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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS Q5130 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$186$466
Highline Medical CenterBurienFile dated 2026-02-28—$5,069$16,600
St Anthony HospitalGig HarborFile dated 2026-02-28—$5,049$16,600
St Clare HospitalLakewoodFile dated 2026-02-28—$4,785$16,600
St Elizabeth HospitalEnumclawFile dated 2026-02-28$4,648 – $5,5065 plans$5,866$16,600
St Francis Community HospitalFederal WayFile dated 2026-02-28—$5,209$16,600
St Joseph Medical CenterTacomaFile dated 2026-02-28—$5,498$16,600
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$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—$325$812
Virginia Mason Medical CenterSeattle—$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