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)
Deaconess Medical CenterSpokaneFile dated 2026-08-27$6.08 – $6.262 plans$3.43$8.57
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$7.08 – $8.666 plans$4.34$10.83
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$5.14 – $6.393 plans$3.49 – $3.51$8.71 – $8.76
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$5.14 – $6.363 plans$3.49$8.71

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