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HCPCS Q5125

Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram

Current codeInjection - Colony Stimulating Factors35 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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1.48 – $8.402 plans$3.96$1.85 – $9.88
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1.84 – $6.152 plans$1.04 – $3.38$2.59 – $8.43
Highline Medical CenterBurienFile dated 2026-02-28$426 – $2,8386 plans$302 – $963$990 – $3,154
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$370 – $489$529 – $698
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1.09 – $1.723 plans—$1.85 – $2.35
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1.09 – $1.723 plans—$1.85 – $2.35
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2.11 – $22.812 plans$1.18 – $12.68$2.93 – $31.68
Olympic Medical CenterPort AngelesFile dated 2026-06-24$300 – $7386 plans$430 – $590$537 – $738
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$848 – $1,356$1,211 – $1,938
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$413 – $669$794 – $1,287
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$848 – $1,356$1,211 – $1,938
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$848 – $1,356$1,211 – $1,938
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$1,356 – $1,356$1,938 – $1,938
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$698 – $916$997 – $1,308
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$413 – $669$794 – $1,287
St Anthony HospitalGig HarborFile dated 2026-02-28$545 – $2,3654 plans$301 – $959$990 – $3,154
St Clare HospitalLakewoodFile dated 2026-02-28$545 – $2,3654 plans$285 – $909$990 – $3,154
St Elizabeth HospitalEnumclawFile dated 2026-02-28$356 – $2,8389 plans$350 – $1,114$990 – $3,154
St Francis Community HospitalFederal WayFile dated 2026-02-28$545 – $2,3654 plans$311 – $990$990 – $3,154
St Joseph Medical CenterTacomaFile dated 2026-02-28$545 – $2,3654 plans$328 – $1,044$990 – $3,154
St Michael Medical CenterSilverdaleFile dated 2026-02-28$624 – $2,83810 plans$437 – $1,392$990 – $3,154
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$260 – $417$542 – $868
Swedish IssaquahIssaquahFile dated 2026-04-01—$260 – $417$542 – $868
Swedish Medical CenterSeattleFile dated 2026-04-01—$260 – $417$542 – $868
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$260 – $417$542 – $868
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1.09 – $1.723 plans—$1.85 – $2.35
Virginia Mason Medical CenterSeattle$1.001 plan—$1.25
Yakima Valley MemorialYakimaFile dated 2026-08-27$1.04 – $1.321 plan—$1.85 – $2.35

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)
$0.31 (APC 9447)
Surgery center payment (national)
$0.31