Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
FILGRASTIM-SNDZ 480 MCG/0.8ML IJ SOSY
Low
$0
Average
$253
Median
$182
High
$1.8k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
85 hospitals; the 90th percentile is 1457.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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150 hospital rates
iThe hospitals that file a Wellmark rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 6–60 | $0 – $0 |
| 2 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $0 | $0 | — | — | 4–40 | $0 – $0 |
| 3 | Lakes Regional Hospital Spirit Lake, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 4–40 | $0 – $0 |
| 4 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $741 | $815 | $270 | 33% | — | $573 – $1.3k |
| 5 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $704 | $774 | $257 | 33% | — | $545 – $1.3k |
| 8 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Avera Behavioral Health Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Avera Creighton Hospital Creighton, NE percent of total billed charges · inpatientfrom % of charges | 1 | $984 | $984 | — | — | — | $984 – $984 |
| 13 | Avera Creighton Hospital Creighton, NE percent of total billed charges · outpatientfrom % of charges | 1 | $984 | $984 | — | — | — | $984 – $984 |
| 14 | Avera Holy Family Hospital Estherville, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Avera Holy Family Hospital Estherville, IA percent of total billed charges · inpatientfrom % of charges | 2 | $888 | $888 | — | — | — | $888 – $888 |
| 16 | Avera Queen of Peace Mitchell, SD fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Avera Specialty Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $1.3k | $1.3k | $256 | 20% | — | $994 – $1.5k |
| 19 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | $256 | 20% | — | $994 – $1.5k |
| 20 | Avera St. Luke's Aberdeen, SD fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 2 | $144 | $144 | $33 | 23% | — | $111 – $178 |
| 22 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 2 | $144 | $144 | $33 | 23% | — | $111 – $178 |
| 24 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · other · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Central Community Hospital Elkader, IA facility · fee schedule · both | 2 | $144 | $144 | $33 | 23% | — | $111 – $178 |
← Payers reporting HCPCS Q5101 · Snapshot 20261111T120946Z-9134e7f7