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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Cascade Valley Hospital | $136 – $142 | $9,619 | $12,024 |
| Deaconess Medical Center | — | $219 – $315 | $547 – $788 |
| Highline Medical Center | — | $7,592 – $7,592 | $24,862 – $24,863 |
| Mary Bridge Children's Hospital | — | $468 | $1,169 |
| Olympic Medical Center | $130 – $168 | $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 | — | $27,178 | $27,178 |
| Skagit Valley Hospital | $136 – $146 | $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 | — | $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 | — | $375 – $526 | $938 – $1,315 |
| Virginia Mason Medical Center | — | $546 | $1,071 |
| Yakima Valley Memorial | — | $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