4506039 — Pegfilgrastim On-body 6 Mg/0.6 Ml Sol [Gmh]
Cite this view
HANK Price Transparency. (n.d.). Pegfilgrastim On-body 6 Mg/0.6 Ml Sol [Gmh] (CDM 4506039) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4506039?code_type=CDM
“Pegfilgrastim On-body 6 Mg/0.6 Ml Sol [Gmh] (CDM 4506039) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4506039?code_type=CDM. Accessed .
“Pegfilgrastim On-body 6 Mg/0.6 Ml Sol [Gmh] (CDM 4506039) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4506039?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15,929–$24,150 (25th–75th percentile) across 1 hospital · 4 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4506039 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| GOTHENBURG HEALTH Both | United Healthcare | Veterans Affair Community Care | $15,770.00 | $25,692.00 | $23,123.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Both | Blue Cross Blue Shield | Medicare Advantage | $15,929.00 | $25,692.00 | $23,123.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Both | United Healthcare | Commercial | $15,929.00 | $25,692.00 | $23,123.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Both | Aetna | Medicare Advantage | $16,186.00 | $25,692.00 | $23,123.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Both | Nebraska Total Care | Commercial | $23,894.00 | $25,692.00 | $23,123.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Both | Blue Cross Blue Shield | Commercial | $24,407.00 | $25,692.00 | $23,123.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Both | Aetna | Commercial | $24,664.00 | $25,692.00 | $23,123.00 | 2025-06-11 | MRF ↗ |