12207079 (OTHER) — raw rate rows

OTHER · raw rates

12207079 — Pegfilgrastim (neulasta) Onpro 6mg/0.6ml

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

View state-by-state → View hospital-by-hospital →

Typical negotiated price $13,102

Usually $13,102–$13,102 (25th–75th percentile) across 1 hospital · 5 payers.

“Negotiated” is the hospital’s negotiated facility rate for this OTHER 12207079 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

Estimate your cost

What would you pay?

Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

I am… Annual deductible (assumed — typical plan) Already spent this year

Checked your insurer’s portal? Enter your remaining deductible and out-of-pocket max above/below and leave “already spent” at 0.

Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

Loading estimate…

Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.

Hospital rates (per row)

Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.

Hospital	Payer	Plan	Negotiated rate	Gross	Cash	Observed	Source
SARAH D CULBERTSON MEMORIAL HOSPITAL	Cigna All Plans	—	$8,603.42	$14,557.40	—	2026-05-28	MRF ↗
SARAH D CULBERTSON MEMORIAL HOSPITAL	Aetna All Ppo & Pos Elect Choice Plans	—	$13,101.66	$14,557.40	—	2026-05-28	MRF ↗
SARAH D CULBERTSON MEMORIAL HOSPITAL	Multiplan All Plans	—	$13,101.66	$14,557.40	—	2026-05-28	MRF ↗
SARAH D CULBERTSON MEMORIAL HOSPITAL	Unitedhealthcare All Commercial Ppo & Commerical Hmo Plans	—	$13,101.66	$14,557.40	—	2026-05-28	MRF ↗
SARAH D CULBERTSON MEMORIAL HOSPITAL	Blue Cross Blue Shield Of Illinois Ppo Plans Only	—	$14,557.40	$14,557.40	—	2026-05-28	MRF ↗