HCPCS Q5105
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units
Current code32 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1.05 – $4.45 | — | — |
| Cascade Valley Hospital | $1.20 – $7,479 | $198 – $336 | $248 – $420 |
| Deaconess Medical Center | $1.02 – $19.84 | $1.46 – $10.88 | $3.64 – $27.18 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | $1.27 – $2.85 | — | — |
| Legacy Salmon Creek Medical Center | $1.14 – $1.90 | — | — |
| Mary Bridge Children's Hospital | $1.25 – $210 | — | — |
| MultiCare Auburn Medical Center | $1.05 – $16.29 | $3.41 – $8.93 | $8.51 – $22.32 |
| MultiCare Covington Medical Center | $1.05 – $3.66 | — | — |
| MultiCare Good Samaritan Hospital | $1.05 – $16.29 | $1.93 – $8.93 | $4.82 – $22.32 |
| MultiCare Valley Hospital | $1.02 – $9.69 | $5.39 | $13.46 |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $1.40 – $5.34 | — | — |
| PeaceHealth Southwest Medical Cente | — | $413 – $676 | $636 – $1,040 |
| PeaceHealth St John Medical Center | — | $413 | $636 |
| PeaceHealth St Joseph Medical Center | — | $668 – $1,392 | $1,028 – $2,142 |
| PeaceHealth United General Medical Center | — | $540 | $831 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1.02 – $1.98 | — | — |
| Providence Centralia Hospital | $1.02 – $4.42 | — | — |
| Providence Holy Family Hospital | $1.02 – $1.64 | — | — |
| Providence Regional Medical Center Everett | $1.27 – $2.02 | — | — |
| Providence St Mary Medical Center | $1.02 – $4.06 | — | — |
| Providence St Peter Hospital | $1.09 – $2.67 | — | — |
| Skagit Valley Hospital | $1.20 – $399 | $198 – $336 | $248 – $420 |
| Swedish Edmonds Hospital | $1.20 – $1.97 | — | — |
| Swedish Issaquah | $1.16 – $2.58 | — | — |
| Swedish Medical Center | $1.27 – $2.58 | — | — |
| Swedish Medical Center / Cherry Hill | $1.27 – $2.58 | — | — |
| Tacoma General Allenmore Hospital | $1.05 – $16.29 | $2.71 – $8.93 | $6.76 – $22.32 |
| University of Washington Medical Ctr | $1.00 – $1.53 | — | — |
| Virginia Mason Medical Center | $2.14 – $2.85 | $1.82 | $3.56 |
| Yakima Valley Memorial | $1.36 – $19.13 | $3.41 – $8.93 | $8.51 – $22.32 |
Medicare (traditional) reference
CMS publishes no national amount for this code.