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
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 | $110 – $121 | — | — |
| Deaconess Medical Center | $110 – $121 | $186 | $466 |
| Harborview Medical Center | $138 – $152 | — | — |
| Highline Medical Center | — | $5,069 | $16,600 |
| Island Hospital | $161 – $171 | — | — |
| Kadlec Regional Medical Center | $112 – $135 | — | — |
| Legacy Salmon Creek Medical Center | $116 – $126 | — | — |
| Mary Bridge Children's Hospital | $110 – $121 | — | — |
| MultiCare Auburn Medical Center | $110 – $121 | — | — |
| MultiCare Covington Medical Center | $110 – $121 | — | — |
| MultiCare Good Samaritan Hospital | $110 – $121 | — | — |
| MultiCare Valley Hospital | $113 – $121 | — | — |
| Olympic Medical Center | $169 – $218 | — | — |
| Overlake Hospital Medical Center & Clinics | $112 – $117 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $112 – $135 | — | — |
| Providence Centralia Hospital | $112 – $179 | — | — |
| Providence Holy Family Hospital | $112 – $123 | — | — |
| Providence Regional Medical Center Everett | $112 – $123 | — | — |
| Providence St Mary Medical Center | $112 – $123 | — | — |
| Providence St Peter Hospital | $112 – $179 | — | — |
| St Anthony Hospital | — | $5,049 | $16,600 |
| St Clare Hospital | — | $4,785 | $16,600 |
| St Elizabeth Hospital | $2,988 – $3,652 | $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 | $112 – $135 | $4,120 | $8,584 |
| Swedish Issaquah | $112 – $135 | $4,120 | $8,584 |
| Swedish Medical Center | $112 – $135 | $4,120 | $8,584 |
| Swedish Medical Center / Cherry Hill | $112 – $135 | $4,120 | $8,584 |
| Tacoma General Allenmore Hospital | $110 – $121 | $325 | $812 |
| University of Washington Medical Ctr | $138 – $152 | — | — |
| Virginia Mason Medical Center | $96.58 – $145 | $367 | $719 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $110 – $123 | — | — |
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