Pegfilgrastim-jmdb (Fulphila) injection, 0.5 mg at AMH Cath Labs LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRG [140951]

Arlington, TX

See all hospitals reporting HCPCS Q5108 →

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $2.9k is 980% above the median hospital's median price ($271), higher than 80% of the 1,835 hospitals reporting HCPCS Q5108. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q5108 at AMH Cath Labs LLC

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	$99	$99	—	—	—	$99 – $99
2	Humana medicare advantage case rate · outpatient	$103	$103	—	—	—	$103 – $103
3	Humana medicare advantage ppo case rate · outpatient	$103	$103	—	—	—	$103 – $103
4	Molina medicare advantage case rate · outpatient	$104	$104	—	—	—	$104 – $104
5	WellCare medicare advantage hmo case rate · outpatient	$104	$104	—	—	—	$104 – $104
6	WellCare medicare advantage mmp case rate · outpatient	$109	$109	—	—	—	$109 – $109
7	UnitedHealthcare medicare advantage ppo case rate · outpatient	$110	$110	—	—	—	$110 – $110
8	UnitedHealthcare medicare advantage hmo case rate · outpatient	$112	$112	—	—	—	$112 – $112
9	UnitedHealthcare all payer fee schedule · outpatient	$430	$430	—	—	—	$430 – $430
10	UnitedHealthcare ppo fee schedule · outpatient	$430	$430	—	—	—	$430 – $430
11	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$613	$613	—	—	—	$613 – $613
12	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$613	$613	—	—	—	$613 – $613
13	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$644	$644	—	—	—	$644 – $644
14	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$662	$662	—	—	—	$662 – $662
15	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$674	$674	—	—	—	$674 – $674
16	Blue Cross Blue Shield hmo fee schedule · outpatient	$686	$686	—	—	—	$686 – $686
17	Blue Cross Blue Shield exchange fee schedule · outpatient	$704	$704	—	—	—	$704 – $704
18	Blue Cross Blue Shield ppo fee schedule · outpatient	$763	$763	—	—	—	$763 – $763
19	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k
20	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$2.8k	$2.8k	—	—	—	$2.8k – $2.8k
21	Blue Cross Blue Shield traditional fee schedule · outpatient	$3.1k	$3.1k	—	—	—	$3.1k – $3.1k
22	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
23	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$3.8k	$3.8k	—	—	—	$3.8k – $3.8k
24	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$3.8k	$3.8k	—	—	—	$3.8k – $3.8k
25	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$4.8k	$4.8k	—	—	—	$4.8k – $4.8k

Page 1 of 2 · 33 rates

Last updated: Apr 21, 2026

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