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 6 MG/0.6 ML SUBCUTANEOUS SYIN [128070]
Arlington, TX
See all hospitals reporting HCPCS J2506 →Price type
AMH Cath Labs LLC’s median price of $8.0k is 1929% above the median hospital's median price ($395), higher than 80% of the 1,941 hospitals reporting HCPCS J2506. 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 | $89 | $89 | — | — | — | $89 – $89 |
| 2 | Humana medicare advantage case rate · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 4 | Molina medicare advantage case rate · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 9 | UnitedHealthcare all payer fee schedule · outpatient | $331 | $331 | — | — | — | $331 – $331 |
| 10 | UnitedHealthcare ppo fee schedule · outpatient | $331 | $331 | — | — | — | $331 – $331 |
| 11 | Blue Cross Blue Shield hmo fee schedule · outpatient | $415 | $415 | — | — | — | $415 – $415 |
| 12 | Blue Cross Blue Shield exchange fee schedule · outpatient | $426 | $426 | — | — | — | $426 – $426 |
| 13 | Blue Cross Blue Shield ppo fee schedule · outpatient | $461 | $461 | — | — | — | $461 – $461 |
| 14 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 15 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 16 | Blue Cross Blue Shield traditional fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 17 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 18 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 19 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 20 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 21 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $8.7k | $8.7k | — | — | — | $8.7k – $8.7k |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 23 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 24 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $11.7k | $11.7k | — | — | — | $11.7k – $11.7k |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
Last updated: Apr 21, 2026
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