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)
Texas
Hospital Address Code Price Last Updated
Ascension Providence 6901 Medical Pkwy, Woodway Q5105 $3 [source] 3 years ago
The Hospitals Of Providence Sierra Campus 1625 Medical Center Dr., El Paso Q5105 $8 [source] 3 years ago
The Hospitals Of Providence Memorial Campus 2001 North Oregon, El Paso Q5105 $90 [source] 3 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass Q5105 $114 [source] 3 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo Q5105 $148 [source] 3 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving Q5105 $182 [source] 3 years ago
Medical City Weatherford 713 E Anderson St, Weatherford Q5105 $278 [source] 3 years ago
Medical City Arlington 3301 Matlock Rd, Arlington Q5105 $301 [source] 3 years ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth Q5105 $305 [source] 3 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills Q5105 $305 [source] 3 years ago
Rio Grande Regional Hospital 101 East Ridge Road, Mcallen Q5105 $400 [source] 3 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco Q5105 $422 [source] 3 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth Q5105 $456 [source] 3 years ago
South Texas Health System Heart 1900 South D Street, Mcallen Q5105 $458 [source] 3 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen Q5105 $458 [source] 3 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg Q5105 $458 [source] 3 years ago
Medical City Lewisville 500 W Main St, Lewisville Q5105 $516 [source] 3 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas Q5105 $714 [source] 3 years ago
Medical City Denton 3535 S Interstate 35, Corinth Q5105 $763 [source] 3 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston Q5105 $1,123 [source] 3 years ago
Valley Regional Medical Center 100-A Alton Gloor Blvd, Brownsville Q5105 $1,237 [source] 3 years ago
St. David's Healthcare , Round Rock Q5105 $1,458 [source] 3 years ago
Palestine Regional Medical Center 2900 South Loop 256, Palestine Q5105 $1,720 [source] 3 years ago
Corpus Christi Medical Center 7101 South Padre Island Dr, Corpus Christi Q5105 $3,145 [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 §180.