HCPCS Q5120
Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg
Current codeInjection - Colony Stimulating Factors40 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 | $34.59 – $1,265 | — | — |
| Deaconess Medical Center | $34.59 – $780 | — | — |
| Harborview Medical Center | $32.14 – $65.85 | — | — |
| Highline Medical Center | $24.71 – $22,041 | $7,478 | $24,490 |
| Island Hospital | $56.67 – $119 | — | — |
| Kadlec Regional Medical Center | $33.75 – $691 | — | — |
| Legacy Salmon Creek Medical Center | $47.76 – $476 | — | — |
| Mary Bridge Children's Hospital | $144 – $11,220 | — | — |
| MultiCare Auburn Medical Center | $34.59 – $1,265 | — | — |
| MultiCare Covington Medical Center | $34.59 – $1,265 | — | — |
| MultiCare Good Samaritan Hospital | $34.59 – $1,265 | — | — |
| MultiCare Valley Hospital | $34.59 – $780 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $22.24 – $1,897 | — | — |
| PeaceHealth Peace Island Medical Center | — | $2,534 | $3,899 |
| PeaceHealth Southwest Medical Cente | $24.71 – $387 | $2,534 | $3,899 |
| PeaceHealth St John Medical Center | $47.72 – $208 | $2,534 | $3,899 |
| PeaceHealth St Joseph Medical Center | $119 – $207 | $2,534 | $3,899 |
| PeaceHealth United General Medical Center | — | $2,534 | $3,899 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $33.06 – $703 | $6,404 | $9,148 |
| Providence Centralia Hospital | $68.49 – $971 | — | — |
| Providence Holy Family Hospital | $33.06 – $520 | $6,404 | $9,148 |
| Providence Regional Medical Center Everett | $33.06 – $718 | — | — |
| Providence St Mary Medical Center | $54.36 – $694 | $11,530 | $16,471 |
| Providence St Peter Hospital | $56.53 – $947 | — | — |
| St Anthony Hospital | $24.71 – $18,368 | $7,449 | $24,490 |
| St Clare Hospital | $24.71 – $18,368 | $7,059 | $24,490 |
| St Elizabeth Hospital | $240 – $22,041 | $8,654 | $24,490 |
| St Francis Community Hospital | $24.71 – $18,368 | $7,686 | $24,490 |
| St Joseph Medical Center | $24.71 – $18,368 | $8,111 | $24,490 |
| St Michael Medical Center | $65.24 – $22,041 | $10,809 | $24,490 |
| Swedish Edmonds Hospital | $33.06 – $700 | $7,163 | $14,923 |
| Swedish Issaquah | $33.06 – $917 | $7,163 | $14,923 |
| Swedish Medical Center | $33.06 – $917 | $7,163 | $14,923 |
| Swedish Medical Center / Cherry Hill | $33.06 – $917 | $7,163 | $14,923 |
| Tacoma General Allenmore Hospital | $34.59 – $971 | — | — |
| University of Washington Medical Ctr | $32.14 – $555 | — | — |
| Virginia Mason Medical Center | $30.32 – $847 | $530 – $540 | $1,040 – $1,059 |
| Wellfound Behavioral Health Hospital | $302 | — | — |
| Yakima Valley Memorial | $56.83 – $987 | — | — |
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)
- $302 (APC 9345)
- Surgery center payment (national)
- $302