HCPCS Q5126

Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg

Current codeChemotherapeutic Agent35 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.

Prices for HCPCS Q5126 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Highline Medical CenterBurienFile dated 2026-02-28—$1,369 – $6,517$4,484 – $21,344
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$882$1,260
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$882$1,260
St Anthony HospitalGig HarborFile dated 2026-02-28—$1,364 – $6,492$4,484 – $21,344
St Clare HospitalLakewoodFile dated 2026-02-28—$1,292 – $6,152$4,484 – $21,344
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,256 – $7,0805 plans$1,584 – $7,542$4,484 – $21,344
St Francis Community HospitalFederal WayFile dated 2026-02-28—$1,407 – $6,698$4,484 – $21,344
St Joseph Medical CenterTacomaFile dated 2026-02-28—$1,485 – $7,069$4,484 – $21,344
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$1,979 – $9,420$4,484 – $21,344
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$87.08 – $137$218 – $343
Virginia Mason Medical CenterSeattle—$102 – $104$200 – $203

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)
$79.98 (APC 9048)
Surgery center payment (national)
$79.98