HCPCS Q5111
Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg
Current codeInjection - Colony Stimulating Factors44 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $149 – $1,187 | — | — |
| Cascade Valley Hospital | $122 – $12,024 | $9,619 | $12,024 |
| Deaconess Medical Center | $136 – $575 | $219 – $315 | $547 – $788 |
| Harborview Medical Center | $113 – $231 | — | — |
| Highline Medical Center | $122 – $22,376 | $7,592 – $7,592 | $24,862 – $24,863 |
| Island Hospital | $162 – $224 | — | — |
| Kadlec Regional Medical Center | $122 – $648 | — | — |
| Legacy Salmon Creek Medical Center | $167 – $453 | — | — |
| Mary Bridge Children's Hospital | $136 – $11,220 | $468 | $1,169 |
| MultiCare Auburn Medical Center | $190 – $1,187 | — | — |
| MultiCare Covington Medical Center | $190 – $1,187 | — | — |
| MultiCare Good Samaritan Hospital | $190 – $1,187 | — | — |
| MultiCare Valley Hospital | $190 – $537 | — | — |
| Olympic Medical Center | $2,883 – $5,157 | $4,125 | $5,157 |
| Overlake Hospital Medical Center & Clinics | $122 – $1,780 | — | — |
| PeaceHealth Peace Island Medical Center | — | $6,813 – $7,110 | $10,482 – $10,938 |
| PeaceHealth Southwest Medical Cente | $64.80 – $526 | $3,582 – $7,110 | $5,511 – $10,938 |
| PeaceHealth St John Medical Center | $64.80 – $282 | $3,582 – $7,110 | $5,511 – $10,938 |
| PeaceHealth St Joseph Medical Center | $162 – $280 | $3,582 – $7,110 | $5,511 – $10,938 |
| PeaceHealth United General Medical Center | — | $6,813 – $7,110 | $10,482 – $10,938 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $95.24 – $659 | $4,319 | $6,171 |
| Providence Centralia Hospital | $166 – $1,199 | — | — |
| Providence Holy Family Hospital | $122 – $418 | $4,319 | $6,171 |
| Providence Mount Carmel Hospital | — | $4,319 | $6,171 |
| Providence Regional Medical Center Everett | $104 – $674 | $3,786 | $7,281 |
| Providence St Mary Medical Center | $166 – $1,174 | $7,777 | $11,110 |
| Providence St Peter Hospital | $116 – $889 | — | — |
| Seattle Children's Hospital | $14,676 – $26,090 | $27,178 | $27,178 |
| Skagit Valley Hospital | $122 – $11,423 | $9,619 | $12,024 |
| St Anthony Hospital | $122 – $18,647 | $7,562 – $7,562 | $24,862 – $24,863 |
| St Clare Hospital | $122 – $18,647 | $7,166 – $7,166 | $24,862 – $24,863 |
| St Elizabeth Hospital | $122 – $22,376 | $8,785 – $8,786 | $24,862 – $24,863 |
| St Francis Community Hospital | $122 – $18,647 | $7,802 – $7,802 | $24,862 – $24,863 |
| St Joseph Medical Center | $122 – $18,647 | $8,234 – $8,234 | $24,862 – $24,863 |
| St Michael Medical Center | $166 – $22,376 | $10,973 – $10,973 | $24,862 – $24,863 |
| Swedish Edmonds Hospital | $137 – $656 | $4,832 | $10,066 |
| Swedish Issaquah | $137 – $860 | $4,832 | $10,066 |
| Swedish Medical Center | $137 – $860 | $4,832 | $10,066 |
| Swedish Medical Center / Cherry Hill | $137 – $860 | $4,832 | $10,066 |
| Tacoma General Allenmore Hospital | $136 – $960 | $375 – $526 | $938 – $1,315 |
| University of Washington Medical Ctr | $113 – $555 | — | — |
| Virginia Mason Medical Center | $106 – $857 | $546 | $1,071 |
| Wellfound Behavioral Health Hospital | $343 | — | — |
| Yakima Valley Memorial | $45.95 – $1,370 | $640 | $1,599 |
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)
- $129 (APC 9195)
- Surgery center payment (national)
- $129