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) |
|---|---|---|---|
| Capital Medical Center | $133 – $146 | — | — |
| Cascade Valley Hospital | $136 – $142 | $9,619 | $12,024 |
| Deaconess Medical Center | $133 – $146 | $219 – $315 | $547 – $788 |
| Harborview Medical Center | $106 – $117 | — | — |
| Highline Medical Center | $151 – $174 | $7,592 – $7,592 | $24,862 – $24,863 |
| Island Hospital | $124 – $132 | — | — |
| Kadlec Regional Medical Center | $136 – $163 | — | — |
| Legacy Salmon Creek Medical Center | $140 – $152 | — | — |
| Mary Bridge Children's Hospital | $133 – $146 | $468 | $1,169 |
| MultiCare Auburn Medical Center | $133 – $146 | — | — |
| MultiCare Covington Medical Center | $133 – $146 | — | — |
| MultiCare Good Samaritan Hospital | $133 – $146 | — | — |
| MultiCare Valley Hospital | $137 – $146 | — | — |
| Olympic Medical Center | $130 – $168 | $4,125 | $5,157 |
| Overlake Hospital Medical Center & Clinics | $136 – $141 | — | — |
| PeaceHealth Peace Island Medical Center | — | $6,813 – $7,110 | $10,482 – $10,938 |
| PeaceHealth Southwest Medical Cente | $162 – $186 | $3,582 – $7,110 | $5,511 – $10,938 |
| PeaceHealth St John Medical Center | $126 – $178 | $3,582 – $7,110 | $5,511 – $10,938 |
| PeaceHealth St Joseph Medical Center | $162 – $178 | $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. | $136 – $163 | $4,319 | $6,171 |
| Providence Centralia Hospital | $136 – $217 | — | — |
| Providence Holy Family Hospital | $136 – $149 | $4,319 | $6,171 |
| Providence Mount Carmel Hospital | — | $4,319 | $6,171 |
| Providence Regional Medical Center Everett | $136 – $149 | $3,786 | $7,281 |
| Providence St Mary Medical Center | $136 – $149 | $7,777 | $11,110 |
| Providence St Peter Hospital | $136 – $217 | — | — |
| Seattle Children's Hospital | — | $27,178 | $27,178 |
| Skagit Valley Hospital | $136 – $146 | $9,619 | $12,024 |
| St Anthony Hospital | $154 – $177 | $7,562 – $7,562 | $24,862 – $24,863 |
| St Clare Hospital | $185 – $213 | $7,166 – $7,166 | $24,862 – $24,863 |
| St Elizabeth Hospital | $4,475 – $5,470 | $8,785 – $8,786 | $24,862 – $24,863 |
| St Francis Community Hospital | $151 – $174 | $7,802 – $7,802 | $24,862 – $24,863 |
| St Joseph Medical Center | $154 – $177 | $8,234 – $8,234 | $24,862 – $24,863 |
| St Michael Medical Center | $159 – $178 | $10,973 – $10,973 | $24,862 – $24,863 |
| Swedish Edmonds Hospital | $136 – $163 | $4,832 | $10,066 |
| Swedish Issaquah | $136 – $163 | $4,832 | $10,066 |
| Swedish Medical Center | $136 – $163 | $4,832 | $10,066 |
| Swedish Medical Center / Cherry Hill | $136 – $163 | $4,832 | $10,066 |
| Tacoma General Allenmore Hospital | $133 – $146 | $375 – $526 | $938 – $1,315 |
| University of Washington Medical Ctr | $106 – $117 | — | — |
| Virginia Mason Medical Center | $74.43 – $112 | $546 | $1,071 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $133 – $149 | $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