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
$181
Median
$1
High
$8.4k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
905 hospitals; the 90th percentile is 1497.6× 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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1,291 hospital rates
iThe hospitals that file a Aetna 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 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $202 | $202 | — | — | 3,876 | $202 – $202 |
| 2 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $298 | $298 | $52 | 17% | 1–10 | $246 – $350 |
| 3 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $269 | $273 | $62 | 23% | 1–10 | $193 – $372 |
| 4 | Windom Area Hospital Lakefield, MN facility · other · inpatient | 1 | $45 | $45 | — | — | 1–10 | $45 – $45 |
| 5 | Windom Area Hospital Lakefield, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $85 | $85 | — | — | 1–10 | $85 – $85 |
| 6 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $415 | $415 | — | — | — | $415 – $415 |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $1 | $1 | $0 | 44% | — | $0 – $1 |
| 8 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $914 | $914 | — | — | — | $914 – $914 |
| 9 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 2 | $1 | $1 | $0 | 40% | — | $0 – $1 |
| 10 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $1 | $1 | $0 | 42% | — | $0 – $1 |
| 11 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 2 | $160 | $380 | $472 | 124% | — | $1 – $1.3k |
| 12 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 2 | $1 | $1 | $0 | 43% | — | $0 – $1 |
| 13 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $1 | $1 | $0 | 27% | — | $0 – $1 |
| 14 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $1 | $1 | $1 | 61% | — | $0 – $1 |
| 16 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 3 | $1 | $1 | $0 | 33% | — | $0 – $1 |
| 17 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 3 | $1 | $1 | $0 | 33% | — | $0 – $1 |
| 18 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 3 | $1 | $1 | $0 | 33% | — | $0 – $1 |
| 19 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 3 | $1 | $1 | $0 | 33% | — | $0 – $1 |
| 20 | AdventHealth Porter Denver, CO fee schedule · outpatient | 3 | $1 | $1 | $0 | 33% | — | $0 – $1 |
| 21 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Adventhealth Shawnee Mission Lenexa, KS fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Adventhealth South Overland Park Overland Park, KS fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $192 | $214 | $110 | 51% | — | $91 – $382 |
← Payers reporting HCPCS Q5125 · Snapshot 20261111T120946Z-9134e7f7