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
$150
Median
$78
High
$1.1k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
32 hospitals; the 90th percentile is 43.3× 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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40 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 2 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $80 | $80 | $4 | 5% | — | $76 – $84 |
| 3 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $80 | $80 | $4 | 5% | — | $76 – $84 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 6 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $77 | $77 | $4 | 5% | — | $74 – $81 |
| 7 | FISHERMENS HEALTH, INC MARATHON, FL fee schedule · both | 2 | $77 | $77 | $4 | 5% | — | $74 – $81 |
| 8 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 9 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 10 | HOMESTEAD HOSPITAL Homestead, FL fee schedule · both | 2 | $77 | $77 | $4 | 5% | — | $74 – $81 |
| 11 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 12 | MARINERS HOSPITAL TAVERNIER, FL fee schedule · both | 2 | $77 | $77 | $4 | 5% | — | $74 – $81 |
| 13 | Mercy Hospital Ardmore Inc Ardmore, OK facility · fee schedule · outpatient | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 14 | Mercy Hospital Berryville Berryville, AR facility · fee schedule · outpatient | 1 | $216 | $216 | — | — | — | $216 – $216 |
| 15 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $237 | $237 | — | — | — | $237 – $237 |
| 16 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 1 | $176 | $176 | $41 | 23% | — | $135 – $216 |
| 17 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $196 | $196 | $45 | 23% | — | $151 – $242 |
| 18 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 1 | $176 | $176 | $41 | 23% | — | $135 – $216 |
| 19 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $196 | $196 | $45 | 23% | — | $151 – $242 |
| 20 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · fee schedule · outpatient | 1 | $176 | $176 | $41 | 23% | — | $135 – $216 |
| 21 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $269 | $269 | $62 | 23% | — | $207 – $331 |
| 22 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · fee schedule · outpatient | 1 | $176 | $176 | $41 | 23% | — | $135 – $216 |
| 23 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $192 | $192 | $44 | 23% | — | $148 – $237 |
| 24 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $175 | $181 | $49 | 27% | — | $119 – $254 |
| 25 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 1 | $176 | $176 | $41 | 23% | — | $135 – $216 |
← Payers reporting HCPCS Q5125 · Snapshot 20261111T120946Z-9134e7f7