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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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Cascade Valley HospitalArlington$52.00 – $6,48611 plans$4,340 – $5,188$5,424 – $6,486
EvergreenHealth Medical CenterKirkland$54.10 – $12,53625 plans$3,241 – $10,784$4,051 – $13,480
Highline Medical CenterBurienFile dated 2026-02-28$1,264 – $8,8186 plans$898 – $2,992$2,940 – $9,798
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$1,687$2,409
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$173 – $2946 plans$106 – $147$264 – $368
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$130 – $1623 plans$88.06 – $88.80$220 – $222
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1,351 – $6,8346 plans$1,934 – $5,468$2,417 – $6,834
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,840$2,628
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$2,147 – $6,641$4,129 – $12,771
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,840$2,628
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$2,787 – $6,598$3,981 – $9,426
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$1,617 – $7,3494 plans$894 – $2,980$2,940 – $9,798
St Clare HospitalLakewoodFile dated 2026-02-28$1,617 – $7,3494 plans$847 – $2,824$2,940 – $9,798
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,058 – $8,8189 plans$1,039 – $3,462$2,940 – $9,798
St Francis Community HospitalFederal WayFile dated 2026-02-28$1,617 – $7,3494 plans$922 – $3,075$2,940 – $9,798
St Joseph Medical CenterTacomaFile dated 2026-02-28$1,617 – $7,3494 plans$974 – $3,245$2,940 – $9,798
St Michael Medical CenterSilverdaleFile dated 2026-02-28$1,852 – $8,81810 plans$1,297 – $4,324$2,940 – $9,798
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$1,790 – $5,968$3,730 – $12,432
Swedish IssaquahIssaquahFile dated 2026-04-01—$1,790 – $5,968$3,730 – $12,432
Swedish Medical CenterSeattleFile dated 2026-04-01—$1,790 – $5,968$3,730 – $12,432
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$1,790 – $5,968$3,730 – $12,432
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$129 – $1623 plans$87.31 – $88.61$218 – $222
Virginia Mason Medical CenterSeattle$130 – $1634 plans$104$203 – $203
Yakima Valley MemorialYakimaFile dated 2026-08-27$120 – $1281 plan$85.57 – $91.62$214 – $229

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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