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)
Capital Medical CenterOlympiaFile dated 2026-08-27$175 – $1,09413 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$112 – $45416 plans$186$466
Harborview Medical CenterSeattleFile dated 2026-04-01$146 – $3003 plans——
Highline Medical CenterBurienFile dated 2026-02-28$7,138 – $14,9405 plans$5,069$16,600
Island HospitalAnacortes$127 – $2906 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$190 – $69710 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$217 – $3697 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$343 – $4,1649 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$185 – $56614 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$185 – $56614 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$185 – $5669 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$185 – $63310 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$123 – $57111 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$158 – $40413 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$190 – $1,20312 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$135 – $40411 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$135 – $40411 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$179 – $1,37110 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$95.31 – $42013 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28$8,300 – $12,4503 plans$5,049$16,600
St Clare HospitalLakewoodFile dated 2026-02-28$8,300 – $12,4503 plans$4,785$16,600
St Elizabeth HospitalEnumclawFile dated 2026-02-28$5,528 – $14,9406 plans$5,866$16,600
St Francis Community HospitalFederal WayFile dated 2026-02-28$8,300 – $12,4503 plans$5,209$16,600
St Joseph Medical CenterTacomaFile dated 2026-02-28$8,300 – $12,4503 plans$5,498$16,600
St Michael Medical CenterSilverdaleFile dated 2026-02-28$10,624 – $14,94010 plans$7,326$16,600
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$168 – $39612 plans$4,120$8,584
Swedish IssaquahIssaquahFile dated 2026-04-01$168 – $39611 plans$4,120$8,584
Swedish Medical CenterSeattleFile dated 2026-04-01$168 – $46318 plans$4,120$8,584
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$168 – $46312 plans$4,120$8,584
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$112 – $59317 plans$325$812
University of Washington Medical CtrSeattleFile dated 2026-04-01$146 – $43311 plans——
Virginia Mason Medical CenterSeattle$138 – $65110 plans$367$719
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$2831 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$45.95 – $48511 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)
$94.29 (APC 9118)
Surgery center payment (national)
$94.29