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)
Texas
Hospital Address Code Price Last Updated
Ascension Providence 6901 Medical Pkwy, Woodway Q5106 $28 [source] 3 years ago
Mission Trail Baptist Hospital 3333 Research Plaza, San Antonio Q5106 $54 [source] 3 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen Q5106 $64 [source] 3 years ago
The Hospitals Of Providence East Campus 3280 Joe Battle Blvd., El Paso Q5106 $66 [source] 3 years ago
The Hospitals Of Providence Transmountain Campus 2000 Transmountain Road, El Paso Q5106 $80 [source] 3 years ago
The Hospitals Of Providence Memorial Campus 2001 North Oregon, El Paso Q5106 $86 [source] 3 years ago
Texas Health Huguley 11801 South Fwy, Burleson Q5106 $95 [source] 3 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas Q5106 $96 [source] 3 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass Q5106 $114 [source] 3 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo Q5106 $148 [source] 3 years ago
Valley Baptist Medical Center 2101 Pease Street, Harlingen Q5106 $167 [source] 3 years ago
Northeast Baptist Hospital 8811 Village Dr., San Antonio Q5106 $275 [source] 3 years ago
North Central Baptist Hospital 520 Madison Oak Dr., San Antonio Q5106 $275 [source] 3 years ago
Baptist Medical Center 111 Dallas St., San Antonio Q5106 $275 [source] 3 years ago
St. Luke's Baptist Hospital 7930 Floyd Curl Dr., San Antonio Q5106 $275 [source] 3 years ago
Rio Grande Regional Hospital 101 East Ridge Road, Mcallen Q5106 $400 [source] 3 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco Q5106 $422 [source] 3 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth Q5106 $456 [source] 3 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving Q5106 $456 [source] 3 years ago
Medical City Weatherford 713 E Anderson St, Weatherford Q5106 $695 [source] 3 years ago
South Texas Health System Heart 1900 South D Street, Mcallen Q5106 $699 [source] 3 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen Q5106 $699 [source] 3 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg Q5106 $699 [source] 3 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills Q5106 $714 [source] 3 years ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth Q5106 $714 [source] 3 years ago
Medical City Arlington 3301 Matlock Rd, Arlington Q5106 $727 [source] 3 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston Q5106 $1,123 [source] 3 years ago
Valley Regional Medical Center 100-A Alton Gloor Blvd, Brownsville Q5106 $1,236 [source] 3 years ago
Corpus Christi Medical Center 7101 South Padre Island Dr, Corpus Christi Q5106 $1,258 [source] 3 years ago
Woman's Hospital Of Texas 7600 Fannin, Houston Q5106 $1,269 [source] 3 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo Q5106 $1,283 [source] 3 years ago
Medical City Lewisville 500 W Main St, Lewisville Q5106 $1,942 [source] 3 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas Q5106 $2,779 [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.