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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS Q5106 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$54.26$136
Cascade Valley HospitalArlington$7.47 – $7,6863 plans$186 – $1,017$233 – $1,271
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$14.01 – $150$35.02 – $375
EvergreenHealth Medical CenterKirkland$7.74 – $7.895 plans$177 – $561$221 – $701
Highline Medical CenterBurienFile dated 2026-02-28—$114 – $2,269$372 – $7,432
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$341 – $902$487 – $1,289
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$34.03 – $54.26$85.06 – $136
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$63.07$158
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$19.26 – $89.26$48.15 – $223
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$53.86$135
Olympic Medical CenterPort AngelesFile dated 2026-06-24$9.63 – $12.385 plans$113 – $1,144$141 – $1,430
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$5.72 – $645$11.44 – $1,290
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$192 – $984$274 – $1,406
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$160 – $391$307 – $751
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$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—$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—$257 – $2,106$367 – $3,009
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$106 – $1,252$203 – $2,407
Skagit Valley HospitalMount Vernon$7.47 – $8.074 plans$186 – $1,017$233 – $1,271
St Anthony HospitalGig HarborFile dated 2026-02-28—$113 – $2,260$372 – $7,432
St Clare HospitalLakewoodFile dated 2026-02-28—$107 – $2,142$372 – $7,432
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$131 – $2,626$372 – $7,432
St Francis Community HospitalFederal WayFile dated 2026-02-28—$117 – $2,332$372 – $7,432
St Joseph Medical CenterTacomaFile dated 2026-02-28—$123 – $2,461$372 – $7,432
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$164 – $3,280$372 – $7,432
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$47.88 – $958$99.74 – $1,995
Swedish IssaquahIssaquahFile dated 2026-04-01—$47.88 – $958$99.74 – $1,995
Swedish Medical CenterSeattleFile dated 2026-04-01—$47.88 – $958$99.74 – $1,995
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$47.88 – $958$99.74 – $1,995
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$19.27 – $89.50$48.16 – $224
Virginia Mason Medical CenterSeattle—$18.17 – $19.70$35.62 – $38.63
Yakima Valley MemorialYakimaFile dated 2026-08-27—$20.03 – $89.26$50.06 – $223

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

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