HCPCS Q5116

Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg

Current codeChemotherapeutic Agent42 hospitals with prices

Description from CMS's HCPCS Level II code file.

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.

Prices for HCPCS Q5116 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3,340 – $4,9485 plans——
Cascade Valley HospitalArlington$20.49 – $10,0464 plans$7,856$9,819
Deaconess Medical CenterSpokaneFile dated 2026-08-27$3,056 – $3,2355 plans$68.58 – $148$171 – $370
Harborview Medical CenterSeattleFile dated 2026-04-01———
Highline Medical CenterBurienFile dated 2026-02-28—$2,802 – $6,182$9,177 – $20,244
Island HospitalAnacortes$3,153 – $3,4213 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$3,160 – $3,4135 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$3,103 – $3,3525 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$3,103 – $3,3525 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$3,175 – $3,4295 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$3,034 – $3,2125 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$3,906 – $4,2785 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
PeaceHealth Peace Island Medical CenterFriday Harbor—$2,622$4,034
PeaceHealth Southwest Medical CenteVancouver$8.531 plan$1,121 – $2,622$1,725 – $4,034
PeaceHealth St John Medical CenterLongview$6.40 – $8.613 plans$2,622 – $2,879$4,034 – $4,429
PeaceHealth St Joseph Medical CenterBellingham$8.612 plans$2,622 – $5,052$4,034 – $7,772
PeaceHealth United General Medical CenterSedro Woolley—$2,622$4,034
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$5,080 – $5,638$7,257 – $8,054
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$5,080 – $5,638$7,257 – $8,054
Providence Regional Medical Center EverettEverettFile dated 2026-04-01———
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$9,147 – $10,151$13,067 – $14,502
Providence St Peter HospitalOlympiaFile dated 2026-04-01———
Skagit Valley HospitalMount Vernon$3,057 – $4,0424 plans$7,856$9,819
St Anthony HospitalGig HarborFile dated 2026-02-28—$2,791 – $6,157$9,177 – $20,244
St Clare HospitalLakewoodFile dated 2026-02-28—$2,645 – $5,835$9,177 – $20,244
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,560 – $4,1915 plans$3,243 – $7,154$9,177 – $20,244
St Francis Community HospitalFederal WayFile dated 2026-02-28—$2,880 – $6,353$9,177 – $20,244
St Joseph Medical CenterTacomaFile dated 2026-02-28—$3,040 – $6,705$9,177 – $20,244
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$4,050 – $8,935$9,177 – $20,244
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$5,683 – $6,307$11,839 – $13,139
Swedish IssaquahIssaquahFile dated 2026-04-01—$5,683 – $6,307$11,839 – $13,139
Swedish Medical CenterSeattleFile dated 2026-04-01—$5,683 – $6,307$11,839 – $13,139
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$5,683 – $6,307$11,839 – $13,139
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$3,176 – $3,4305 plans$81.36 – $256$203 – $641
University of Washington Medical CtrSeattleFile dated 2026-04-01———
Virginia Mason Medical CenterSeattle—$120$235
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$3,035 – $3,5265 plans$96.69 – $106$242 – $266

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)
$11.27 (APC 9350)
Surgery center payment (national)
$11.27