HCPCS Q5110
Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram
Current codeInjection - Colony Stimulating Factors35 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 | — | — | — |
| Deaconess Medical Center | — | — | $1.81 |
| Highline Medical Center | — | $399 – $25,330 | $1,307 – $82,951 |
| Island Hospital | $253 – $275 | — | — |
| Kadlec Regional Medical Center | — | $310 – $409 | $443 – $585 |
| Mary Bridge Children's Hospital | — | $2.35 | $5.86 |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | $314 – $344 | $368 – $521 | $461 – $651 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $710 – $1,135 | $1,014 – $1,622 |
| Providence Centralia Hospital | — | $367 – $596 | $707 – $1,147 |
| Providence Holy Family Hospital | — | $710 – $1,135 | $1,014 – $1,622 |
| Providence Mount Carmel Hospital | — | $710 – $1,135 | $1,014 – $1,622 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Joseph Hospital | — | $710 – $1,135 | $1,014 – $1,622 |
| Providence St Mary Medical Center | — | $584 – $767 | $834 – $1,095 |
| Providence St Peter Hospital | — | $367 – $596 | $707 – $1,147 |
| Seattle Children's Hospital | $376 – $476 | $1,464 | $1,464 |
| St Anthony Hospital | — | $398 – $25,229 | $1,307 – $82,951 |
| St Clare Hospital | — | $377 – $23,910 | $1,307 – $82,951 |
| St Elizabeth Hospital | $222 – $17,171 | $462 – $29,312 | $1,307 – $82,951 |
| St Francis Community Hospital | — | $410 – $26,032 | $1,307 – $82,951 |
| St Joseph Medical Center | — | $433 – $27,473 | $1,307 – $82,951 |
| St Michael Medical Center | — | $577 – $36,610 | $1,307 – $82,951 |
| Swedish Edmonds Hospital | — | $218 – $349 | $454 – $726 |
| Swedish Issaquah | — | $218 – $349 | $454 – $726 |
| Swedish Medical Center | — | $218 – $349 | $454 – $726 |
| Swedish Medical Center / Cherry Hill | — | $218 – $349 | $454 – $726 |
| Tacoma General Allenmore Hospital | — | $1.97 – $2.47 | $4.91 – $6.16 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $1.05 | $1.05 – $2.06 |
| Yakima Valley Memorial | — | — | — |
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