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 SUBCUTANEOUS SYRINGE
Ozark, MO
See all hospitals reporting HCPCS Q5108 →Price type
Mercy Hospital Springfield’s median price of $1.9k is 602% above the median hospital's median price ($271), higher than 72% 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: 16 payers, 37 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 | Aetna hb sprg medicare facility · other · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 2 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 3 | Cigna hb sprg medicare facility · other · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 4 | Humana hb sprg humana medicare 100% facility · other · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 5 | Medica hb sprg medicare facility · other · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 6 | Medicare hb sprg medicare facility · other · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 7 | Tricare hb sprg tricare facility · other · outpatient | $97 | $97 | — | — | 1–10 | $97 – $97 |
| 8 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 9 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 10 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 11 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 12 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 13 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 14 | Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 17 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 18 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 19 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 20 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 21 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 22 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 23 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 24 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 25 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
Last updated: Jun 4, 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.