HCPCS Q5114
Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg
Current codeChemotherapeutic Agent33 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 | $35.07 – $38.57 | — | — |
| Deaconess Medical Center | $35.07 – $38.57 | $45.66 – $83.17 | $114 – $208 |
| Harborview Medical Center | $40.29 – $44.32 | — | — |
| Island Hospital | $47.07 – $49.89 | — | — |
| Kadlec Regional Medical Center | $35.78 – $42.94 | — | — |
| Legacy Salmon Creek Medical Center | $36.86 – $40.08 | — | — |
| Mary Bridge Children's Hospital | $35.07 – $38.57 | — | — |
| MultiCare Auburn Medical Center | $35.07 – $38.57 | — | — |
| MultiCare Covington Medical Center | $35.07 – $38.57 | — | — |
| MultiCare Good Samaritan Hospital | $35.07 – $38.57 | — | — |
| MultiCare Valley Hospital | $36.12 – $38.57 | — | — |
| Olympic Medical Center | $49.42 – $63.54 | — | — |
| Overlake Hospital Medical Center & Clinics | $35.78 – $37.21 | — | — |
| PeaceHealth Peace Island Medical Center | — | $3,461 | $5,324 |
| PeaceHealth Southwest Medical Cente | $37.71 – $43.37 | $3,461 | $5,324 |
| PeaceHealth St John Medical Center | $29.41 – $41.48 | $3,461 | $5,324 |
| PeaceHealth St Joseph Medical Center | $37.71 – $41.48 | $3,461 | $5,324 |
| PeaceHealth United General Medical Center | — | $3,461 | $5,324 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $35.78 – $42.94 | $1,300 – $3,662 | $1,857 – $5,232 |
| Providence Centralia Hospital | $35.78 – $57.25 | — | — |
| Providence Holy Family Hospital | $35.78 – $39.36 | $1,300 – $3,662 | $1,857 – $5,232 |
| Providence Regional Medical Center Everett | $35.78 – $39.36 | $1,208 | $2,323 |
| Providence St Mary Medical Center | $35.78 – $39.36 | $4,496 – $6,850 | $6,422 – $9,786 |
| Providence St Peter Hospital | $35.78 – $57.25 | — | — |
| Swedish Edmonds Hospital | $35.78 – $42.94 | $2,218 – $4,097 | $4,620 – $8,535 |
| Swedish Issaquah | $35.78 – $42.94 | $2,218 – $4,097 | $4,620 – $8,535 |
| Swedish Medical Center | $35.78 – $42.94 | $2,218 – $4,097 | $4,620 – $8,535 |
| Swedish Medical Center / Cherry Hill | $35.78 – $42.94 | $2,218 – $4,097 | $4,620 – $8,535 |
| Tacoma General Allenmore Hospital | $35.07 – $38.57 | $70.84 – $174 | $177 – $435 |
| University of Washington Medical Ctr | $40.29 – $44.32 | — | — |
| Virginia Mason Medical Center | $28.20 – $42.30 | $130 | $254 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $35.07 – $39.28 | — | — |
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