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-AYOW 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE
Low
$0
Average
$83
Median
$0
High
$1.0k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 109 hospitals; the 90th percentile is 851.7× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Mayo Clinic Rochester, MN | $0 | $0 | $0 | 5% | 21 | $0 – $368 |
| 2 | Sanford Medical Center Bismarck Bismarck, ND | $163 | $163 | — | — | 4–40 | $0 – $415 |
| 3 | Sanford Bemidji Medical Center Bemidji, MN | $131 | $131 | — | — | 4–40 | $0 – $324 |
| 4 | Sanford USD Medical Center Sioux Falls, SD | $226 | $226 | — | — | 2–20 | $0 – $906 |
| 5 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI | $106 | $106 | — | — | 2–20 | $0 – $1.2k |
| 6 | Mayo Clinic Florida Jacksonville, FL | $0 | $0 | $0 | 7% | 1–10 | $0 – $405 |
| 7 | Ukiah Adventist Hospital Ukiah, CA | $0 | $0 | $0 | 27% | — | $0 – $1.5k |
| 8 | Sonora Community Hospital Sonora, CA | $0 | $0 | $0 | 25% | — | $0 – $2.8k |
| 9 | Glendale Adventist Medical Center Glendale, CA | $0 | $657 | $1.6k | 241% | — | $0 – $10.4k |
| 10 | Mid Columbia Medical Center Dalles, OR | $0 | $374 | $974 | 260% | — | $0 – $4.0k |
Ask Claude or any MCP client for HCPCS Q5125 pricing at a specific hospital — see how to connect.