HCPCS Q5128
Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg
Current codeInjection - Monoclonal Antibodies29 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $81.81 – $89.99 | — | — |
| Deaconess Medical Center | $81.81 – $89.99 | — | — |
| Harborview Medical Center | $86.16 – $94.77 | — | — |
| Island Hospital | $101 – $107 | — | — |
| Kadlec Regional Medical Center | $83.48 – $100 | — | — |
| Legacy Salmon Creek Medical Center | $85.98 – $93.49 | — | — |
| Mary Bridge Children's Hospital | $81.81 – $89.99 | — | — |
| MultiCare Auburn Medical Center | $81.81 – $89.99 | — | — |
| MultiCare Covington Medical Center | $81.81 – $89.99 | — | — |
| MultiCare Good Samaritan Hospital | $81.81 – $89.99 | — | — |
| MultiCare Valley Hospital | $84.26 – $89.99 | — | — |
| Olympic Medical Center | $106 – $136 | — | — |
| Overlake Hospital Medical Center & Clinics | $83.48 – $86.82 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $83.48 – $100 | — | — |
| Providence Centralia Hospital | $83.48 – $134 | — | — |
| Providence Holy Family Hospital | $83.48 – $91.82 | — | — |
| Providence Regional Medical Center Everett | $83.48 – $91.82 | — | — |
| Providence St Mary Medical Center | $83.48 – $91.82 | — | — |
| Providence St Peter Hospital | $83.48 – $134 | — | — |
| Seattle Children's Hospital | — | $485 | $485 |
| Swedish Edmonds Hospital | $83.48 – $100 | — | — |
| Swedish Issaquah | $83.48 – $100 | — | — |
| Swedish Medical Center | $83.48 – $100 | — | — |
| Swedish Medical Center / Cherry Hill | $83.48 – $100 | — | — |
| Tacoma General Allenmore Hospital | $81.81 – $89.99 | — | — |
| University of Washington Medical Ctr | $86.16 – $94.77 | — | — |
| Virginia Mason Medical Center | $60.31 – $90.47 | $571 – $583 | $1,120 – $1,142 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $81.81 – $91.62 | — | — |
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