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
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $62.50 – $92.59 | — | — |
| Cascade Valley Hospital | $248 – $420 | $198 – $336 | $248 – $420 |
| Deaconess Medical Center | $57.18 – $60.55 | $1.46 – $10.88 | $3.64 – $27.18 |
| Island Hospital | $59.00 – $64.01 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $59.15 – $63.88 | — | — |
| MultiCare Auburn Medical Center | $58.08 – $62.72 | $3.41 – $8.93 | $8.51 – $22.32 |
| MultiCare Covington Medical Center | $58.08 – $62.72 | — | — |
| MultiCare Good Samaritan Hospital | $59.42 – $64.17 | $1.93 – $8.93 | $4.82 – $22.32 |
| MultiCare Valley Hospital | $56.78 – $60.12 | $5.39 | $13.46 |
| Olympic Medical Center | $73.10 – $80.06 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| 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. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Skagit Valley Hospital | $118 – $265 | $198 – $336 | $248 – $420 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $59.44 – $64.20 | $2.71 – $8.93 | $6.76 – $22.32 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $1.82 | $3.56 |
| Yakima Valley Memorial | $56.80 – $65.99 | $3.41 – $8.93 | $8.51 – $22.32 |
Medicare (traditional) reference
CMS publishes no national amount for this code.