HCPCS Q4081

Injection, epoetin alfa, 100 units (for esrd on dialysis)

Current code32 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS Q4081 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Highline Medical CenterBurienFile dated 2026-02-28	—	$1,080 – $2,161	$3,538 – $7,076
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27	—	$4.48	$11.19
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27	—	$4.36 – $8.04	$10.90 – $20.08
St Anthony HospitalGig HarborFile dated 2026-02-28	—	$1,076 – $2,152	$3,538 – $7,076
St Clare HospitalLakewoodFile dated 2026-02-28	—	$1,020 – $2,040	$3,538 – $7,076
St Elizabeth HospitalEnumclawFile dated 2026-02-28	$991 – $2,3475 plans	$1,250 – $2,501	$3,538 – $7,076
St Francis Community HospitalFederal WayFile dated 2026-02-28	—	$1,110 – $2,221	$3,538 – $7,076
St Joseph Medical CenterTacomaFile dated 2026-02-28	—	$1,172 – $2,344	$3,538 – $7,076
St Michael Medical CenterSilverdaleFile dated 2026-02-28	—	$1,562 – $3,123	$3,538 – $7,076
Virginia Mason Medical CenterSeattle	—	$3.09 – $5.83	$6.05 – $11.43

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.