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Epoetin Alfa-epbx (Retacrit), for ESRD on Dialysis Injection

Pennsylvania rates for HCPCS Q5105

Injection, epoetin alfa-epbx, biosimilar, (Retacrit) (for ESRD on dialysis), 100 units

Rates data updated July 2026.

How much does Retacrit (epoetin alfa-epbx) cost?

$0.79per 100 units

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $0.79 for each 100 units of this drug. The price depends on where it is billed: about $0.79 from a physician practice, and about $2.04 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 100 units. Enter the amount given to see what insurers have agreed to pay for it.

units
In a doctor's office or clinic
$0.79
At a hospital outpatient department
$2.04

The same drug, in the same amount, costs 157% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.79$0.79 to $0.83
FacilityA hospital or hospital-owned outpatient department$2.04$1.00 to $2.24

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $6Professionalmedian $1 · 10th to 90th $1 to $1
$1$10$100$1Kfacility $2professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$2.04
Typical High
$6.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$0.79
Typical High
$0.87
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1.07
Median
$1.07
Typical High
$1.29
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$0.81
Median
$0.81
Typical High
$0.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$1.12
Typical High
$2.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$0.79
Typical High
$0.81
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$0.78
Median
$1.23
Typical High
$1.23
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$0.79
Typical High
$0.79
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$1.12
Typical High
$1.66
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$1.95
Typical High
$6.46
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$0.79
Typical High
$1.00
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$6,918.31
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$30.20
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$0.81
Median
$0.91
Typical High
$1.12
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$0.81
Median
$0.81
Typical High
$0.93
United
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.85
Typical High
$1.20

Where Pennsylvania sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 19th of 51

$0.79

NY $1.12MN $0.76

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.