HCPCS Q5114

Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg

Current codeChemotherapeutic Agent33 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Unknown: The source file doesn't say which population this rate applies to.

Prices for HCPCS Q5114 by hospital
Hospital	Unknown rates (lowest – highest)	Cash price	List price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27	—	$45.66 – $83.17	$114 – $208
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01	—	$1,300 – $3,662	$1,857 – $5,232
Providence Holy Family HospitalSpokaneFile dated 2026-04-01	—	$1,300 – $3,662	$1,857 – $5,232
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$1,208	$2,323
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01	—	$4,496 – $6,850	$6,422 – $9,786
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01	—	$2,218 – $4,097	$4,620 – $8,535
Swedish IssaquahIssaquahFile dated 2026-04-01	—	$2,218 – $4,097	$4,620 – $8,535
Swedish Medical CenterSeattleFile dated 2026-04-01	—	$2,218 – $4,097	$4,620 – $8,535
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01	—	$2,218 – $4,097	$4,620 – $8,535
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27	—	$70.84 – $174	$177 – $435
Virginia Mason Medical CenterSeattle	—	$130	$254

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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