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HCPCS Q5110

Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram

Current codeInjection - Colony Stimulating Factors35 hospitals with prices

Description from CMS's HCPCS Level II code file.

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.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27——$1.81
Highline Medical CenterBurienFile dated 2026-02-28—$399 – $25,330$1,307 – $82,951
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$310 – $409$443 – $585
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$2.35$5.86
Olympic Medical CenterPort AngelesFile dated 2026-06-24$314 – $3445 plans$368 – $521$461 – $651
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$710 – $1,135$1,014 – $1,622
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$367 – $596$707 – $1,147
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$710 – $1,135$1,014 – $1,622
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$710 – $1,135$1,014 – $1,622
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$710 – $1,135$1,014 – $1,622
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$584 – $767$834 – $1,095
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$367 – $596$707 – $1,147
Seattle Children's HospitalSeattle$376 – $47612 plans$1,464$1,464
St Anthony HospitalGig HarborFile dated 2026-02-28—$398 – $25,229$1,307 – $82,951
St Clare HospitalLakewoodFile dated 2026-02-28—$377 – $23,910$1,307 – $82,951
St Elizabeth HospitalEnumclawFile dated 2026-02-28$366 – $27,5155 plans$462 – $29,312$1,307 – $82,951
St Francis Community HospitalFederal WayFile dated 2026-02-28—$410 – $26,032$1,307 – $82,951
St Joseph Medical CenterTacomaFile dated 2026-02-28—$433 – $27,473$1,307 – $82,951
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$577 – $36,610$1,307 – $82,951
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$218 – $349$454 – $726
Swedish IssaquahIssaquahFile dated 2026-04-01—$218 – $349$454 – $726
Swedish Medical CenterSeattleFile dated 2026-04-01—$218 – $349$454 – $726
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$218 – $349$454 – $726
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$1.97 – $2.47$4.91 – $6.16
Virginia Mason Medical CenterSeattle—$1.05$1.05 – $2.06

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)
$0.33 (APC 9193)
Surgery center payment (national)
$0.33