INJ, FILGRASTIM-AAFI, BIOSIMILAR, (NIVESTYM), 1 MICROGRAM

Reported by 26 hospitals in the network under the percent of billed charges methodology.

Filter by billing methodology

Reflects a negotiated percentage of total billed charges.

National pricing summary

Low

Average

$467

Median

High

$1.4k

#	Hospital	Location
1	Virginia Mason Medical Center	Seattle, WA	$1	$1	$0	—	$1	$2
2	IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital	St. George, UT	$464	$441	$81	—	$10	$490
3	Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare	Billings, MT	$1.1k	$1.2k	$333	—	$620	$1.7k
4	Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital	DENVER, CO	$1.2k	$1.4k	$704	—	$0	$3.1k
5	St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional Hospital	JUNCTION, CO	$1.0k	$1.1k	$373	—	$50	$1.8k
6	Intermountain Front Range Inc. Dba Intermountain Health Lutheran Hospital	WHEAT RIDGE, CO	$1.2k	$1.4k	$685	—	$0	$3.1k
7	Good Samaritan Medical Center, Llc Dba	LAFAYETTE, CO	$1.3k	$1.4k	$692	—	$0	$3.1k
8	St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITAL	Butte, MT	$1.1k	$1.3k	$355	—	$613	$1.9k
9	Holy Rosary Healthcare Dba Intermountain Health Holy Rosary Hospital	CITY, MT	$1.1k	$1.3k	$331	—	$538	$1.8k
10	Brighton Community Hospital Association Dba Intermountain Health Platte Valley Hospital	BRIGHTON, CO	$767	$858	$292	—	$0	$1.3k

Page 1 of 3

Ask Claude or any MCP client for CPT Q5110 pricing at a specific hospital — see how to connect.