HCPCS Q5100

Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg

Current codeInjection - Monoclonal Antibodies22 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 Q5100 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3.29 – $3.626 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$3.29 – $3.628 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$24.98 – $27.485 plans——
Island HospitalAnacortes$29.18 – $30.9311 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$3.45 – $3.766 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$3.29 – $3.627 plans$5.92 – $5.96$14.78 – $14.89
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$3.29 – $3.627 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$3.29 – $3.627 plans$4.83$12.07
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$3.29 – $3.627 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$3.39 – $3.627 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$30.64 – $39.395 plans——
PeaceHealth Peace Island Medical CenterFriday Harbor—$729$1,122
PeaceHealth Southwest Medical CenteVancouver$24.68 – $28.3813 plans$729$1,122
PeaceHealth St John Medical CenterLongview$19.25 – $27.1514 plans$729$1,122
PeaceHealth St Joseph Medical CenterBellingham$24.68 – $27.158 plans$729$1,122
PeaceHealth United General Medical CenterSedro Woolley—$729$1,122
Seattle Children's HospitalSeattle—$1,925 – $5,290$1,925 – $5,290
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$3.29 – $3.627 plans$4.81 – $4.87$12.02 – $12.16
University of Washington Medical CtrSeattleFile dated 2026-04-01$24.98 – $27.485 plans——
Virginia Mason Medical CenterSeattle$17.49 – $26.239 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$3.29 – $3.688 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)
$3.08 (APC 0869)
Surgery center payment (national)
$3.08