HCPCS Q5130

Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg

Current codeInjection - Colony Stimulating Factors35 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 Q5130 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27$331 – $3402 plans$186$466
Highline Medical CenterBurienFile dated 2026-02-28$7,138 – $14,9406 plans$5,069$16,600
St Anthony HospitalGig HarborFile dated 2026-02-28$9,130 – $12,4504 plans$5,049$16,600
St Clare HospitalLakewoodFile dated 2026-02-28$9,130 – $12,4504 plans$4,785$16,600
St Elizabeth HospitalEnumclawFile dated 2026-02-28$5,976 – $14,9409 plans$5,866$16,600
St Francis Community HospitalFederal WayFile dated 2026-02-28$9,130 – $12,4504 plans$5,209$16,600
St Joseph Medical CenterTacomaFile dated 2026-02-28$9,130 – $12,4504 plans$5,498$16,600
St Michael Medical CenterSilverdaleFile dated 2026-02-28$10,458 – $14,94010 plans$7,326$16,600
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$4,120$8,584
Swedish IssaquahIssaquahFile dated 2026-04-01—$4,120$8,584
Swedish Medical CenterSeattleFile dated 2026-04-01—$4,120$8,584
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$4,120$8,584
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$479 – $5933 plans$325$812
Virginia Mason Medical CenterSeattle$461 – $5754 plans$367$719

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)
$94.29 (APC 9118)
Surgery center payment (national)
$94.29