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
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 | $131 – $144 | — | — |
| Deaconess Medical Center | $131 – $144 | $264 | $659 |
| Harborview Medical Center | $131 – $144 | — | — |
| Highline Medical Center | $147 – $169 | $6,230 | $20,402 |
| Island Hospital | $153 – $162 | — | — |
| Kadlec Regional Medical Center | $133 – $160 | — | — |
| Legacy Salmon Creek Medical Center | $137 – $149 | — | — |
| Mary Bridge Children's Hospital | $131 – $144 | — | — |
| MultiCare Auburn Medical Center | $131 – $144 | — | — |
| MultiCare Covington Medical Center | $131 – $144 | — | — |
| MultiCare Good Samaritan Hospital | $131 – $144 | — | — |
| MultiCare Valley Hospital | $135 – $144 | — | — |
| Olympic Medical Center | $161 – $207 | — | — |
| Overlake Hospital Medical Center & Clinics | $133 – $139 | — | — |
| PeaceHealth United General Medical Center | — | $3,557 | $5,472 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $133 – $160 | — | — |
| Providence Centralia Hospital | $133 – $213 | $3,988 | $7,669 |
| Providence Holy Family Hospital | $133 – $147 | — | — |
| Providence Regional Medical Center Everett | $133 – $147 | — | — |
| Providence St Mary Medical Center | $133 – $147 | — | — |
| Providence St Peter Hospital | $133 – $213 | — | — |
| Seattle Children's Hospital | — | $25,553 | $25,553 |
| St Anthony Hospital | $150 – $172 | $6,205 | $20,402 |
| St Clare Hospital | $152 – $175 | $5,881 | $20,402 |
| St Elizabeth Hospital | $3,672 – $4,488 | $7,209 | $20,402 |
| St Francis Community Hospital | $147 – $169 | $6,403 | $20,402 |
| St Joseph Medical Center | $150 – $184 | $6,757 | $20,402 |
| St Michael Medical Center | $120 – $166 | $9,004 | $20,402 |
| Swedish Edmonds Hospital | $133 – $160 | $5,828 | $12,143 |
| Swedish Issaquah | $133 – $160 | $5,828 | $12,143 |
| Swedish Medical Center | $133 – $160 | $5,828 | $12,143 |
| Swedish Medical Center / Cherry Hill | $133 – $160 | $5,828 | $12,143 |
| Tacoma General Allenmore Hospital | $131 – $144 | $445 | $1,114 |
| University of Washington Medical Ctr | $131 – $144 | — | — |
| Virginia Mason Medical Center | $91.81 – $138 | $326 | $639 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $131 – $146 | — | — |
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