Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · HCPCS Q5120 · PLENTYWOOD, MT

Q5120 — Inj Pegfilgrastim-bmez 0.5mg

What each payer pays SHERIDAN MEMORIAL HOSPTIAL (CCN 271322) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$6,792 All-payer median here
$6,368 Cash / self-pay here
7 payer/plan-name variants
← This hospital National rates for Q5120 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
INTERWEST HEALTH PPO $6,863 1.0% 2
Mountain Health Co-op $6,863 1.0% 1
PacificSource $6,863 1.0% 1
Three Rivers Provider Network $6,721 -1.0% 1
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) $6,721 -1.0% 1
Aetna $6,509 -4.2% 1
First Choice Health $6,368 -6.2% 1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.