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$7.73 – $8.506 plans$54.26$136
Cascade Valley HospitalArlington$7.47 – $7,6863 plans$186 – $1,017$233 – $1,271
Deaconess Medical CenterSpokaneFile dated 2026-08-27$7.73 – $8.508 plans$14.01 – $150$35.02 – $375
EvergreenHealth Medical CenterKirkland$7.74 – $7.895 plans$177 – $561$221 – $701
Harborview Medical CenterSeattleFile dated 2026-04-01$7.85 – $8.645 plans——
Highline Medical CenterBurienFile dated 2026-02-28$8.42 – $9.6811 plans$114 – $2,269$372 – $7,432
Island HospitalAnacortes$9.17 – $9.7211 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$7.88 – $9.467 plans$341 – $902$487 – $1,289
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$8.12 – $8.836 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$7.73 – $8.507 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$7.73 – $8.507 plans$34.03 – $54.26$85.06 – $136
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$7.73 – $8.507 plans$63.07$158
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$7.73 – $8.507 plans$19.26 – $89.26$48.15 – $223
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$7.96 – $8.507 plans$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$7.88 – $8.203 plans$5.72 – $645$11.44 – $1,290
PeaceHealth Southwest Medical CenteVancouver$7.57 – $8.7113 plans$400 – $1,153$616 – $1,774
PeaceHealth St John Medical CenterLongview$5.90 – $8.3314 plans$453 – $1,205$696 – $1,854
PeaceHealth St Joseph Medical CenterBellingham$7.57 – $8.338 plans$770 – $1,390$1,184 – $2,138
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$7.88 – $9.467 plans$192 – $984$274 – $1,406
Providence Centralia HospitalCentraliaFile dated 2026-04-01$7.88 – $12.616 plans$160 – $391$307 – $751
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$7.88 – $8.675 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$7.88 – $8.676 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$7.88 – $8.675 plans$257 – $2,106$367 – $3,009
Providence St Peter HospitalOlympiaFile dated 2026-04-01$7.88 – $12.616 plans$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$8.58 – $9.8712 plans$113 – $2,260$372 – $7,432
St Clare HospitalLakewoodFile dated 2026-02-28$8.01 – $9.2112 plans$107 – $2,142$372 – $7,432
St Elizabeth HospitalEnumclawFile dated 2026-02-28$66.97 – $1,63512 plans$131 – $2,626$372 – $7,432
St Francis Community HospitalFederal WayFile dated 2026-02-28$8.42 – $9.6812 plans$117 – $2,332$372 – $7,432
St Joseph Medical CenterTacomaFile dated 2026-02-28$8.58 – $10.1112 plans$123 – $2,461$372 – $7,432
St Michael Medical CenterSilverdaleFile dated 2026-02-28$8.82 – $9.5310 plans$164 – $3,280$372 – $7,432
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$7.88 – $9.467 plans$47.88 – $958$99.74 – $1,995
Swedish IssaquahIssaquahFile dated 2026-04-01$7.88 – $9.467 plans$47.88 – $958$99.74 – $1,995
Swedish Medical CenterSeattleFile dated 2026-04-01$7.88 – $9.467 plans$47.88 – $958$99.74 – $1,995
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$7.88 – $9.467 plans$47.88 – $958$99.74 – $1,995
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$7.73 – $8.507 plans$19.27 – $89.50$48.16 – $224
University of Washington Medical CtrSeattleFile dated 2026-04-01$7.85 – $8.645 plans——
Virginia Mason Medical CenterSeattle$5.50 – $8.249 plans$18.17 – $19.70$35.62 – $38.63
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$7.73 – $8.658 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