Code: Q5108

Description:
Description: Injection, pegfilgrastim-jmdb, biosimilar, (fulphila), 0.5 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
FULPHILA BS 0.5 MG INJ
PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE
INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG
FULPHILA BS 0.5 MG INJJW
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: Q5106
RETACRIT BS 3000U NESRD
Code: Q5107
MVASI BS 100 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
Gulf Breeze Hospital 1110 Gulf Breeze Parkway, Gulf Breeze Q5108 $2,322 [source] 3 years ago
Baptist Hospital 1000 West Moreno St, Pensacola Q5108 $2,322 [source] 3 years ago
Jay Hospital 14114 Alabama Street, Jay Q5108 $3,666 [source] 3 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City Q5108 $4,145 [source] 3 years ago
Adventhealth Daytona Beach 301 Memorial Medical Pkwy, Daytona Beach Q5108 $4,432 [source] 3 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland Q5108 $6,885 [source] 3 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando Q5108 $9,360 [source] 3 years ago
Fawcett Memorial Hospital 21298 Olean Blvd, Port Charlotte Q5108 $9,711 [source] 3 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach Q5108 $9,787 [source] 3 years ago
Ocala Health 1431 Sw 1St Ave, Ocala Q5108 $10,020 [source] 3 years ago
Cleveland Clinic Florida - Weston 2950 Cleveland Clinic Boulevard, Fort Lauderdale Q5108 $15,031 [source] 3 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando Q5108 $17,019 [source] 3 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka Q5108 $17,019 [source] 3 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando Q5108 $17,019 [source] 3 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park Q5108 $17,019 [source] 3 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee Q5108 $17,019 [source] 3 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa Q5108 $22,807 [source] 3 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa Q5108 $22,807 [source] 3 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa Q5108 $22,807 [source] 3 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares Q5108 $22,888 [source] 3 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs Q5108 $28,291 [source] 3 years ago
Mercy Miami Hospital 3663 S Miami Ave, Miami Q5108 $32,060 [source] 3 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula Q5108 $35,197 [source] 3 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring Q5108 $35,197 [source] 3 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa Q5108 $41,466 [source] 3 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills Q5108 $47,114 [source] 3 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills Q5108 $56,690 [source] 3 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City Q5108 $69,298 [source] 3 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala Q5108 $74,169 [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.