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
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 | $3,340 – $4,948 | — | — |
| Cascade Valley Hospital | $146 – $12,423 | $9,619 | $12,024 |
| Deaconess Medical Center | $3,056 – $3,235 | $219 – $315 | $547 – $788 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $7,592 – $7,592 | $24,862 – $24,863 |
| Island Hospital | $3,153 – $3,421 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $3,160 – $3,413 | $468 | $1,169 |
| MultiCare Auburn Medical Center | $3,103 – $3,352 | — | — |
| MultiCare Covington Medical Center | $3,103 – $3,352 | — | — |
| MultiCare Good Samaritan Hospital | $3,175 – $3,429 | — | — |
| MultiCare Valley Hospital | $3,034 – $3,212 | — | — |
| Olympic Medical Center | $3,906 – $4,278 | $4,125 | $5,157 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $6,813 – $7,110 | $10,482 – $10,938 |
| PeaceHealth Southwest Medical Cente | $168 | $3,582 – $7,110 | $5,511 – $10,938 |
| PeaceHealth St John Medical Center | $126 – $170 | $3,582 – $7,110 | $5,511 – $10,938 |
| PeaceHealth St Joseph Medical Center | $170 | $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. | — | $4,319 | $6,171 |
| Providence Centralia Hospital | — | — | — |
| 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 |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | $6,986 – $8,835 | $27,178 | $27,178 |
| Skagit Valley Hospital | — | $9,619 | $12,024 |
| St Anthony Hospital | — | $7,562 – $7,562 | $24,862 – $24,863 |
| St Clare Hospital | — | $7,166 – $7,166 | $24,862 – $24,863 |
| St Elizabeth Hospital | $4,227 – $5,147 | $8,785 – $8,786 | $24,862 – $24,863 |
| St Francis Community Hospital | — | $7,802 – $7,802 | $24,862 – $24,863 |
| St Joseph Medical Center | — | $8,234 – $8,234 | $24,862 – $24,863 |
| St Michael Medical Center | — | $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 | $3,176 – $3,430 | $375 – $526 | $938 – $1,315 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $546 | $1,071 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $3,035 – $3,526 | $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