HCPCS Q5106

Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units

Current codeErythropoiesis - Stimulating Agent43 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS Q5106 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$6.14 – $11519 plans$54.26$136
Cascade Valley HospitalArlington$7.51 – $7,68611 plans$186 – $1,017$233 – $1,271
Deaconess Medical CenterSpokaneFile dated 2026-08-27$7.88 – $27316 plans$14.01 – $150$35.02 – $375
EvergreenHealth Medical CenterKirkland$7.51 – $65225 plans$177 – $561$221 – $701
Harborview Medical CenterSeattleFile dated 2026-04-01$8.32 – $17.053 plans——
Highline Medical CenterBurienFile dated 2026-02-28$6.82 – $6,68916 plans$114 – $2,269$372 – $7,432
Island HospitalAnacortes$7.57 – $16.516 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$7.82 – $28.3911 plans$341 – $902$487 – $1,289
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$11.44 – $18.848 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$12.90 – $9029 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$7.88 – $99.0220 plans$34.03 – $54.26$85.06 – $136
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$7.88 – $11520 plans$63.07$158
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$7.88 – $16320 plans$19.26 – $89.26$48.15 – $223
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$7.88 – $96.9416 plans$53.86$135
Olympic Medical CenterPort AngelesFile dated 2026-06-24$79.02 – $1,4306 plans$113 – $1,144$141 – $1,430
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$6.72 – $53.4815 plans$5.72 – $645$11.44 – $1,290
PeaceHealth Southwest Medical CenteVancouver$3.03 – $24.564 plans$400 – $1,153$616 – $1,774
PeaceHealth St John Medical CenterLongview$3.03 – $7.573 plans$453 – $1,205$696 – $1,854
PeaceHealth St Joseph Medical CenterBellingham$7.571 plan$770 – $1,390$1,184 – $2,138
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$6.10 – $26.1514 plans$192 – $984$274 – $1,406
Providence Centralia HospitalCentraliaFile dated 2026-04-01$6.82 – $50.8213 plans$160 – $391$307 – $751
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$7.82 – $24.2611 plans$192 – $984$274 – $1,406
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$780 – $984$1,114 – $1,406
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$6.65 – $20.2412 plans$523$1,006
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$780 – $984$1,114 – $1,406
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$6.82 – $46.5210 plans$257 – $2,106$367 – $3,009
Providence St Peter HospitalOlympiaFile dated 2026-04-01$6.70 – $26.7014 plans$106 – $1,252$203 – $2,407
Skagit Valley HospitalMount Vernon$7.82 – $1,20710 plans$186 – $1,017$233 – $1,271
St Anthony HospitalGig HarborFile dated 2026-02-28$6.82 – $5,57417 plans$113 – $2,260$372 – $7,432
St Clare HospitalLakewoodFile dated 2026-02-28$6.82 – $5,57417 plans$107 – $2,142$372 – $7,432
St Elizabeth HospitalEnumclawFile dated 2026-02-28$6.82 – $6,68916 plans$131 – $2,626$372 – $7,432
St Francis Community HospitalFederal WayFile dated 2026-02-28$6.82 – $5,57417 plans$117 – $2,332$372 – $7,432
St Joseph Medical CenterTacomaFile dated 2026-02-28$6.82 – $5,57417 plans$123 – $2,461$372 – $7,432
St Michael Medical CenterSilverdaleFile dated 2026-02-28$6.82 – $6,68918 plans$164 – $3,280$372 – $7,432
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$8.18 – $20.0214 plans$47.88 – $958$99.74 – $1,995
Swedish IssaquahIssaquahFile dated 2026-04-01$6.82 – $25.8413 plans$47.88 – $958$99.74 – $1,995
Swedish Medical CenterSeattleFile dated 2026-04-01$6.82 – $28.1620 plans$47.88 – $958$99.74 – $1,995
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$6.82 – $28.1614 plans$47.88 – $958$99.74 – $1,995
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$7.88 – $16320 plans$19.27 – $89.50$48.16 – $224
University of Washington Medical CtrSeattleFile dated 2026-04-01$8.32 – $24.6212 plans——
Virginia Mason Medical CenterSeattle$7.62 – $30.9010 plans$18.17 – $19.70$35.62 – $38.63
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$19.891 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$12.36 – $19119 plans$20.03 – $89.26$50.06 – $223

Lowest and highest amounts each hospital lists for this code as an outpatient, 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

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national)
$8.17 (APC 9097)
Surgery center payment (national)
$8.17