HCPCS Q5128

Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg

Current codeInjection - Monoclonal Antibodies29 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.

Prices for HCPCS Q5128 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$138 – $1,00613 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$138 – $9959 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$91.33 – $1873 plans——
Island HospitalAnacortes$83.34 – $1816 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$141 – $64110 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$136 – $4207 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$448 – $2,2209 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$138 – $1,03314 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$138 – $1,03314 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$138 – $1,0339 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$138 – $99310 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$91.82 – $60211 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$141 – $37113 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$141 – $94112 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$100 – $37111 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$100 – $37111 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$134 – $1,26510 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$70.96 – $38613 plans——
Seattle Children's HospitalSeattle$262 – $46698 plans$485$485
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$125 – $47212 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$125 – $45911 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$125 – $60018 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$125 – $60012 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$138 – $1,03314 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$91.33 – $41911 plans——
Virginia Mason Medical CenterSeattle$86.16 – $91410 plans$571 – $583$1,120 – $1,142
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$2111 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$131 – $51111 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)
$81.13 (APC 9117)
Surgery center payment (national)
$81.13