C9052 (HCPCS) by state — Price Transparency

HCPCS · across United States

C9052 — Injection, Ravulizumab-cwv

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$15,401 National median

$218 – $16,941 IQR (p25 – p75)

104 hospitals filing

19 states

View hospital-by-hospital → Raw rate rows →

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Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for C9052 (HCPCS), with interquartile range
State	Median	p25	p75
SC	$34	$33	$35
PA	$45	$42	$48
NH	$86	$86	$152
CO	$203	$195	$211
ND	$218	$218	$218
LA	$220	$220	$220
NY	$220	$220	$220
TN	$256	$255	$310
MN	$313	$133	$319
WA	$1,108	$1,108	$1,108
WI	$10,820	$10,330	$51,945
OH	$16,271	$12,858	$17,041
FL	$16,325	$16,017	$16,941
IL	$26,951	$26,951	$34,189
CT	$30,999	$955	$30,999
IA	$32,769	$10,330	$56,560
NE	$34,365	$34,365	$47,914
AL	$39,829	$39,829	$39,829
OR	$63,940	$63,940	$63,940

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

SC	$34	$33	$35	$29	$50	3	37	141
PA	$45	$42	$48	$40	$50	1 ⚠ thin data	1	2
NH	$86	$86	$152	$86	$218	2 ⚠ thin data	3	3
CO	$203	$195	$211	$187	$219	2 ⚠ thin data	2	2
ND	$218	$218	$218	$218	$218	3	1	9
LA	$220	$220	$220	$220	$220	1 ⚠ thin data	1	1
NY	$220	$220	$220	$165	$955	22	4	33
TN	$256	$255	$310	$88	$377	2 ⚠ thin data	3	22
MN	$313	$133	$319	$64	$17,830	10	2	29
WA	$1,108	$1,108	$1,108	$671	$2,012	9	1	9
WI	$10,820	$10,330	$51,945	$9,170	$74,050	8	18	59
OH	$16,271	$12,858	$17,041	$11,796	$18,203	4	10	80
FL	$16,325	$16,017	$16,941	$14,631	$25,259	17	28	207
IL	$26,951	$26,951	$34,189	$23,609	$63,940	8	12	41
CT	$30,999	$955	$30,999	$571	$30,999	4	3	7
IA	$32,769	$10,330	$56,560	$10,330	$60,618	1 ⚠ thin data	3	4
NE	$34,365	$34,365	$47,914	$5,742	$59,212	2 ⚠ thin data	7	15
AL	$39,829	$39,829	$39,829	$39,829	$39,829	4	2	6
OR	$63,940	$63,940	$63,940	$63,940	$63,940	1 ⚠ thin data	1	2