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
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 | $117 – $129 | — | — |
| Deaconess Medical Center | $117 – $129 | — | — |
| Harborview Medical Center | $30.32 – $33.36 | — | — |
| Highline Medical Center | $31.15 – $35.82 | $7,478 | $24,490 |
| Island Hospital | $35.42 – $37.55 | — | — |
| Kadlec Regional Medical Center | $120 – $144 | — | — |
| Legacy Salmon Creek Medical Center | $123 – $134 | — | — |
| Mary Bridge Children's Hospital | $117 – $129 | — | — |
| MultiCare Auburn Medical Center | $117 – $129 | — | — |
| MultiCare Covington Medical Center | $117 – $129 | — | — |
| MultiCare Good Samaritan Hospital | $117 – $129 | — | — |
| MultiCare Valley Hospital | $121 – $129 | — | — |
| Olympic Medical Center | $37.19 – $47.82 | — | — |
| Overlake Hospital Medical Center & Clinics | $120 – $124 | — | — |
| PeaceHealth Peace Island Medical Center | — | $2,534 | $3,899 |
| PeaceHealth Southwest Medical Cente | $119 – $137 | $2,534 | $3,899 |
| PeaceHealth St John Medical Center | $93.05 – $131 | $2,534 | $3,899 |
| PeaceHealth St Joseph Medical Center | $119 – $131 | $2,534 | $3,899 |
| PeaceHealth United General Medical Center | — | $2,534 | $3,899 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $120 – $144 | $6,404 | $9,148 |
| Providence Centralia Hospital | $120 – $191 | — | — |
| Providence Holy Family Hospital | $120 – $132 | $6,404 | $9,148 |
| Providence Regional Medical Center Everett | $120 – $132 | — | — |
| Providence St Mary Medical Center | $120 – $132 | $11,530 | $16,471 |
| Providence St Peter Hospital | $120 – $191 | — | — |
| St Anthony Hospital | $31.72 – $36.48 | $7,449 | $24,490 |
| St Clare Hospital | $28.01 – $32.21 | $7,059 | $24,490 |
| St Elizabeth Hospital | $4,408 – $5,388 | $8,654 | $24,490 |
| St Francis Community Hospital | $31.15 – $35.82 | $7,686 | $24,490 |
| St Joseph Medical Center | $31.72 – $113 | $8,111 | $24,490 |
| St Michael Medical Center | $32.62 – $431 | $10,809 | $24,490 |
| Swedish Edmonds Hospital | $120 – $144 | $7,163 | $14,923 |
| Swedish Issaquah | $120 – $144 | $7,163 | $14,923 |
| Swedish Medical Center | $120 – $144 | $7,163 | $14,923 |
| Swedish Medical Center / Cherry Hill | $120 – $144 | $7,163 | $14,923 |
| Tacoma General Allenmore Hospital | $117 – $129 | — | — |
| University of Washington Medical Ctr | $30.32 – $33.36 | — | — |
| Virginia Mason Medical Center | $21.22 – $31.84 | $530 – $540 | $1,040 – $1,059 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $117 – $131 | — | — |
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