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Trastuzumab-pkrb (Herzuma) Injection

Montana rates for HCPCS Q5113

Injection, trastuzumab-pkrb, biosimilar, (Herzuma), 10 mg

Rates data updated July 2026.

How much does Herzuma (trastuzumab) cost?

$61.66per 10 mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $61.66 for each 10 mg of this drug. The price depends on where it is billed: about $60.26 from a physician practice, and about $66.07 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 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$60.26
At a hospital outpatient department
$66.07

The same drug, in the same amount, costs 10% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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$60.26$56.23 to $67.61
FacilityA hospital or hospital-owned outpatient department$66.07$58.88 to $91.20

How much rates vary

Facilitymedian $66 · 10th to 90th $55 to $135Professionalmedian $60 · 10th to 90th $56 to $89
$100$1K$10K$100Kfacility $66professional $60

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
Professional
Modifier
Global
Typical Low
$56.23
Median
$61.66
Typical High
$89.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$64,565.42
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$85.11
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$60.26
Typical High
$91.20
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$60.26
Typical High
$91.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$117.49
Providence
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$79.43
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$64.57

Where Montana 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.

Montana· 2nd of 51

$61.66

NY $63.10AZ $56.23

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.