HCPCS Q5114
Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg
Current codeChemotherapeutic Agent33 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 | — | — | — |
| Deaconess Medical Center | — | $45.66 – $83.17 | $114 – $208 |
| Harborview Medical Center | — | — | — |
| Island Hospital | $3,153 – $3,421 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | $3,906 – $4,278 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $3,461 | $5,324 |
| PeaceHealth Southwest Medical Cente | $39.22 | $3,461 | $5,324 |
| PeaceHealth St John Medical Center | $29.41 – $39.60 | $3,461 | $5,324 |
| PeaceHealth St Joseph Medical Center | $39.60 | $3,461 | $5,324 |
| PeaceHealth United General Medical Center | — | $3,461 | $5,324 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,300 – $3,662 | $1,857 – $5,232 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $1,300 – $3,662 | $1,857 – $5,232 |
| Providence Regional Medical Center Everett | — | $1,208 | $2,323 |
| Providence St Mary Medical Center | — | $4,496 – $6,850 | $6,422 – $9,786 |
| Providence St Peter Hospital | — | — | — |
| Swedish Edmonds Hospital | — | $2,218 – $4,097 | $4,620 – $8,535 |
| Swedish Issaquah | — | $2,218 – $4,097 | $4,620 – $8,535 |
| Swedish Medical Center | — | $2,218 – $4,097 | $4,620 – $8,535 |
| Swedish Medical Center / Cherry Hill | — | $2,218 – $4,097 | $4,620 – $8,535 |
| Tacoma General Allenmore Hospital | — | $70.84 – $174 | $177 – $435 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $130 | $254 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | — | — |
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