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 Syr
Parkston, SD
See all hospitals reporting HCPCS Q5122 →Price type
Avera St. Benedicts’s median price of $6.0k is 2669% above the median hospital's median price ($218), higher than 93% of the 1,516 hospitals reporting HCPCS Q5122. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 11 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 | Medica com fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 2 | Medica ind fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 3 | Medica ind percent of total billed charges · inpatientfrom % of charges | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 4 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 5 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $5.4k | $5.4k | — | — | 1–10 | $5.4k – $5.4k |
| 6 | Wellmark hmo outpatient | $5.8k | $5.8k | — | — | 1–10 | $5.8k – $5.8k |
| 7 | Medica com percent of total billed charges · inpatientfrom % of charges | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 8 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 9 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 10 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 11 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
Last updated: Apr 1, 2026
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