8203406-72026826 — Ravulizumab 100 mg/mL Inj 11 Ml
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ravulizumab 100 mg/mL Inj 11 mL (OTHER 8203406-72026826) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/8203406-72026826?code_type=OTHER
MLA (9th ed.)
“ravulizumab 100 mg/mL Inj 11 mL (OTHER 8203406-72026826) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/8203406-72026826?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“ravulizumab 100 mg/mL Inj 11 mL (OTHER 8203406-72026826) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/8203406-72026826?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $26,077–$103,722 (25th–75th percentile) across 2 hospitals · 14 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 8203406-72026826 — 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 |
|---|---|---|---|---|---|---|---|
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Outpatient | Ga Medicaid | Ga Medicaid | $18,150.42 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Outpatient | Amerigroup | Amerigroup-Cmo | $18,782.28 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Outpatient | Ga Medicaid | Ga Medicaid | $18,889.38 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Outpatient | Amerigroup | Amerigroup-Cmo | $19,546.97 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Outpatient | Peachstate | Peachstate | $19,721.39 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Outpatient | Peachstate | Peachstate | $20,524.31 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Outpatient | Caresource | Caresource | $20,660.51 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Outpatient | Wellcare | Wellcare Cmo | $20,814.14 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Outpatient | Caresource | Caresource | $21,501.67 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Outpatient | Wellcare | Wellcare Cmo | $21,661.55 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Outpatient | Wellcare | Wellcare Cmo | $21,724.76 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Outpatient | Wellcare | Wellcare Cmo | $22,609.24 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Amerigroup-Cmo | $24,890.24 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Outpatient | Ga Medicaid | Ga Medicaid | $24,890.24 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Outpatient | Ga Medicaid | Ga Medicaid | $25,903.60 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Amerigroup-Cmo | $25,903.60 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Outpatient | Peachstate | Peachstate | $26,134.75 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Outpatient | Peachstate | Peachstate | $27,198.78 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Outpatient | Caresource | Caresource | $27,379.26 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Outpatient | Caresource | Caresource | $28,493.96 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Blue Cross Blue Shield | Bcbs Pathways Network | $41,858.96 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Bcbs Pathways Network | $42,966.34 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Blue Cross Blue Shield | Bcbs Pathways Network | $43,563.18 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Bcbs Pathways Network | $44,715.64 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Self Pay 50 | Self Pay 50 | $55,369.00 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Self Pay 50 | Self Pay 50 | $55,369.00 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Self Pay 50 | Self Pay 50 | $57,623.25 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Self Pay 50 | Self Pay 50 | $57,623.25 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Blue Cross Blue Shield | Bcbs Commercial | $68,214.61 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Blue Cross Blue Shield | Bcbs Commercial | $70,991.84 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Cigna | Cigna Commercial | $82,167.60 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Cigna | Cigna Commercial | $85,512.90 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Bcbs Commercial | $91,358.85 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Uhc Commercial | $93,573.61 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | United Healthcare | Uhc Commercial | $93,573.61 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Bcbs Commercial | $95,078.36 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Aetna | Aetna Commercial | $95,677.63 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Aetna | Aetna Commercial | $95,677.63 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Uhc Commercial | $97,383.29 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | United Healthcare | Uhc Commercial | $97,383.29 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Aetna | Aetna Commercial | $99,572.98 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Aetna | Aetna Commercial | $99,572.98 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Self Pay | Self Pay | $99,664.20 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Misc Commercial Insurance Plans | Misc Commercial Insurance Plans | $99,664.20 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Misc Commercial Insurance Plans | Misc Commercial Insurance Plans | $99,664.20 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Self Pay | Self Pay | $99,664.20 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Cigna | Cigna Commercial | $101,103.79 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Self Pay | Self Pay | $103,721.85 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Misc Commercial Insurance Plans | Misc Commercial Insurance Plans | $103,721.85 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Self Pay | Self Pay | $103,721.85 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Misc Commercial Insurance Plans | Misc Commercial Insurance Plans | $103,721.85 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Cigna | Cigna Commercial | $105,220.05 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Outpatient | Tricare | Tricare | $110,738.00 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Outpatient | Peach State Health Plan | Ambetter | $110,738.00 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Misc Non Contracted Commercial Plans | Misc Non Contracted Commercial Plans | $110,738.00 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Outpatient | Peach State Health Plan | Ambetter | $110,738.00 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Misc Non Contracted Commercial Plans | Misc Non Contracted Commercial Plans | $110,738.00 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Outpatient | Tricare | Tricare | $110,738.00 | $110,738.00 | $55,369.00 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Outpatient | Tricare | Tricare | $115,246.50 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Outpatient | Tricare | Tricare | $115,246.50 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Outpatient | Peach State Health Plan | Ambetter | $115,246.50 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Misc Non Contracted Commercial Plans | Misc Non Contracted Commercial Plans | $115,246.50 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Outpatient | Peach State Health Plan | Ambetter | $115,246.50 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Misc Non Contracted Commercial Plans | Misc Non Contracted Commercial Plans | $115,246.50 | $115,246.50 | $57,623.25 | 2026-05-06 | MRF ↗ |