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
GONAL-F 1,050 UNIT SUBCUTANEOUS SOLUTION
Prices here combine facility and professional fees. See them separately →Experimental
Low
$55
Average
$5.0k
Median
$6.2k
High
$7.4k
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 16 hospitals; the 90th percentile is 78.6× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Hoopeston Community Memorial Hospital Hoopeston, IL | $6.8k | $7.2k | $4.0k | 55% | — | $1.4k – $12.8k |
| 2 | Methodist Medical Center of Illinois Peoria, IL | $5.6k | $5.8k | $1.8k | 31% | — | $2.8k – $9.5k |
| 3 | Carle Eureka Hospital Eureka, IL | $8.5k | $7.3k | $2.9k | 40% | — | $1.4k – $11.9k |
| 4 | Richland Memorial Hospital Inc Olney, IL | $6.8k | $6.6k | $3.5k | 52% | — | $3.0k – $12.4k |
| 5 | University Hospitals Health System Cleveland, OH | $862 | $862 | — | — | — | $862 – $862 |
| 6 | Pekin Memorial Hospital Pekin, IL | $5.5k | $5.7k | $1.7k | 31% | — | $3.6k – $9.5k |
| 7 | Carle BroMenn Medical Center Normal, IL | $8.7k | $6.6k | $3.3k | 51% | — | $1.4k – $10.7k |
| 8 | Penn Medicine Princeton Medical Center Plainsboro, NJ | $8.3k | $7.4k | $2.8k | 37% | — | $962 – $10.4k |
| 9 | Covenant Medical Center Inc Saginaw, MI | $48 | $55 | $14 | 25% | — | $39 – $78 |
| 10 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA | $5.3k | $6.2k | $2.8k | 45% | — | $1.8k – $10.4k |
Ask Claude or any MCP client for HCPCS S0126 pricing at a specific hospital — see how to connect.