What does code Q5114 cost?

Across the published hospital price files, the disclosed cash price for Q5114 ranges from $265 to $6,219. 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.

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.

Q5114

HCPCS

Ogivri: 1 Kit In 1 Carton (67457-847-44) * 20 Ml In 1 Vial, Multi-Dose (67457-845-50) * 20 Ml In 1 Vial (67457-846-20)

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code Q5114 (Ogivri: 1 Kit In 1 Carton (67457-847-44) * 20 Ml In 1 Vial, Multi-Dose (67457-845-50) * 20 Ml In 1 Vial (67457-846-20)) appears at 29 hospitals with disclosed cash prices from $265 to $6,219. 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 Q5114 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 Q5114 vary by about 23× across the 28 hospitals with disclosed prices here — from $265 to $6,219. Shopping around can matter.

Hospitals

Prices shown

$265

Lowest cash

$6,219

Highest cash

code Q5114 cash price51 disclosed · 28 hospitals

$265median ~$2,342$6,219

Lowest cash price by hospital

Cash price by city

Reflects your current filters.

Cash price by city$265 – $5,198

Naperville · 1 hospital$265–$377
Princeton · 1 hospital$1,495–$4,174
Allen · 1 hospital$1,862–$5,198
Fort Worth · 4 hospitals$1,862–$5,198
Arlington · 2 hospitals$1,862–$5,198
Azle · 1 hospital$1,862–$5,198

54 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Ogivri: 1 Kit In 1 Carton (67457-847-44) * 20 Ml In 1 Vial, Multi-Dose (67457-845-50) * 20 Ml In 1 Vial (67457-846-20) Inpatient & outpatient	Endeavor Health Edward Hospital	Q5114 HCPCS	$377	$377	—	—
NDC Description Not Available Inpatient & outpatient	Endeavor Health Edward Hospital	Q5114 HCPCS	$265	$265	—	—
Inj ogivri 10 mg Outpatient	Endeavor Health Edward Hospital	Q5114 HCPCS	—	—	$35.78 – $117	—
Ogivri: 1 Kit In 1 Carton (83257-004-12) * 20 Ml In 1 Vial, Multi-Dose (83257-003-11) * 20 Ml In 1 Vial (83257-002-11) Inpatient & outpatient	University of Chicago Medical Center	Q5114 HCPCS	—	—	—	—
Inj ogivri 10 mg Outpatient	University of Chicago Medical Center	Q5114 HCPCS	—	—	—	—
TRASTUZUMAB-DKST 420 MG IV SOLR Inpatient	Deaconess Gateway Hospital	Q5114 HCPCS	$7,482	$2,469	$2,469 – $6,584	—
trastuzumab-dkst 21 mg/mL Recon Soln 1 Each Vial Outpatient	Froedtert Menomonee Falls Hospital	Q5114 HCPCS	$11,308	$6,219	$40.29 – $10,177	—
trastuzumab-dkst 21 mg/ml Recon Soln 1 Each Vial Inpatient	Froedtert West Bend Hospital	Q5114 HCPCS	$4,257	$2,342	$2,129 – $4,044	—
trastuzumab-dkst 21 mg/mL Recon Soln 1 Each Vial Inpatient	Froedtert West Bend Hospital	Q5114 HCPCS	$11,308	$6,219	$5,654 – $10,742	—
trastuzumab-dkst 21 mg/ml Recon Soln 1 Each Vial Inpatient	Froedtert Holy Family Memorial Hospital	Q5114 HCPCS	$4,257	$2,342	$2,129 – $3,746	—
TRASTUZUMAB-DKST 420 MG IV SOLR Inpatient	Henderson Hospital	Q5114 HCPCS	$7,482	$2,244	$2,170 – $7,257	—
TRASTUZUMAB-DKST 420 MG IV SOLR Inpatient	Deaconess Gibson Hospital	Q5114 HCPCS	$7,875	$4,174	$4,174 – $7,088	—
TRASTUZUMAB-DKST 150 MG IV SOLR Inpatient	Deaconess Gibson Hospital	Q5114 HCPCS	$2,822	$1,495	$1,495 – $2,539	—
TRASTUZUMAB-DKST 150 MG INTRAVENOUS SOLR [145246] Outpatient	Texas Health Presbyterian Hospital Allen	Q5114 HCPCS	$3,104	$1,862	$40.29 – $2,921	—
TRASTUZUMAB-DKST 420 MG INTRAVENOUS SOLR [145240] Outpatient	Texas Health Presbyterian Hospital Allen	Q5114 HCPCS	$8,663	$5,198	$40.29 – $8,152	—
TRASTUZUMAB-DKST 150 MG INTRAVENOUS SOLR [145246] Outpatient	Texas Health Harris Methodist Hospital Alliance	Q5114 HCPCS	$3,104	$1,862	$40.29 – $2,921	—
TRASTUZUMAB-DKST 420 MG INTRAVENOUS SOLR [145240] Outpatient	Texas Health Harris Methodist Hospital Alliance	Q5114 HCPCS	$8,663	$5,198	$40.29 – $8,152	—
TRASTUZUMAB-DKST 150 MG INTRAVENOUS SOLR [145246] Inpatient	Texas Health Arlington Memorial Hospital	Q5114 HCPCS	$3,104	$1,862	$1,073 – $2,921	—
TRASTUZUMAB-DKST 420 MG INTRAVENOUS SOLR [145240] Inpatient	Texas Health Arlington Memorial Hospital	Q5114 HCPCS	$8,663	$5,198	$2,996 – $8,152	—
TRASTUZUMAB-DKST 150 MG INTRAVENOUS SOLR [145246] Outpatient	Texas Health Harris Methodist Hospital Azle	Q5114 HCPCS	$3,104	$1,862	$40.29 – $2,921	—
TRASTUZUMAB-DKST 420 MG INTRAVENOUS SOLR [145240] Outpatient	Texas Health Harris Methodist Hospital Azle	Q5114 HCPCS	$8,663	$5,198	$40.29 – $8,152	—
TRASTUZUMAB-DKST 150 MG INTRAVENOUS SOLR [145246] Inpatient	Texas Health Harris Methodist Hospital Cleburne	Q5114 HCPCS	$3,104	$1,862	$1,073 – $2,980	—
TRASTUZUMAB-DKST 420 MG INTRAVENOUS SOLR [145240] Inpatient	Texas Health Harris Methodist Hospital Cleburne	Q5114 HCPCS	$8,663	$5,198	$2,996 – $8,316	—
TRASTUZUMAB-DKST 150 MG INTRAVENOUS SOLR [145246] Outpatient	Texas Health Presbyterian Hospital Dallas	Q5114 HCPCS	$3,104	$1,862	$40.29 – $2,921	—
TRASTUZUMAB-DKST 420 MG INTRAVENOUS SOLR [145240] Outpatient	Texas Health Presbyterian Hospital Dallas	Q5114 HCPCS	$8,663	$5,198	$40.29 – $8,152	—

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 Q5114 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 Menomonee Falls Hospital Froedtert West Bend Hospital Froedtert Holy Family Memorial Hospital Henderson Hospital Deaconess Gibson 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 Lincoln

Code Q5114: frequently asked

What does code Q5114 cost?: Across the published hospital price files, the disclosed cash price for Q5114 ranges from $265 to $6,219. 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 Q5114?: Q5114 is the billing code hospitals use to identify "Ogivri: 1 Kit In 1 Carton (67457-847-44) * 20 Ml In 1 Vial, Multi-Dose (67457-845-50) * 20 Ml In 1 Vial (67457-846-20)" 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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