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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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$119 – $1765 plans$3.96$1.85 – $9.88
Deaconess Medical CenterSpokaneFile dated 2026-08-27$109 – $1155 plans$1.04 – $3.38$2.59 – $8.43
Highline Medical CenterBurienFile dated 2026-02-28—$302 – $963$990 – $3,154
Island HospitalAnacortes$112 – $1223 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$370 – $489$529 – $698
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$113 – $1225 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$111 – $1205 plans—$1.85 – $2.35
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$111 – $1205 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$113 – $1225 plans—$1.85 – $2.35
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$108 – $1155 plans$1.18 – $12.68$2.93 – $31.68
Olympic Medical CenterPort AngelesFile dated 2026-06-24$139 – $1535 plans$430 – $590$537 – $738
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
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 Regional Medical Center EverettEverettFile dated 2026-04-01———
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—$301 – $959$990 – $3,154
St Clare HospitalLakewoodFile dated 2026-02-28—$285 – $909$990 – $3,154
St Elizabeth HospitalEnumclawFile dated 2026-02-28$168 – $6535 plans$350 – $1,114$990 – $3,154
St Francis Community HospitalFederal WayFile dated 2026-02-28—$311 – $990$990 – $3,154
St Joseph Medical CenterTacomaFile dated 2026-02-28—$328 – $1,044$990 – $3,154
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$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$113 – $1225 plans—$1.85 – $2.35
University of Washington Medical CtrSeattleFile dated 2026-04-01———
Virginia Mason Medical CenterSeattle——$1.25
Yakima Valley MemorialYakimaFile dated 2026-08-27$108 – $1265 plans—$1.85 – $2.35

Lowest and highest amounts each hospital lists for this code as an outpatient, 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