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 300 MCG/0.5 ML INJECTION SYRG [25817]
Arlington, TX
See all hospitals reporting HCPCS J1442 →Price type
AMH Cath Labs LLC’s median price of $496 is 21541% above the median hospital's median price ($2), higher than 73% of the 1,899 hospitals reporting HCPCS J1442. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 33 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 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Humana medicare advantage case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Molina medicare advantage case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 10 | Blue Cross Blue Shield exchange fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 11 | Blue Cross Blue Shield ppo fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 12 | UnitedHealthcare all payer fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 13 | UnitedHealthcare ppo fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 14 | Blue Cross Blue Shield traditional fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 15 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $127 | $128 | $24 | 19% | — | $101 – $156 |
| 16 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $127 | $128 | $24 | 19% | — | $101 – $156 |
| 17 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $134 | $134 | $25 | 19% | — | $106 – $164 |
| 18 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $137 | $138 | $26 | 19% | — | $109 – $169 |
| 19 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $140 | $141 | $27 | 19% | — | $111 – $172 |
| 20 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $494 | $496 | $94 | 19% | — | $392 – $606 |
| 21 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $586 | $590 | $112 | 19% | — | $465 – $720 |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $658 | $662 | $125 | 19% | — | $523 – $808 |
| 23 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $782 | $786 | $149 | 19% | — | $621 – $960 |
| 24 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $789 | $794 | $150 | 19% | — | $627 – $969 |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $992 | $998 | $189 | 19% | — | $788 – $1.2k |
Last updated: Apr 21, 2026
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