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
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Deaconess Medical Center | — | $264 | $659 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $6,230 | $20,402 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth United General Medical Center | — | $3,557 | $5,472 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | $3,988 | $7,669 |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | $6,439 | $25,553 | $25,553 |
| St Anthony Hospital | — | $6,205 | $20,402 |
| St Clare Hospital | — | $5,881 | $20,402 |
| St Elizabeth Hospital | — | $7,209 | $20,402 |
| St Francis Community Hospital | — | $6,403 | $20,402 |
| St Joseph Medical Center | — | $6,757 | $20,402 |
| St Michael Medical Center | — | $9,004 | $20,402 |
| Swedish Edmonds Hospital | — | $5,828 | $12,143 |
| Swedish Issaquah | — | $5,828 | $12,143 |
| Swedish Medical Center | — | $5,828 | $12,143 |
| Swedish Medical Center / Cherry Hill | — | $5,828 | $12,143 |
| Tacoma General Allenmore Hospital | — | $445 | $1,114 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $326 | $639 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | — | — |
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