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HCPCS Q5108
PEGFILGRASTIM-JMDB SOLN PREFILLED SYRINGE 6 MG/0.6ML - as described in hospitals' own price files.
68hospitals publishing a price
$3,254median cash price
$260median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Orange County Global Medical Center | Santa Ana, CA | $3,389 | $91.00 | $6,518 | $91.00 - $153 |
| Los Angeles General Medical Center | Los Angeles, CA | $3,389 | $91.00 | $6,518 | $91.00 - $153 |
| San Francisco VA Medical Center | San Francisco, CA | $3,650 | $91.00 | $6,518 | $91.00 - $153 |
| San Mateo Medical Center | San Mateo, CA | $3,650 | $91.00 | $6,518 | $91.00 - $153 |
| Tri-City Medical Center | Oceanside, CA | $3,650 | $91.00 | $6,518 | $91.00 - $153 |
| Santa Clara Valley Medical Center | San Jose, CA | $3,650 | $91.00 | $6,518 | $91.00 - $153 |
| Sutter Medical Center, Sacramento | Sacramento, CA | $3,650 | $91.00 | $6,518 | $91.00 - $153 |
| Lompoc Valley Medical Center | Lompoc, CA | $3,389 | $91.00 | $6,518 | $91.00 - $153 |
| Sutter Roseville Medical Center | Roseville, CA | $3,650 | $91.00 | $6,518 | $91.00 - $153 |
| Medstar Franklin Square Medical Center | Rosedale, MD | $111 | $114 | $114 | $111 - $114 |
| Medstar Saint Mary'S Hospital | Leonardtown, MD | $125 | $128 | $128 | $125 - $128 |
| Medstar Montgomery Medical Center | Olney, MD | $146 | $149 | $149 | $146 - $149 |
| Medstar Southern Maryland Hospital Center | Clinton, MD | $209 | $213 | $213 | $209 - $213 |
| Milton S Hershey Medical Center | Hershey, PA | $156 | $259 | $471 | $84.75 - $377 |
| Penn State Health St. Joseph | Reading, PA | $135 | $260 | $520 | $98.87 - $1,379 |
| Medstar Union Memorial Hospital | Baltimore, MD | $260 | $266 | $266 | $260 - $266 |
| Medstar Harbor Hospital | Baltimore, MD | $264 | $269 | $269 | $264 - $269 |
| Chi St. Joseph Health Regional Hospital | Bryan, TX | $270 | - | $1,543 | $102 - $1,543 |
| Medstar Good Samaritan Hospital | Baltimore, MD | $322 | $328 | $328 | $322 - $328 |
| Crestwood Medical Center | Huntsville, AL | $148 | $330 | $824 | $98.87 - $5,785 |
| George Washington Univ Hospital | Washington, DC | $3,307 | $337 | $8,267 | $97.83 - $6,200 |
| Ohiohealth Shelby Hospital | Shelby, OH | $373 | - | $574 | - |
| Hardin Memorial Hospital | Kenton, OH | $386 | - | $594 | - |
| Doctors Hospital | Columbus, OH | $393 | - | $605 | - |
| Dublin Methodist Hospital | Dublin, OH | $393 | - | $605 | - |
| Grant Medical Center | Columbus, OH | $393 | - | $605 | - |
| Riverside Methodist Hospital | Columbus, OH | $393 | - | $605 | - |
| Regional Hospital Of Scranton | Scranton, PA | $589 | $501 | $2,180 | $136 - $2,051 |
| Northwest Health - Porter | Valparaiso, IN | $342 | $506 | $1,266 | $111 - $1,114 |
| Plains Regional Medical Center | Clovis, NM | $319 | $607 | $1,181 | $136 - $1,039 |
| Wilkes-Barre General Hospital | Wilkes-Barre, PA | $661 | $661 | $2,755 | $136 - $2,755 |
| Dupont Hospital LLC | Fort Wayne, IN | $475 | $801 | $1,761 | $111 - $1,585 |
| Dukes Memorial Hospital | Peru, IN | $890 | $829 | $1,779 | $111 - $1,779 |
| Bluffton Regional Medical Center | Bluffton, IN | $409 | $913 | $1,704 | $111 - $1,534 |
| Mat-Su Regional Medical Center | Palmer, AK | $376 | $952 | $1,252 | $134 - $1,252 |
| Northridge Hospital Medical Center | Northridge, CA | $1,548 | - | $5,762 | $80.43 - $5,762 |
| Providence Mount Carmel Hospital | Colville, WA | $1,716 | - | $2,451 | - |
| Providence St. Joseph Medical Center | Polson, MT | $1,760 | - | $2,200 | - |
| St. Patrick Hospital | Missoula, MT | $1,760 | - | $2,200 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $1,919 | - | $3,998 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $1,923 | - | $3,771 | - |
| Kadlec Regional Medical Center | Richland, WA | $2,080 | - | $2,971 | - |
| Mercy Gilbert Medical Center | Gilbert, AZ | $2,261 | - | $4,500 | $84.38 - $4,500 |
| Providence Regional Medical Center Everett | Everett, WA | $3,254 | - | $6,257 | - |
| Allen County Regional Hospital | Iola, KS | $3,282 | - | $5,469 | $1,190 - $5,359 |
| Providence Hood River Memorial Hospital | Hood River, OR | $3,319 | - | $4,425 | - |
| Providence Seaside Hospital | Seaside, OR | $3,319 | - | $4,425 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $3,319 | - | $4,425 | - |
| St. Elizabeth Community Hospital | Red Bluff, CA | $3,416 | - | $5,750 | $84.38 - $5,750 |
| Dominican Hospital | Santa Cruz, CA | $3,538 | - | $8,000 | $95.97 - $6,800 |
| Bakersfield Memorial Hospital | Bakersfield, CA | $3,622 | - | $9,970 | $80.43 - $8,076 |
| Providence Holy Family Hospital | Spokane, WA | $3,696 | - | $5,280 | - |
| Chi St. Luke'S Health Brazosport | Lake Jackson, TX | $3,756 | - | $10,731 | $104 - $16,740 |
| Chi-St Vincent Infirmary | Little Rock, AR | $3,936 | - | $15,340 | $98.60 - $7,670 |
| St. Mary'S Regional Medical Center | Enid, OK | - | $4,128 | $10,319 | $118 - $8,152 |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $4,134 | - | $8,613 | - |
| Swedish Issaquah | Issaquah, WA | $4,134 | - | $8,613 | - |
| Berger Hospital | Circleville, OH | $4,459 | - | $6,860 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $4,842 | - | $13,835 | - |
| Saint John'S Health Center | Santa Monica, CA | $4,842 | - | $13,835 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $4,842 | - | $13,835 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $4,842 | - | $13,835 | - |
| Christus St. Frances Cabrini Hospital | Alexandria, LA | $5,771 | - | $22,194 | $117 - $18,865 |
| Providence St. Mary Medical Center | Walla Walla, WA | $6,962 | - | $9,946 | - |
| Providence Portland Medical Center | Portland, OR | $7,150 | - | $9,533 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $7,280 | - | $9,333 | - |
| Providence Alaska Medical Center | Anchorage, AK | $7,280 | - | $9,333 | - |
| Sierra Nevada Memorial Hospital | Grass Valley, CA | $9,742 | - | $17,535 | $71.05 - $17,184 |
Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.
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