HCPCS J0490
Injection, belimumab, 10 mg
Current codeInjection - Monoclonal Antibodies44 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $56.05 – $61.65 | — | — |
| Cascade Valley Hospital | $54.91 – $57.66 | $4,340 – $5,188 | $5,424 – $6,486 |
| Deaconess Medical Center | $56.05 – $61.65 | — | — |
| EvergreenHealth Medical Center | $55.73 – $56.81 | $3,241 – $10,784 | $4,051 – $13,480 |
| Harborview Medical Center | $56.07 – $61.67 | — | — |
| Highline Medical Center | $62.34 – $71.69 | $898 – $2,992 | $2,940 – $9,798 |
| Island Hospital | $65.50 – $69.43 | — | — |
| Kadlec Regional Medical Center | $57.19 – $68.63 | $1,687 | $2,409 |
| Legacy Salmon Creek Medical Center | $58.90 – $64.05 | — | — |
| Mary Bridge Children's Hospital | $56.05 – $61.65 | $106 – $147 | $264 – $368 |
| MultiCare Auburn Medical Center | $56.05 – $61.65 | — | — |
| MultiCare Covington Medical Center | $56.05 – $61.65 | $88.06 – $88.80 | $220 – $222 |
| MultiCare Good Samaritan Hospital | $56.05 – $61.65 | — | — |
| MultiCare Valley Hospital | $57.73 – $61.65 | — | — |
| Olympic Medical Center | $68.78 – $88.43 | $1,934 – $5,468 | $2,417 – $6,834 |
| Overlake Hospital Medical Center & Clinics | $57.19 – $59.48 | — | — |
| PeaceHealth Peace Island Medical Center | — | $618 – $8,366 | $950 – $12,871 |
| PeaceHealth Southwest Medical Cente | $57.16 – $65.73 | $1,110 – $8,043 | $1,708 – $12,374 |
| PeaceHealth St John Medical Center | $44.58 – $62.88 | $1,110 – $3,263 | $1,708 – $5,021 |
| PeaceHealth St Joseph Medical Center | $57.16 – $62.88 | $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. | $57.19 – $68.63 | $1,840 | $2,628 |
| Providence Centralia Hospital | $57.19 – $91.50 | $2,147 – $6,641 | $4,129 – $12,771 |
| Providence Holy Family Hospital | $57.19 – $62.91 | $1,840 | $2,628 |
| Providence Regional Medical Center Everett | $57.19 – $62.91 | — | — |
| Providence St Mary Medical Center | $57.19 – $62.91 | $2,787 – $6,598 | $3,981 – $9,426 |
| Providence St Peter Hospital | $57.19 – $91.50 | — | — |
| Seattle Children's Hospital | — | $2,981 – $10,030 | $2,981 – $10,030 |
| Skagit Valley Hospital | $54.91 – $59.30 | $4,340 – $5,188 | $5,424 – $6,486 |
| St Anthony Hospital | $63.48 – $73.00 | $894 – $2,980 | $2,940 – $9,798 |
| St Clare Hospital | $62.30 – $71.64 | $847 – $2,824 | $2,940 – $9,798 |
| St Elizabeth Hospital | $529 – $2,156 | $1,039 – $3,462 | $2,940 – $9,798 |
| St Francis Community Hospital | $62.34 – $71.69 | $922 – $3,075 | $2,940 – $9,798 |
| St Joseph Medical Center | $62.92 – $73.00 | $974 – $3,245 | $2,940 – $9,798 |
| St Michael Medical Center | $65.27 – $70.49 | $1,297 – $4,324 | $2,940 – $9,798 |
| Swedish Edmonds Hospital | $57.19 – $68.63 | $1,790 – $5,968 | $3,730 – $12,432 |
| Swedish Issaquah | $57.19 – $68.63 | $1,790 – $5,968 | $3,730 – $12,432 |
| Swedish Medical Center | $57.19 – $68.63 | $1,790 – $5,968 | $3,730 – $12,432 |
| Swedish Medical Center / Cherry Hill | $57.19 – $68.63 | $1,790 – $5,968 | $3,730 – $12,432 |
| Tacoma General Allenmore Hospital | $56.05 – $61.65 | $87.31 – $88.61 | $218 – $222 |
| University of Washington Medical Ctr | $56.07 – $61.67 | — | — |
| Virginia Mason Medical Center | $39.25 – $58.87 | $104 | $203 – $203 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $56.05 – $62.77 | $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