HCPCS Q5108
Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg
Current codeInjection - Colony Stimulating Factors44 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 | $3,340 – $4,948 | — | — |
| Cascade Valley Hospital | $135 – $5,801 | $4,584 | $5,730 |
| Deaconess Medical Center | $3,056 – $3,235 | $193 | $483 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $6,944 | $22,739 |
| Island Hospital | $3,153 – $3,421 | — | — |
| Kadlec Regional Medical Center | — | $2,080 | $2,971 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $3,160 – $3,413 | $456 – $464 | $1,141 – $1,160 |
| MultiCare Auburn Medical Center | $3,103 – $3,352 | — | — |
| MultiCare Covington Medical Center | $3,103 – $3,352 | — | — |
| MultiCare Good Samaritan Hospital | $3,175 – $3,429 | — | — |
| MultiCare Valley Hospital | $3,034 – $3,212 | — | — |
| Olympic Medical Center | $3,906 – $4,278 | $1,871 | $2,339 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $3,783 | $5,820 |
| PeaceHealth Southwest Medical Cente | $103 | $3,783 | $5,820 |
| PeaceHealth St John Medical Center | $77.12 – $104 | $3,783 | $5,820 |
| PeaceHealth St Joseph Medical Center | $104 | $3,783 – $3,791 | $5,820 – $5,832 |
| PeaceHealth United General Medical Center | — | $3,783 – $3,791 | $5,820 – $5,832 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,716 – $3,696 | $2,451 – $5,280 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $1,716 – $3,696 | $2,451 – $5,280 |
| Providence Mount Carmel Hospital | — | $1,716 | $2,451 |
| Providence Regional Medical Center Everett | — | $3,254 | $6,257 |
| Providence St Mary Medical Center | — | $3,890 – $6,962 | $5,558 – $9,946 |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | $3,498 – $4,424 | $13,609 | $13,609 |
| Skagit Valley Hospital | $3,075 – $4,066 | $4,584 | $5,730 |
| St Anthony Hospital | — | $6,916 | $22,739 |
| St Clare Hospital | — | $6,554 | $22,739 |
| St Elizabeth Hospital | $3,866 – $4,707 | $8,035 | $22,739 |
| St Francis Community Hospital | — | $7,136 | $22,739 |
| St Joseph Medical Center | — | $7,531 | $22,739 |
| St Michael Medical Center | — | $10,036 | $22,739 |
| Swedish Edmonds Hospital | — | $1,919 | $3,998 |
| Swedish Issaquah | — | $4,134 | $8,613 |
| Swedish Medical Center | — | $1,919 | $3,998 |
| Swedish Medical Center / Cherry Hill | — | $4,134 | $8,613 |
| Tacoma General Allenmore Hospital | $3,176 – $3,430 | $344 | $860 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $470 | $921 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $3,035 – $3,526 | $321 | $804 |
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)
- $55.96 (APC 9173)
- Surgery center payment (national)
- $55.96