Code: Q5105

Description:
Description: Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
RETACRIT BS 2000U ESRD
RETACRIT BS 4000U ESRD
RETACRIT BS 10000U ESRD
RETACRIT BS 40000U ESRD
RETACRIT BS 3000U ESRD
EPOETIN ALFA-EPBX 4000 UNIT/ML INJECTION SOLUTION
EPOETIN ALFA-EPBX 40000 UNIT/ML INJECTION SOLUTION
EPOETIN ALFA-EPBX 3000 UNIT/ML INJECTION SOLUTION
EPOETIN ALFA-EPBX 2000 UNIT/ML INJECTION SOLUTION
Related codes:
Code: Q5101
ZARXIO BS 480 MCG INJ
Code: Q5102
Description: Injection, infliximab, biosimilar, 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q5103
INFLECTRA BS 10 MG INJ
Code: Q5104
RENFLEXIS BS 100 MG INJ
Code: Q5106
RETACRIT BS 3000U NESRD
Code: Q5107
MVASI BS 100 MG INJ
Code: Q5108
FULPHILA BS 6 MG INJ
Code: Q5109
Description: Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
California
Hospital Address Code Price Last Updated
Lakewood Regional Medical Center 3700 East South St., Lakewood Q5105 $2 [source] 3 years ago
Desert Regional Medical Center 1150 N. Indian Canyon Way, Palm Springs Q5105 $3 [source] 3 years ago
Fountain Valley Regional Hospital 17100 Euclid At Warner, Fountain Valley Q5105 $4 [source] 3 years ago
Placentia - Linda Hospital 1301 N. Rose Dr., Placentia Q5105 $4 [source] 3 years ago
Doctors Hospital Of Manteca 1205 East North St., Manteca Q5105 $7 [source] 3 years ago
Doctors Medical Center Of Modesto 1441 Florida Ave., Modesto Q5105 $10 [source] 3 years ago
Los Alamitos Medical Center 3751 Katella Ave., Los Alamitos Q5105 $17 [source] 3 years ago
Eden Medical Center 20103 Lake Chabot Road, Castro Valley Q5105 $111 [source] 3 years ago
Sutter Medical Center Of Sacramento 2825 Capitol Avenue, Sacramento Q5105 $117 [source] 3 years ago
California Pacific Medical Center - Van Ness Campus 1101 Van Ness Ave, San Francisco Q5105 $173 [source] 3 years ago
California Pacific Medical Center - Davies Campus 45 Castro St, San Francisco Q5105 $231 [source] 3 years ago
Mills-Peninsula Medical Center 1501 Trousdale Dr, Burlingame Q5105 $351 [source] 3 years ago
Kentfield Hospital 1125 Sir Francis Drake Blvd., Greenbrae Q5105 $529 [source] 3 years ago
Sutter Roseville Medical Center 1 Medical Plaza Dr, Roseville Q5105 $542 [source] 3 years ago
Palmdale Regional Medical Center 38600 Medical Center Drive, Palmdale Q5105 $566 [source] 3 years ago
Temecula Valley Hospital 31700 Temecula Parkway, Temecula Q5105 $931 [source] 3 years ago
Corona Regional Medical Center 800 S. Main Street, Corona Q5105 $932 [source] 3 years ago
Vibra Rehabilitation Hospital Of Rancho Mirage 70077 Ramon Rd., Rancho Mirage Q5105 $1,324 [source] 3 years ago
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar Q5105 $3,072 [source] 3 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta Q5105 $3,072 [source] 3 years ago
Los Robles Regional Medical Center 215 West Janss Rd, Thousand Oaks Q5105 $3,146 [source] 3 years ago
West Hills Hospital 7300 Medical Center Dr, West Hills Q5105 $5,480 [source] 3 years ago
Regional Medical Center Of San Jose 225 North Jackson Ave, San Jose Q5105 $6,758 [source] 3 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.