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
PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBQ SYRG
Crowley, LA
See all hospitals reporting HCPCS Q5108 →Price type
Acadia General Hospital, Inc’s median price of $108 is 60% below the median hospital's median price ($271), higher than 15% of the 1,835 hospitals reporting HCPCS Q5108. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 14 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs La all payor fee schedule · outpatient | $72 | $80 | $14 | 17% | — | $72 – $104 |
| 2 | Aetna all payor fee schedule · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 3 | Humana all payor fee schedule · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 4 | Optum all payor fee schedule · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 5 | Tricare all payor other · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 6 | WellCare all payor fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 7 | UnitedHealthcare all payor fee schedule · outpatient | $118 | $118 | $15 | 12% | — | $104 – $133 |
| 8 | Aetna Better Health all payor other · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 9 | Amerihealth Caritas all payor other · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 10 | Humana all payor other · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 11 | UnitedHealthcare all payor other · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 12 | Aetna all payor other · inpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 13 | Aetna all payor other · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 14 | Cigna all payor other · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
Last updated: Apr 1, 2026
See Pegfilgrastim-jmdb (Fulphila) injection, 0.5 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.