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
$172
Median
$1
High
$2.4k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
288 hospitals; the 90th percentile is 1182.3× 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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460 hospital rates
iThe hospitals that file a Anthem 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 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $0 | 37% | 2–20 | $0 – $1 |
| 2 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $318 | $386 | $205 | 53% | 2–20 | $196 – $788 |
| 3 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $468 | $468 | — | — | — | $468 – $468 |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $1 | $1 | $0 | 33% | — | $0 – $1 |
| 6 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 3 | $0 | $0 | $0 | 16% | — | $0 – $1 |
| 7 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $0 | $0 | $0 | 8% | — | $0 – $0 |
| 8 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 4 | $1 | $1 | $0 | 14% | — | $1 – $2 |
| 10 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Alta Newport Hospital, LLC Tustin, CA facility · fee schedule · outpatient | 2 | $1 | $1 | $0 | 22% | — | $1 – $2 |
| 14 | Aspirus Divine Savior Hospital Portage, WI fee schedule · outpatient | 2 | $0 | $1 | $1 | 88% | — | $0 – $2 |
| 15 | Aspirus Eagle River Hospital Eagle River, WI fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Aspirus Iron River Hospital Iron River, MI fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Aspirus Ironwood Hospital Ironwood, MI fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Aspirus Langlade Hospital Antigo, WI fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Aspirus Medford Hospital Medford, WI fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Aspirus Merrill Hospital Merrill, WI fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · outpatient | 2 | $0 | $1 | $1 | 88% | — | $0 – $2 |
| 22 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 2 | $0 | $0 | $0 | 27% | — | $0 – $1 |
| 23 | Aspirus Stanley Hospital Stanley, WI fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Aspirus Stevens Point Hospital Stevens Point, WI fee schedule · outpatient | 2 | $0 | $1 | $1 | 88% | — | $0 – $2 |
| 25 | Aspirus Tomahawk Hospital Tomahawk, WI fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS Q5125 · Snapshot 20261111T120946Z-9134e7f7