | $86,110.80 | $86,110.80 | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | United Healthcare | Commercial | $81,460.82 | $86,110.80 | $86,110.80 | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Firsthealth | Commercial | $81,805.26 | $86,110.80 | $86,110.80 | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Firsthealth | Commercial | $81,805.26 | $86,110.80 | $86,110.80 | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Caresource | Wv Marketplace | $81,805.26 | $86,110.80 | $86,110.80 | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Healthsmart | Commercial | $81,805.26 | $86,110.80 | $86,110.80 | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Phcs Multiplan | Commercial | $81,805.26 | $86,110.80 | $86,110.80 | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Healthsmart | Commercial | $81,805.26 | $86,110.80 | $86,110.80 | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Caresource | Wv Marketplace | $81,805.26 | $86,110.80 | $86,110.80 | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Phcs Multiplan | Commercial | $81,805.26 | $86,110.80 | $86,110.80 | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Zelis Network | Commercial | $81,805.26 | $86,110.80 | $86,110.80 | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Zelis Network | Commercial | $81,805.26 | $86,110.80 | $86,110.80 | 2026-05-24 | MRF ↗ |