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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS Q5126 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$50.56 – $55.616 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$50.56 – $55.618 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$37.82 – $41.605 plans——
Highline Medical CenterBurienFile dated 2026-02-28—$1,369 – $6,517$4,484 – $21,344
Island HospitalAnacortes$44.18 – $46.8311 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$51.59 – $61.917 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$53.14 – $57.786 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$50.56 – $55.617 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$50.56 – $55.617 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$50.56 – $55.617 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$50.56 – $55.617 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$52.07 – $55.617 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$46.39 – $59.645 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$51.59 – $53.653 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$51.59 – $61.917 plans$882$1,260
Providence Centralia HospitalCentraliaFile dated 2026-04-01$51.59 – $82.546 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$51.59 – $56.755 plans$882$1,260
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$51.59 – $56.756 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$51.59 – $56.755 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$51.59 – $82.546 plans——
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$807 – $4,69612 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
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$51.59 – $61.917 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$51.59 – $61.917 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$51.59 – $61.917 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$51.59 – $61.917 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$50.56 – $55.617 plans$87.08 – $137$218 – $343
University of Washington Medical CtrSeattleFile dated 2026-04-01$37.82 – $41.605 plans——
Virginia Mason Medical CenterSeattle$26.47 – $39.719 plans$102 – $104$200 – $203
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$50.56 – $56.628 plans——

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