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
Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.
| Hospital | Other government program rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Cascade Valley Hospital | — | $4,584 | $5,730 |
| Deaconess Medical Center | — | $193 | $483 |
| Highline Medical Center | — | $6,944 | $22,739 |
| Kadlec Regional Medical Center | — | $2,080 | $2,971 |
| Mary Bridge Children's Hospital | — | $456 – $464 | $1,141 – $1,160 |
| Olympic Medical Center | — | $1,871 | $2,339 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,716 – $3,696 | $2,451 – $5,280 |
| 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 |
| Seattle Children's Hospital | $5,580 | $13,609 | $13,609 |
| Skagit Valley Hospital | — | $4,584 | $5,730 |
| St Anthony Hospital | — | $6,916 | $22,739 |
| St Clare Hospital | — | $6,554 | $22,739 |
| St Elizabeth Hospital | — | $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 | — | $344 | $860 |
| Virginia Mason Medical Center | — | $470 | $921 |
| Yakima Valley Memorial | — | $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