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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS Q5099 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3.14 – $3.456 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$3.14 – $3.458 plans$3.43$8.57
Island HospitalAnacortes———
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$3.30 – $3.596 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$3.14 – $3.457 plans$4.34$10.83
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$3.14 – $3.457 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$3.14 – $3.457 plans$3.49 – $3.51$8.71 – $8.76
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$3.14 – $3.457 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$3.24 – $3.457 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
PeaceHealth Peace Island Medical CenterFriday Harbor—$599$921
PeaceHealth Southwest Medical CenteVancouver—$599$921
PeaceHealth St John Medical CenterLongview—$599$921
PeaceHealth St Joseph Medical CenterBellingham—$599$921
PeaceHealth United General Medical CenterSedro Woolley—$599$921
Seattle Children's HospitalSeattle—$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$3.14 – $3.457 plans$3.49$8.71
Virginia Mason Medical CenterSeattle$8.85 – $13.279 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$3.14 – $3.528 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