What does code J1303 cost?

Across the published hospital price files, the disclosed cash price for J1303 ranges from $481 to $141,014. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

J1303 is the billing code hospitals use to identify "Ultomiris: 1 Vial, Glass In 1 Carton (25682-025-01) / 3 Ml In 1 Vial, Glass" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

J1303

HCPCS

Ultomiris: 1 Vial, Glass In 1 Carton (25682-025-01) / 3 Ml In 1 Vial, Glass

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code J1303 (Ultomiris: 1 Vial, Glass In 1 Carton (25682-025-01) / 3 Ml In 1 Vial, Glass) appears at 9 hospitals with disclosed cash prices from $481 to $141,014. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare J1303 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code J1303 vary by about 293× across the 8 hospitals with disclosed prices here — from $481 to $141,014. Shopping around can matter.

Hospitals

Prices shown

$481

Lowest cash

$141,014

Highest cash

code J1303 cash price10 disclosed · 8 hospitals

$481median ~$14,738$141,014

Lowest cash price by hospital

Aurora BayCare Medical Center$481
Endeavor Health Edward Hospital$1,121
Henderson Hospital$5,313
Froedtert Menomonee Falls Hospital$14,738
Froedtert West Bend Hospital$14,738
Froedtert Holy Family Memorial Hospital$14,738

Cash price by city

Reflects your current filters.

Cash price by city$481 – $54,018

Green Bay · 1 hospital$481
Naperville · 1 hospital$1,121
Henderson · 1 hospital$5,313
Menomonee Falls · 1 hospital$14,738–$54,018
West Bend · 1 hospital$14,738
Manitowoc · 1 hospital$14,738–$54,018

14 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Ultomiris: 1 Vial, Glass In 1 Carton (25682-025-01) / 3 Ml In 1 Vial, Glass Inpatient & outpatient	Endeavor Health Edward Hospital	J1303 HCPCS	$1,121	$1,121	—	—
Inj., ravulizumab-cwvz 10 mg Outpatient	Endeavor Health Edward Hospital	J1303 HCPCS	—	—	$224 – $554	—
Ultomiris: 1 Vial, Glass In 1 Carton (25682-025-01) / 3 Ml In 1 Vial, Glass Inpatient & outpatient	University of Chicago Medical Center	J1303 HCPCS	—	—	—	—
Ultomiris: 1 Vial, Glass In 1 Carton (25682-028-01) / 11 Ml In 1 Vial, Glass Inpatient & outpatient	University of Chicago Medical Center	J1303 HCPCS	—	—	—	—
Inj., ravulizumab-cwvz 10 mg Outpatient	University of Chicago Medical Center	J1303 HCPCS	—	—	—	—
ravulizumab-cwvz 1100 MG/11ML Solution 11 mL Vial Outpatient	Froedtert Hospital	J1303 HCPCS	$98,214	$54,018	$189 – $84,955	—
ravulizumab-cwvz 300 MG/3ML Solution 3 mL Vial Outpatient	Froedtert Menomonee Falls Hospital	J1303 HCPCS	$26,797	$14,738	$210 – $24,117	—
ravulizumab-cwvz 1100 MG/11ML Solution 11 mL Vial Outpatient	Froedtert Menomonee Falls Hospital	J1303 HCPCS	$98,214	$54,018	$210 – $88,393	—
ULTOMIRIS 1100 MG-11ML IV SOLN Inpatient	Aurora BayCare Medical Center	J1303 HCPCS	$963	$481	$578 – $818	—
ravulizumab-cwvz 300 MG/3ML Solution 3 mL Vial Inpatient	Froedtert West Bend Hospital	J1303 HCPCS	$26,797	$14,738	$13,398 – $25,457	—
ravulizumab-cwvz 300 MG/3ML Solution 3 mL Vial Inpatient	Froedtert Holy Family Memorial Hospital	J1303 HCPCS	$26,797	$14,738	$13,398 – $23,581	—
ravulizumab-cwvz 1100 MG/11ML Solution 11 mL Vial Inpatient	Froedtert Holy Family Memorial Hospital	J1303 HCPCS	$98,214	$54,018	$49,107 – $86,428	—
RAVULIZUMAB-CWVZ 300 MG/3ML IV SOLN Inpatient	Henderson Hospital	J1303 HCPCS	$17,709	$5,313	$5,135 – $17,177	—
RAVULIZUMAB-CWVZ 100 MG/ML IV SOLN Inpatient & outpatient	Stanford Health Care Tri-Valley	J1303 HCPCS	$352,534	$141,014	—	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish J1303 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Froedtert Hospital Froedtert Menomonee Falls Hospital Aurora BayCare Medical Center Froedtert West Bend Hospital Froedtert Holy Family Memorial Hospital Henderson Hospital Stanford Health Care Tri-Valley

Code J1303: frequently asked

What does code J1303 cost?: Across the published hospital price files, the disclosed cash price for J1303 ranges from $481 to $141,014. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code J1303?: J1303 is the billing code hospitals use to identify "Ultomiris: 1 Vial, Glass In 1 Carton (25682-025-01) / 3 Ml In 1 Vial, Glass" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data

Hospitals publishing code J1303 by state

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