Code: Q5106

Description:
Description: Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
RETACRIT BS 10000U NESRD
RETACRIT BS 1000U NESRD
RETACRIT BS 4000U NESRD
RETACRIT BS 40000U NESRD
EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION
EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION
EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION
EPOETIN ALFA-EPBX 2000 UNIT/ML INJECTION SOLUTION
EPOETIN ALFA-EPBX 10000 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: Q5105
RETACRIT BS 100U ESRD
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)
Florida
Hospital Address Code Price Last Updated
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City Q5106 $51 [source] 3 years ago
Adventhealth Daytona Beach 301 Memorial Medical Pkwy, Daytona Beach Q5106 $53 [source] 3 years ago
Raulerson Hospital 1796 Hwy 441 North, Okeechobee Q5106 $80 [source] 3 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando Q5106 $111 [source] 3 years ago
Florida Medical Center, A Campus Of North Shore 5000 West Oakland Park Blvd., Fort Lauderdale Q5106 $113 [source] 3 years ago
Lawnwood Medical Center & Heart Institute 1700 S 23Rd St, Fort Pierce Q5106 $121 [source] 3 years ago
Westside Regional Medical Center 8201 W Broward Blvd, Fort Lauderdale Q5106 $147 [source] 3 years ago
St. Petersburg General Hospital 6500 38Th Ave N, Saint Petersburg Q5106 $152 [source] 3 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa Q5106 $178 [source] 3 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka Q5106 $201 [source] 3 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando Q5106 $201 [source] 3 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park Q5106 $201 [source] 3 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee Q5106 $201 [source] 3 years ago
Northside Hospital 6000 49Th St North, Saint Petersburg Q5106 $211 [source] 3 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa Q5106 $230 [source] 3 years ago
Coral Gables Hospital 3100 Douglas Rd., Miami Q5106 $241 [source] 3 years ago
Gulf Breeze Hospital 1110 Gulf Breeze Parkway, Gulf Breeze Q5106 $243 [source] 3 years ago
Baptist Hospital 1000 West Moreno St, Pensacola Q5106 $243 [source] 3 years ago
Jfk Medical Center - North Campus 2201 45Th St, West Palm Beach Q5106 $324 [source] 3 years ago
Fort Walton Beach Medical Center 1000 Mar Walt Dr, Fort Walton Beach Q5106 $348 [source] 3 years ago
Lake City Medical Center 340 Nw Commerce Dr, Lake City Q5106 $350 [source] 3 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando Q5106 $351 [source] 3 years ago
Manatee Healthcare System 206 Second Street East, Bradenton Q5106 $359 [source] 3 years ago
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton Q5106 $359 [source] 3 years ago
Jay Hospital 14114 Alabama Street, Jay Q5106 $384 [source] 3 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills Q5106 $407 [source] 3 years ago
South Bay Hospital 4016 Sun City Center Blvd, Sun City Center Q5106 $456 [source] 3 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula Q5106 $515 [source] 3 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala Q5106 $519 [source] 3 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland Q5106 $629 [source] 3 years ago
Medical Center Of Trinity 9330 State Rd 54, New Port Richey Q5106 $669 [source] 3 years ago
Palms West Hospital 13001 Southern Blvd, Loxahatchee Q5106 $724 [source] 3 years ago
Capital Regional Medical Center 2626 Capital Medical Blvd, Tallahassee Q5106 $741 [source] 3 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa Q5106 $778 [source] 3 years ago
