HCPCS Q5122

Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg

Current codeInjection - Colony Stimulating Factors37 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS Q5122 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27$468 – $4812 plans$264$659
Highline Medical CenterBurienFile dated 2026-02-28$8,773 – $18,3626 plans$6,230$20,402
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$3,988$7,669
Seattle Children's HospitalSeattle$13,798 – $24,53098 plans$25,553$25,553
St Anthony HospitalGig HarborFile dated 2026-02-28$11,221 – $15,3024 plans$6,205$20,402
St Clare HospitalLakewoodFile dated 2026-02-28$11,221 – $15,3024 plans$5,881$20,402
St Elizabeth HospitalEnumclawFile dated 2026-02-28$7,345 – $18,3629 plans$7,209$20,402
St Francis Community HospitalFederal WayFile dated 2026-02-28$11,221 – $15,3024 plans$6,403$20,402
St Joseph Medical CenterTacomaFile dated 2026-02-28$11,221 – $15,3024 plans$6,757$20,402
St Michael Medical CenterSilverdaleFile dated 2026-02-28$12,853 – $18,36210 plans$9,004$20,402
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$5,828$12,143
Swedish IssaquahIssaquahFile dated 2026-04-01—$5,828$12,143
Swedish Medical CenterSeattleFile dated 2026-04-01—$5,828$12,143
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$5,828$12,143
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$657 – $8133 plans$445$1,114
Virginia Mason Medical CenterSeattle$409 – $5114 plans$326$639

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)
$141 (APC 9406)
Surgery center payment (national)
$141