HCPCS J0490

Injection, belimumab, 10 mg

Current codeInjection - Monoclonal Antibodies44 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS J0490 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$48.72 – $32716 plans——
Cascade Valley HospitalArlington$52.00 – $6,48611 plans$4,340 – $5,188$5,424 – $6,486
Deaconess Medical CenterSpokaneFile dated 2026-08-27$76.87 – $2249 plans——
EvergreenHealth Medical CenterKirkland$54.10 – $12,53625 plans$3,241 – $10,784$4,051 – $13,480
Harborview Medical CenterSeattleFile dated 2026-04-01$56.38 – $1224 plans——
Highline Medical CenterBurienFile dated 2026-02-28$52.00 – $8,81817 plans$898 – $2,992$2,940 – $9,798
Island HospitalAnacortes$57.16 – $1186 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$52.00 – $20911 plans$1,687$2,409
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$58.88 – $1358 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$52.10 – $6,60620 plans$106 – $147$264 – $368
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$52.10 – $23217 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$52.10 – $23220 plans$88.06 – $88.80$220 – $222
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$76.87 – $23212 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$59.54 – $22310 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1,351 – $6,8346 plans$1,934 – $5,468$2,417 – $6,834
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$49.42 – $34112 plans——
PeaceHealth Peace Island Medical CenterFriday Harbor—$618 – $8,366$950 – $12,871
PeaceHealth Southwest Medical CenteVancouver$22.86 – $1856 plans$1,110 – $8,043$1,708 – $12,374
PeaceHealth St John Medical CenterLongview$22.86 – $99.454 plans$1,110 – $3,263$1,708 – $5,021
PeaceHealth St Joseph Medical CenterBellingham$57.16 – $98.952 plans$1,110 – $3,263$1,708 – $5,021
PeaceHealth United General Medical CenterSedro Woolley—$1,110 – $3,263$1,708 – $5,021
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$40.56 – $19014 plans$1,840$2,628
Providence Centralia HospitalCentraliaFile dated 2026-04-01$54.13 – $35313 plans$2,147 – $6,641$4,129 – $12,771
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$52.00 – $17611 plans$1,840$2,628
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$44.20 – $13312 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$54.13 – $33510 plans$2,787 – $6,598$3,981 – $9,426
Providence St Peter HospitalOlympiaFile dated 2026-04-01$48.61 – $18714 plans——
Seattle Children's HospitalSeattle$1,610 – $9,62998 plans$2,981 – $10,030$2,981 – $10,030
Skagit Valley HospitalMount Vernon$52.00 – $6,16110 plans$4,340 – $5,188$5,424 – $6,486
St Anthony HospitalGig HarborFile dated 2026-02-28$52.00 – $7,34918 plans$894 – $2,980$2,940 – $9,798
St Clare HospitalLakewoodFile dated 2026-02-28$52.00 – $7,34918 plans$847 – $2,824$2,940 – $9,798
St Elizabeth HospitalEnumclawFile dated 2026-02-28$44.82 – $8,81817 plans$1,039 – $3,462$2,940 – $9,798
St Francis Community HospitalFederal WayFile dated 2026-02-28$52.00 – $7,34918 plans$922 – $3,075$2,940 – $9,798
St Joseph Medical CenterTacomaFile dated 2026-02-28$52.00 – $7,34918 plans$974 – $3,245$2,940 – $9,798
St Michael Medical CenterSilverdaleFile dated 2026-02-28$59.54 – $8,81818 plans$1,297 – $4,324$2,940 – $9,798
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$56.02 – $14512 plans$1,790 – $5,968$3,730 – $12,432
Swedish IssaquahIssaquahFile dated 2026-04-01$56.02 – $13411 plans$1,790 – $5,968$3,730 – $12,432
Swedish Medical CenterSeattleFile dated 2026-04-01$54.13 – $20416 plans$1,790 – $5,968$3,730 – $12,432
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$54.13 – $20413 plans$1,790 – $5,968$3,730 – $12,432
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$52.10 – $23220 plans$87.31 – $88.61$218 – $222
University of Washington Medical CtrSeattleFile dated 2026-04-01$56.38 – $17610 plans——
Virginia Mason Medical CenterSeattle$54.15 – $19510 plans$104$203 – $203
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1441 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$89.67 – $19619 plans$85.57 – $91.62$214 – $229

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national)
$58.33 (APC 1353)
Surgery center payment (national)
$58.33