Jfk Medical Center 5301 S Congress Ave, Lake Worth Q5106 $810 [source] 3 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach Q5106 $887 [source] 3 years ago
Mercy Miami Hospital 3663 S Miami Ave, Miami Q5106 $930 [source] 3 years ago
Northwest Medical Center 2801 North State Rd 7, Pompano Beach Q5106 $930 [source] 3 years ago
Plantation General Hospital 401 Nw 42 Ave, Fort Lauderdale Q5106 $930 [source] 3 years ago
Kendall Regional Medical Center 11750 Sw 40 St, Miami Q5106 $965 [source] 3 years ago
Adventhealth Lake Wales 410 South 11Th Street, Lake Wales Q5106 $1,020 [source] 3 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs Q5106 $1,027 [source] 3 years ago
Brandon Regional Hospital 119 Oakfield Dr, Brandon Q5106 $1,112 [source] 3 years ago
Highlands Regional Medical Center 3600 South Highlands Ave, Sebring Q5106 $1,113 [source] 3 years ago
Palms Of Pasadena Hospital 1501 Pasadena Ave, Saint Petersburg Q5106 $1,150 [source] 3 years ago
Aventura Hospital & Medical Center 20900 Biscayne Blvd, Miami Q5106 $1,201 [source] 3 years ago
West Florida Hospital 8383 N Davis Hwy, Pensacola Q5106 $1,225 [source] 3 years ago
St. Lucie Medical Center 1800 Se Tiffany Ave, Port Saint Lucie Q5106 $1,247 [source] 3 years ago
University Hospital & Medical Center 7201 North University Dr, Fort Lauderdale Q5106 $1,311 [source] 3 years ago
Memorial Hospital 3625 University Blvd. S, Jacksonville Q5106 $1,438 [source] 3 years ago
Osceola Regional Medical Center 700 West Oak St, Kissimmee Q5106 $1,457 [source] 3 years ago
Wellington Regional Medical Center 10101 Forest Hill Blvd., West Palm Beach Q5106 $1,516 [source] 3 years ago
Englewood Community Hospital 700 Medical Blvd, Englewood Q5106 $1,561 [source] 3 years ago
Fawcett Memorial Hospital 21298 Olean Blvd, Port Charlotte Q5106 $1,561 [source] 3 years ago
Memorial Hospital Of Tampa 2901 W. Swann Avenue, Tampa Q5106 $1,565 [source] 3 years ago
Cleveland Clinic Florida - Weston 2950 Cleveland Clinic Boulevard, Fort Lauderdale Q5106 $1,589 [source] 3 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills Q5106 $1,656 [source] 3 years ago
North Florida Regional Medical Center 6500 W Newberry Rd, Gainesville Q5106 $1,669 [source] 3 years ago
Doctors Hospital Of Sarasota 5731 Bee Ridge Rd, Sarasota Q5106 $1,737 [source] 3 years ago
Largo Medical Center 201 14Th St Sw, Largo Q5106 $1,737 [source] 3 years ago
Orange Park Medical Center 2001 Kingsley Avenue, Orange Park Q5106 $1,773 [source] 3 years ago
Oak Hill Hospital 11375 Cortez Blvd, Brooksville Q5106 $1,824 [source] 3 years ago
Gulf Coast Regional Medical Center 449 W 23Rd St, Panama City Q5106 $1,930 [source] 3 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa Q5106 $2,066 [source] 3 years ago
Rmc Bayonet Point (Level Ii Trauma Center) 14000 Fivay Rd, Hudson Q5106 $2,067 [source] 3 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares Q5106 $2,073 [source] 3 years ago
Central Florida Regional Hospital 1401 West Seminole Blvd, Sanford Q5106 $2,074 [source] 3 years ago
Blake Medical Center 2020 59Th St West, Bradenton Q5106 $2,158 [source] 3 years ago
Citrus Memorial Hospital 502 W. Highland Blvd, Inverness Q5106 $2,189 [source] 3 years ago
Ocala Health 1431 Sw 1St Ave, Ocala Q5106 $2,206 [source] 3 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City Q5106 $2,359 [source] 3 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring Q5106 $3,184 [source] 3 years ago
Twin Cities Hospital 2190 Hwy 85 N, Niceville Q5106 $3,400 [source] 3 years ago
Poinciana Medical Center 325 Cypress Pkwy, Kissimmee Q5106 $3,480 [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.