Payer comparison · HCPCS J1303 · TOLEDO, OH

J1303 — Ravulizumab-cwvz 100 Mg/ml Intravenous Solution

What each payer pays NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC (CCN 363309) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$165,226 All-payer median here

$330,451 Cash / self-pay here

24 payer/plan-name variants

← This hospital National rates for J1303 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

PHCS (Private Healthcare Systems)	$359,825	117.8%	1
Emerald Health	$359,825	117.8%	1
The Health Plan of West Virginia, Inc.	$352,481	113.3%	1
UNICARE	$348,810	111.1%	1
AHPO	$345,138	108.9%	1
Anthem BCBS	$339,631	105.6%	2
OSU	$337,795	104.4%	2
Ohio PPO Connect	$334,123	102.2%	3
OHG	$330,451	100.0%	1
Aetna	$330,451	100.0%	7
OHC	$262,525	58.9%	2
UnitedHealthcare	$220,301	33.3%	6
Humana	$184,621	11.7%	4
Cigna Healthcare	$172,920	4.7%	2
McClaren Health Plan	$165,226	0.0%	1
Front Path Health Coalition	$165,226	0.0%	3
Anthem (Elevance Health)	$154,211	-6.7%	7
Medical Mutual of Ohio	$119,330	-27.8%	4
AMERIHEALTH NEW JERSEY (NON-HMO)	$24,206	-85.3%	2
BCHP	$24,206	-85.3%	2
Molina Healthcare	$270	-99.8%	5
CareSource	$236	-99.9%	5
McClaren Health Plan - Michigan	$232	-99.9%	1
TRICARE	$214	-99.9%	2

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.