HCPCS Q5114
Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg
Current codeChemotherapeutic Agent33 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 | $50.20 – $316 | — | — |
| Deaconess Medical Center | $35.78 – $205 | $45.66 – $83.17 | $114 – $208 |
| Harborview Medical Center | $42.71 – $87.50 | — | — |
| Island Hospital | $37.71 – $84.73 | — | — |
| Kadlec Regional Medical Center | $44.43 – $197 | — | — |
| Legacy Salmon Creek Medical Center | $63.46 – $140 | — | — |
| Mary Bridge Children's Hospital | $68.16 – $498 | — | — |
| MultiCare Auburn Medical Center | $59.12 – $316 | — | — |
| MultiCare Covington Medical Center | $59.12 – $316 | — | — |
| MultiCare Good Samaritan Hospital | $59.12 – $316 | — | — |
| MultiCare Valley Hospital | $59.12 – $205 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $39.36 – $474 | — | — |
| PeaceHealth Peace Island Medical Center | — | $3,461 | $5,324 |
| PeaceHealth Southwest Medical Cente | $15.08 – $122 | $3,461 | $5,324 |
| PeaceHealth St John Medical Center | $15.08 – $65.61 | $3,461 | $5,324 |
| PeaceHealth St Joseph Medical Center | $37.71 – $65.29 | $3,461 | $5,324 |
| PeaceHealth United General Medical Center | — | $3,461 | $5,324 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $34.65 – $176 | $1,300 – $3,662 | $1,857 – $5,232 |
| Providence Centralia Hospital | $55.78 – $319 | — | — |
| Providence Holy Family Hospital | $42.94 – $114 | $1,300 – $3,662 | $1,857 – $5,232 |
| Providence Regional Medical Center Everett | $37.76 – $180 | $1,208 | $2,323 |
| Providence St Mary Medical Center | $55.78 – $374 | $4,496 – $6,850 | $6,422 – $9,786 |
| Providence St Peter Hospital | $30.42 – $237 | — | — |
| Swedish Edmonds Hospital | $44.45 – $175 | $2,218 – $4,097 | $4,620 – $8,535 |
| Swedish Issaquah | $44.45 – $229 | $2,218 – $4,097 | $4,620 – $8,535 |
| Swedish Medical Center | $44.45 – $229 | $2,218 – $4,097 | $4,620 – $8,535 |
| Swedish Medical Center / Cherry Hill | $44.45 – $229 | $2,218 – $4,097 | $4,620 – $8,535 |
| Tacoma General Allenmore Hospital | $35.78 – $318 | $70.84 – $174 | $177 – $435 |
| University of Washington Medical Ctr | $42.71 – $150 | — | — |
| Virginia Mason Medical Center | $40.29 – $203 | $130 | $254 |
| Wellfound Behavioral Health Hospital | $90.30 | — | — |
| Yakima Valley Memorial | $43.63 – $247 | — | — |
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)
- $29.51 (APC 9341)
- Surgery center payment (national)
- $29.51