HCPCS Q5105

Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units

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 Q5105 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Valley HospitalArlington	$248 – $4201 plan	$198 – $336	$248 – $420
Deaconess Medical CenterSpokaneFile dated 2026-08-27	—	$1.46 – $10.88	$3.64 – $27.18
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27	—	$3.41 – $8.93	$8.51 – $22.32
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27	—	$1.93 – $8.93	$4.82 – $22.32
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27	—	$5.39	$13.46
Skagit Valley HospitalMount Vernon	$118 – $2651 plan	$198 – $336	$248 – $420
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27	—	$2.71 – $8.93	$6.76 – $22.32
Virginia Mason Medical CenterSeattle	—	$1.82	$3.56
Yakima Valley MemorialYakimaFile dated 2026-08-27	—	$3.41 – $8.93	$8.51 – $22.32

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.