What does code Q5126 cost?

Across the published hospital price files, the disclosed cash price for Q5126 ranges from $577 to $6,809. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

Q5126 is the billing code hospitals use to identify "Alymsys: 1 Vial In 1 Carton (70121-1754-1) / 4 Ml In 1 Vial" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

Q5126

HCPCS

Alymsys: 1 Vial In 1 Carton (70121-1754-1) / 4 Ml In 1 Vial

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code Q5126 (Alymsys: 1 Vial In 1 Carton (70121-1754-1) / 4 Ml In 1 Vial) appears at 33 hospitals with disclosed cash prices from $577 to $6,809. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare Q5126 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code Q5126 vary by about 12× across the 32 hospitals with disclosed prices here — from $577 to $6,809. Shopping around can matter.

Hospitals

Prices shown

$577

Lowest cash

$6,809

Highest cash

code Q5126 cash price35 disclosed · 32 hospitals

$577median ~$1,423$6,809

Lowest cash price by hospital

Cash price by city

Reflects your current filters.

Cash price by city$577 – $2,691

Naperville · 1 hospital$577
Newburgh · 1 hospital$770–$2,691
Kannapolis · 1 hospital$1,139
Lincolnton · 1 hospital$1,139
Charlotte · 1 hospital$1,139
Albemarle · 1 hospital$1,139

39 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Alymsys: 1 Vial In 1 Carton (70121-1754-1) / 4 Ml In 1 Vial Inpatient & outpatient	Endeavor Health Edward Hospital	Q5126 HCPCS	$577	$577	—	—
Inj alymsys 10 mg Outpatient	Endeavor Health Edward Hospital	Q5126 HCPCS	—	—	$51.59 – $184	—
Alymsys: 1 Vial In 1 Carton (70121-1754-1) / 4 Ml In 1 Vial Inpatient & outpatient	University of Chicago Medical Center	Q5126 HCPCS	—	—	—	—
Alymsys: 1 Vial In 1 Carton (70121-1755-1) / 16 Ml In 1 Vial Inpatient & outpatient	University of Chicago Medical Center	Q5126 HCPCS	—	—	—	—
Inj alymsys 10 mg Outpatient	University of Chicago Medical Center	Q5126 HCPCS	—	—	—	—
BEVACIZUMAB-MALY 400 MG/16ML IV SOLN Inpatient	Deaconess Gateway Hospital	Q5126 HCPCS	$8,155	$2,691	$2,691 – $7,176	—
BEVACIZUMAB-MALY 100 MG/4ML IV SOLN Inpatient	Deaconess Gateway Hospital	Q5126 HCPCS	$2,334	$770	$770 – $2,054	—
bevacizumab-maly 400 MG/16ML Solution 16 mL Vial Outpatient	Froedtert Hospital	Q5126 HCPCS	$12,380	$6,809	$37.82 – $10,709	—
bevacizumab-maly 400 MG/16ML Solution 16 mL Vial Outpatient	Froedtert Menomonee Falls Hospital	Q5126 HCPCS	$12,380	$6,809	$37.82 – $11,142	—
bevacizumab-maly 100 MG/4ML Solution 4 mL Vial Outpatient	Froedtert Menomonee Falls Hospital	Q5126 HCPCS	$3,259	$1,792	$37.82 – $2,933	—
bevacizumab-maly 400 MG/16ML Solution 16 mL Vial Inpatient	Froedtert West Bend Hospital	Q5126 HCPCS	$12,380	$6,809	$6,190 – $11,761	—
bevacizumab-maly 100 MG/4ML Solution 4 mL Vial Inpatient	Froedtert Holy Family Memorial Hospital	Q5126 HCPCS	$3,259	$1,792	$1,629 – $2,868	—
bevacizumab-maly 400 MG/16ML Solution 16 mL Vial Inpatient	Froedtert Holy Family Memorial Hospital	Q5126 HCPCS	$12,380	$6,809	$6,190 – $10,894	—
BEVACIZUMAB-MALY 400 MG/16ML IV SOLN Inpatient	Henderson Hospital	Q5126 HCPCS	$8,155	$2,447	$2,365 – $7,910	—
BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLN [153561] Outpatient	Texas Health Presbyterian Hospital Allen	Q5126 HCPCS	$2,371	$1,423	$37.82 – $2,231	—
BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLN [153561] Outpatient	Texas Health Harris Methodist Hospital Alliance	Q5126 HCPCS	$2,371	$1,423	$37.82 – $2,231	—
BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLN [153561] Inpatient	Texas Health Arlington Memorial Hospital	Q5126 HCPCS	$2,371	$1,423	$820 – $2,231	—
BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLN [153561] Outpatient	Texas Health Harris Methodist Hospital Azle	Q5126 HCPCS	$2,371	$1,423	$37.82 – $2,231	—
BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLN [153561] Inpatient	Texas Health Harris Methodist Hospital Cleburne	Q5126 HCPCS	$2,371	$1,423	$820 – $2,277	—
BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLN [153561] Outpatient	Texas Health Presbyterian Hospital Dallas	Q5126 HCPCS	$2,371	$1,423	$37.82 – $2,231	—
BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLN [153561] Inpatient	Texas Health Presbyterian Hospital Denton	Q5126 HCPCS	$2,371	$1,423	$820 – $2,231	—
BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLN [153561] Inpatient	Texas Health Presbyterian Hospital Flower Mound	Q5126 HCPCS	$2,371	$1,423	$820 – $2,231	—
BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLN [153561] Inpatient	Texas Health Harris Methodist Hospital Fort Worth	Q5126 HCPCS	$2,371	$1,423	$820 – $2,231	—
BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLN [153561] Inpatient	Texas Health Hospital Frisco	Q5126 HCPCS	$2,371	$1,423	$820 – $2,231	—
BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLN [153561] Outpatient	Texas Health Heart & Vascular Hospital Arlington	Q5126 HCPCS	$2,371	$1,423	$37.82 – $2,231	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish Q5126 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Deaconess Gateway Hospital Froedtert Hospital Froedtert Menomonee Falls Hospital Froedtert West Bend Hospital Froedtert Holy Family Memorial Hospital Henderson Hospital Texas Health Presbyterian Hospital Allen Texas Health Harris Methodist Hospital Alliance Texas Health Arlington Memorial Hospital Texas Health Harris Methodist Hospital Azle Texas Health Harris Methodist Hospital Cleburne Texas Health Presbyterian Hospital Dallas Texas Health Presbyterian Hospital Denton Texas Health Presbyterian Hospital Flower Mound Texas Health Harris Methodist Hospital Fort Worth Texas Health Hospital Frisco Texas Health Heart & Vascular Hospital Arlington Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Texas Health Presbyterian Hospital Kaufman Texas Health Presbyterian Hospital Plano Texas Health Hospital Rockwall Texas Health Harris Methodist Hospital Southlake Texas Health Harris Methodist Hospital Southwest Fort Worth Texas Health Specialty Hospital Fort Worth Texas Health Springwood Hospital Hurst-Euless-Bedford Texas Health Harris Methodist Hospital Stephenville Atrium Health Cabarrus Atrium Health Cleveland Atrium Health Lincoln Atrium Health Pineville Atrium Health Stanly

Code Q5126: frequently asked

What does code Q5126 cost?: Across the published hospital price files, the disclosed cash price for Q5126 ranges from $577 to $6,809. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code Q5126?: Q5126 is the billing code hospitals use to identify "Alymsys: 1 Vial In 1 Carton (70121-1754-1) / 4 Ml In 1 Vial" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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