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HCPCS Q5103

Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg

Current codeInjection - Monoclonal Antibodies46 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Cascade Valley HospitalArlington$12.47 – $14,6884 plans$11,068$13,834
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$69.48$174
Highline Medical CenterBurienFile dated 2026-02-28—$1,833 – $5,235$6,003 – $17,145
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$1,080$1,543
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$85.41 – $103$214 – $257
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$69.86 – $70.24$175 – $176
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1,450 – $1,5885 plans$1,337$1,671
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$2,706 – $9,922$5,412 – $19,844
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,178$1,683
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$1,455$2,798
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,178$1,683
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$1,178$1,683
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$1,178$1,683
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$2,521$3,602
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$1,455$2,798
Seattle Children's HospitalSeattle$1,127 – $1,42512 plans$4,383$4,383
Skagit Valley HospitalMount Vernon$1,136 – $1,5024 plans$11,068$13,834
St Anthony HospitalGig HarborFile dated 2026-02-28—$1,826 – $5,215$6,003 – $17,145
St Clare HospitalLakewoodFile dated 2026-02-28—$1,730 – $4,942$6,003 – $17,145
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,681 – $5,6875 plans$2,121 – $6,058$6,003 – $17,145
St Francis Community HospitalFederal WayFile dated 2026-02-28—$1,884 – $5,380$6,003 – $17,145
St Joseph Medical CenterTacomaFile dated 2026-02-28—$1,988 – $5,678$6,003 – $17,145
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$2,649 – $7,567$6,003 – $17,145
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$1,147$2,389
Swedish IssaquahIssaquahFile dated 2026-04-01—$1,147$2,389
Swedish Medical CenterSeattleFile dated 2026-04-01—$1,147$2,389
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$1,147$2,389
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$69.70 – $70.98$174 – $177
Three Rivers HospitalBrewster$1,1921 plan$1,703$1,703
Virginia Mason Medical CenterSeattle—$102 – $107$199 – $209
Yakima Valley MemorialYakimaFile dated 2026-08-27—$69.68 – $72.48$174 – $181

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)
$28.46 (APC 1847)
Surgery center payment (national)
$28.46