HCPCS Q5106
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units
Current codeErythropoiesis - Stimulating Agent43 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 | $268 – $398 | $54.26 | $136 |
| Cascade Valley Hospital | $8.07 – $1,273 | $186 – $1,017 | $233 – $1,271 |
| Deaconess Medical Center | $246 – $260 | $14.01 – $150 | $35.02 – $375 |
| EvergreenHealth Medical Center | — | $177 – $561 | $221 – $701 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $114 – $2,269 | $372 – $7,432 |
| Island Hospital | $253 – $275 | — | — |
| Kadlec Regional Medical Center | — | $341 – $902 | $487 – $1,289 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $254 – $274 | — | — |
| MultiCare Auburn Medical Center | $249 – $269 | $34.03 – $54.26 | $85.06 – $136 |
| MultiCare Covington Medical Center | $249 – $269 | $63.07 | $158 |
| MultiCare Good Samaritan Hospital | $255 – $276 | $19.26 – $89.26 | $48.15 – $223 |
| MultiCare Valley Hospital | $244 – $258 | $53.86 | $135 |
| Olympic Medical Center | $314 – $344 | $113 – $1,144 | $141 – $1,430 |
| Overlake Hospital Medical Center & Clinics | — | $5.72 – $645 | $11.44 – $1,290 |
| PeaceHealth Southwest Medical Cente | $7.87 | $400 – $1,153 | $616 – $1,774 |
| PeaceHealth St John Medical Center | $5.90 – $7.95 | $453 – $1,205 | $696 – $1,854 |
| PeaceHealth St Joseph Medical Center | $7.95 | $770 – $1,390 | $1,184 – $2,138 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $192 – $984 | $274 – $1,406 |
| Providence Centralia Hospital | — | $160 – $391 | $307 – $751 |
| Providence Holy Family Hospital | — | $192 – $984 | $274 – $1,406 |
| Providence Mount Carmel Hospital | — | $780 – $984 | $1,114 – $1,406 |
| Providence Regional Medical Center Everett | — | $523 | $1,006 |
| Providence St Joseph Hospital | — | $780 – $984 | $1,114 – $1,406 |
| Providence St Mary Medical Center | — | $257 – $2,106 | $367 – $3,009 |
| Providence St Peter Hospital | — | $106 – $1,252 | $203 – $2,407 |
| Skagit Valley Hospital | $118 – $325 | $186 – $1,017 | $233 – $1,271 |
| St Anthony Hospital | — | $113 – $2,260 | $372 – $7,432 |
| St Clare Hospital | — | $107 – $2,142 | $372 – $7,432 |
| St Elizabeth Hospital | $63.25 – $1,538 | $131 – $2,626 | $372 – $7,432 |
| St Francis Community Hospital | — | $117 – $2,332 | $372 – $7,432 |
| St Joseph Medical Center | — | $123 – $2,461 | $372 – $7,432 |
| St Michael Medical Center | — | $164 – $3,280 | $372 – $7,432 |
| Swedish Edmonds Hospital | — | $47.88 – $958 | $99.74 – $1,995 |
| Swedish Issaquah | — | $47.88 – $958 | $99.74 – $1,995 |
| Swedish Medical Center | — | $47.88 – $958 | $99.74 – $1,995 |
| Swedish Medical Center / Cherry Hill | — | $47.88 – $958 | $99.74 – $1,995 |
| Tacoma General Allenmore Hospital | $255 – $276 | $19.27 – $89.50 | $48.16 – $224 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $18.17 – $19.70 | $35.62 – $38.63 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $244 – $283 | $20.03 – $89.26 | $50.06 – $223 |
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