HCPCS Q5130
Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg
Current codeInjection - Colony Stimulating Factors35 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,240 – $1,836 | — | — |
| Deaconess Medical Center | $1,134 – $1,201 | $186 | $466 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $5,069 | $16,600 |
| Island Hospital | $1,170 – $1,270 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $1,173 – $1,267 | — | — |
| MultiCare Auburn Medical Center | $1,152 – $1,244 | — | — |
| MultiCare Covington Medical Center | $1,152 – $1,244 | — | — |
| MultiCare Good Samaritan Hospital | $1,178 – $1,273 | — | — |
| MultiCare Valley Hospital | $1,126 – $1,192 | — | — |
| Olympic Medical Center | $1,450 – $1,588 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| St Anthony Hospital | — | $5,049 | $16,600 |
| St Clare Hospital | — | $4,785 | $16,600 |
| St Elizabeth Hospital | $2,822 – $3,436 | $5,866 | $16,600 |
| St Francis Community Hospital | — | $5,209 | $16,600 |
| St Joseph Medical Center | — | $5,498 | $16,600 |
| St Michael Medical Center | — | $7,326 | $16,600 |
| Swedish Edmonds Hospital | — | $4,120 | $8,584 |
| Swedish Issaquah | — | $4,120 | $8,584 |
| Swedish Medical Center | — | $4,120 | $8,584 |
| Swedish Medical Center / Cherry Hill | — | $4,120 | $8,584 |
| Tacoma General Allenmore Hospital | $1,179 – $1,273 | $325 | $812 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $367 | $719 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,127 – $1,309 | — | — |
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