HCPCS J0490
Injection, belimumab, 10 mg
Current codeInjection - Monoclonal Antibodies44 hospitals with prices
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Cascade Valley Hospital | — | $4,340 – $5,188 | $5,424 – $6,486 |
| Deaconess Medical Center | — | — | — |
| EvergreenHealth Medical Center | — | $3,241 – $10,784 | $4,051 – $13,480 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $898 – $2,992 | $2,940 – $9,798 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | $1,687 | $2,409 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $106 – $147 | $264 – $368 |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | $88.06 – $88.80 | $220 – $222 |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | — | $1,934 – $5,468 | $2,417 – $6,834 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $618 – $8,366 | $950 – $12,871 |
| PeaceHealth Southwest Medical Cente | — | $1,110 – $8,043 | $1,708 – $12,374 |
| PeaceHealth St John Medical Center | — | $1,110 – $3,263 | $1,708 – $5,021 |
| PeaceHealth St Joseph Medical Center | — | $1,110 – $3,263 | $1,708 – $5,021 |
| PeaceHealth United General Medical Center | — | $1,110 – $3,263 | $1,708 – $5,021 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,840 | $2,628 |
| Providence Centralia Hospital | — | $2,147 – $6,641 | $4,129 – $12,771 |
| Providence Holy Family Hospital | — | $1,840 | $2,628 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | $2,787 – $6,598 | $3,981 – $9,426 |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | $751 – $2,528 | $2,981 – $10,030 | $2,981 – $10,030 |
| Skagit Valley Hospital | — | $4,340 – $5,188 | $5,424 – $6,486 |
| St Anthony Hospital | — | $894 – $2,980 | $2,940 – $9,798 |
| St Clare Hospital | — | $847 – $2,824 | $2,940 – $9,798 |
| St Elizabeth Hospital | — | $1,039 – $3,462 | $2,940 – $9,798 |
| St Francis Community Hospital | — | $922 – $3,075 | $2,940 – $9,798 |
| St Joseph Medical Center | — | $974 – $3,245 | $2,940 – $9,798 |
| St Michael Medical Center | — | $1,297 – $4,324 | $2,940 – $9,798 |
| Swedish Edmonds Hospital | — | $1,790 – $5,968 | $3,730 – $12,432 |
| Swedish Issaquah | — | $1,790 – $5,968 | $3,730 – $12,432 |
| Swedish Medical Center | — | $1,790 – $5,968 | $3,730 – $12,432 |
| Swedish Medical Center / Cherry Hill | — | $1,790 – $5,968 | $3,730 – $12,432 |
| Tacoma General Allenmore Hospital | — | $87.31 – $88.61 | $218 – $222 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $104 | $203 – $203 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | $85.57 – $91.62 | $214 – $229 |
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