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
$652
Median
$538
High
$3.6k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
208 hospitals; the 90th percentile is 965.5× 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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310 hospital rates
iThe hospitals that file a First Health 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 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Alton Memorial Hospital Alton, IL percent of total billed charges · bothfrom % of charges | 1 | $255 | $255 | $53 | 21% | — | $202 – $308 |
| 4 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 1 | $633 | $672 | $144 | 21% | — | $531 – $891 |
| 5 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $633 | $672 | $144 | 21% | — | $531 – $891 |
| 6 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 1 | $633 | $672 | $144 | 21% | — | $531 – $891 |
| 7 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $633 | $672 | $144 | 21% | — | $531 – $891 |
| 8 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 1 | $671 | $712 | $152 | 21% | — | $562 – $944 |
| 9 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $671 | $712 | $152 | 21% | — | $562 – $944 |
| 10 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · inpatient | 1 | $692 | $692 | $160 | 23% | — | $532 – $851 |
| 11 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · outpatient | 1 | $692 | $692 | $160 | 23% | — | $532 – $851 |
| 12 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $255 | $255 | $53 | 21% | — | $202 – $308 |
| 13 | Barnes Jewish St. Peters Hospital St. Peters, MO percent of total billed charges · bothfrom % of charges | 1 | $255 | $255 | $53 | 21% | — | $202 – $308 |
| 14 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.6k | $298 | 19% | — | $1.2k – $1.9k |
| 16 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · inpatient | 1 | $148 | $239 | $184 | 77% | — | $145 – $606 |
| 18 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 1 | $148 | $239 | $184 | 77% | — | $145 – $606 |
| 19 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 1 | $596 | $633 | $135 | 21% | — | $500 – $839 |
| 20 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $619 | $657 | $140 | 21% | — | $519 – $871 |
| 21 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 1 | $619 | $657 | $140 | 21% | — | $519 – $871 |
| 22 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $619 | $657 | $140 | 21% | — | $519 – $871 |
| 23 | Carolinas Medical Center Davidson, NC percent of total billed charges · inpatientfrom % of charges | 1 | $656 | $696 | $149 | 21% | — | $550 – $923 |
| 24 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $656 | $696 | $149 | 21% | — | $550 – $923 |
| 25 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 1 | $619 | $657 | $140 | 21% | — | $519 – $871 |
← Payers reporting HCPCS Q5125 · Snapshot 20261111T120946Z-9134e7f7