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) |
|---|---|---|---|
| Cascade Valley Hospital | $122 – $12,024 | $9,619 | $12,024 |
| Deaconess Medical Center | $388 – $575 | $219 – $315 | $547 – $788 |
| Highline Medical Center | $10,691 – $22,376 | $7,592 – $7,592 | $24,862 – $24,863 |
| Mary Bridge Children's Hospital | $764 – $935 | $468 | $1,169 |
| Olympic Medical Center | $2,883 – $5,157 | $4,125 | $5,157 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $4,319 | $6,171 |
| Providence Holy Family Hospital | — | $4,319 | $6,171 |
| Providence Mount Carmel Hospital | — | $4,319 | $6,171 |
| Providence Regional Medical Center Everett | — | $3,786 | $7,281 |
| Providence St Mary Medical Center | — | $7,777 | $11,110 |
| 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 | $13,674 – $18,647 | $7,562 – $7,562 | $24,862 – $24,863 |
| St Clare Hospital | $13,674 – $18,647 | $7,166 – $7,166 | $24,862 – $24,863 |
| St Elizabeth Hospital | $8,950 – $22,376 | $8,785 – $8,786 | $24,862 – $24,863 |
| St Francis Community Hospital | $13,674 – $18,647 | $7,802 – $7,802 | $24,862 – $24,863 |
| St Joseph Medical Center | $13,674 – $18,647 | $8,234 – $8,234 | $24,862 – $24,863 |
| St Michael Medical Center | $15,663 – $22,376 | $10,973 – $10,973 | $24,862 – $24,863 |
| Swedish Edmonds Hospital | — | $4,832 | $10,066 |
| Swedish Issaquah | — | $4,832 | $10,066 |
| Swedish Medical Center | — | $4,832 | $10,066 |
| Swedish Medical Center / Cherry Hill | — | $4,832 | $10,066 |
| Tacoma General Allenmore Hospital | $553 – $960 | $375 – $526 | $938 – $1,315 |
| Virginia Mason Medical Center | $686 – $857 | $546 | $1,071 |
| Yakima Valley Memorial | $895 | $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