HCPCS Q5099

Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg

Current codeInjection - Monoclonal Antibodies24 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 Q5099 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$5.30 – $5.812 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$3.18 – $10.759 plans$3.43$8.57
Island HospitalAnacortes$11.852 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$3.07 – $23.076 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$3.20 – $18.958 plans$4.34$10.83
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$5.30 – $11.163 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$3.21 – $11.166 plans$3.49 – $3.51$8.71 – $8.76
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$5.30 – $11.163 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$5.30 – $10.723 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
PeaceHealth Peace Island Medical CenterFriday Harbor—$599$921
PeaceHealth Southwest Medical CenteVancouver$18.371 plan$599$921
PeaceHealth St John Medical CenterLongview$20.621 plan$599$921
PeaceHealth St Joseph Medical CenterBellingham$20.521 plan$599$921
PeaceHealth United General Medical CenterSedro Woolley—$599$921
Seattle Children's HospitalSeattle$805 – $1,43298 plans$1,492$1,492
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$735$1,532
Swedish IssaquahIssaquahFile dated 2026-04-01—$735$1,532
Swedish Medical CenterSeattleFile dated 2026-04-01—$735$1,532
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$735$1,532
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$3.21 – $11.166 plans$3.49$8.71
Virginia Mason Medical CenterSeattle$12.641 plan——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$8.091 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$5.03 – $5.372 plans——

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)
$2.89 (APC 0855)
Surgery center payment (national)
$2.89