HCPCS Q5122
Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg
Current codeInjection - Colony Stimulating Factors37 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 | $71.64 – $697 | — | — |
| Deaconess Medical Center | $119 – $481 | $264 | $659 |
| Harborview Medical Center | $139 – $285 | — | — |
| Highline Medical Center | $62.38 – $18,362 | $6,230 | $20,402 |
| Island Hospital | $133 – $276 | — | — |
| Kadlec Regional Medical Center | $62.38 – $445 | — | — |
| Legacy Salmon Creek Medical Center | $207 – $302 | — | — |
| Mary Bridge Children's Hospital | $143 – $11,220 | — | — |
| MultiCare Auburn Medical Center | $95.52 – $371 | — | — |
| MultiCare Covington Medical Center | $95.52 – $371 | — | — |
| MultiCare Good Samaritan Hospital | $143 – $371 | — | — |
| MultiCare Valley Hospital | $119 – $463 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $105 – $351 | — | — |
| PeaceHealth United General Medical Center | — | $3,557 | $5,472 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $48.65 – $442 | — | — |
| Providence Centralia Hospital | $79.60 – $984 | $3,988 | $7,669 |
| Providence Holy Family Hospital | $62.38 – $410 | — | — |
| Providence Regional Medical Center Everett | $53.02 – $324 | — | — |
| Providence St Mary Medical Center | $79.60 – $563 | — | — |
| Providence St Peter Hospital | $62.38 – $435 | — | — |
| Seattle Children's Hospital | $13,798 – $24,530 | $25,553 | $25,553 |
| St Anthony Hospital | $62.38 – $15,302 | $6,205 | $20,402 |
| St Clare Hospital | $62.38 – $15,302 | $5,881 | $20,402 |
| St Elizabeth Hospital | $62.38 – $18,362 | $7,209 | $20,402 |
| St Francis Community Hospital | $62.38 – $15,302 | $6,403 | $20,402 |
| St Joseph Medical Center | $62.38 – $15,302 | $6,757 | $20,402 |
| St Michael Medical Center | $79.60 – $18,362 | $9,004 | $20,402 |
| Swedish Edmonds Hospital | $95.44 – $339 | $5,828 | $12,143 |
| Swedish Issaquah | $79.60 – $324 | $5,828 | $12,143 |
| Swedish Medical Center | $79.60 – $476 | $5,828 | $12,143 |
| Swedish Medical Center / Cherry Hill | $79.60 – $476 | $5,828 | $12,143 |
| Tacoma General Allenmore Hospital | $95.52 – $813 | $445 | $1,114 |
| University of Washington Medical Ctr | $79.84 – $411 | — | — |
| Virginia Mason Medical Center | $96.55 – $511 | $326 | $639 |
| Wellfound Behavioral Health Hospital | $336 | — | — |
| Yakima Valley Memorial | $45.95 – $223 | — | — |
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)
- $141 (APC 9406)
- Surgery center payment (national)
- $141