HCPCS Q5103
Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg
Current codeInjection - Monoclonal Antibodies46 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,240 – $1,836 | — | — |
| Cascade Valley Hospital | $12.47 – $14,688 | $11,068 | $13,834 |
| Deaconess Medical Center | $1,134 – $1,201 | $69.48 | $174 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $1,833 – $5,235 | $6,003 – $17,145 |
| Island Hospital | $1,170 – $1,270 | — | — |
| Kadlec Regional Medical Center | — | $1,080 | $1,543 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $1,173 – $1,267 | $85.41 – $103 | $214 – $257 |
| MultiCare Auburn Medical Center | $1,152 – $1,244 | — | — |
| MultiCare Covington Medical Center | $1,152 – $1,244 | $69.86 – $70.24 | $175 – $176 |
| MultiCare Good Samaritan Hospital | $1,178 – $1,273 | — | — |
| MultiCare Valley Hospital | $1,126 – $1,192 | — | — |
| Olympic Medical Center | $1,450 – $1,588 | $1,337 | $1,671 |
| Overlake Hospital Medical Center & Clinics | — | $2,706 – $9,922 | $5,412 – $19,844 |
| PeaceHealth Peace Island Medical Center | — | $5,227 | $8,041 |
| PeaceHealth Southwest Medical Cente | $25.19 | $3,067 | $4,718 |
| PeaceHealth St John Medical Center | $18.89 – $25.43 | $3,067 | $4,718 |
| PeaceHealth St Joseph Medical Center | $25.43 | $3,787 | $5,826 |
| PeaceHealth United General Medical Center | — | $5,227 | $8,041 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,178 | $1,683 |
| Providence Centralia Hospital | — | $1,455 | $2,798 |
| Providence Holy Family Hospital | — | $1,178 | $1,683 |
| Providence Mount Carmel Hospital | — | $1,178 | $1,683 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Joseph Hospital | — | $1,178 | $1,683 |
| Providence St Mary Medical Center | — | $2,521 | $3,602 |
| Providence St Peter Hospital | — | $1,455 | $2,798 |
| Seattle Children's Hospital | $1,127 – $1,425 | $4,383 | $4,383 |
| Skagit Valley Hospital | $1,136 – $1,502 | $11,068 | $13,834 |
| St Anthony Hospital | — | $1,826 – $5,215 | $6,003 – $17,145 |
| St Clare Hospital | — | $1,730 – $4,942 | $6,003 – $17,145 |
| St Elizabeth Hospital | $1,021 – $3,549 | $2,121 – $6,058 | $6,003 – $17,145 |
| St Francis Community Hospital | — | $1,884 – $5,380 | $6,003 – $17,145 |
| St Joseph Medical Center | — | $1,988 – $5,678 | $6,003 – $17,145 |
| St Michael Medical Center | — | $2,649 – $7,567 | $6,003 – $17,145 |
| Swedish Edmonds Hospital | — | $1,147 | $2,389 |
| Swedish Issaquah | — | $1,147 | $2,389 |
| Swedish Medical Center | — | $1,147 | $2,389 |
| Swedish Medical Center / Cherry Hill | — | $1,147 | $2,389 |
| Tacoma General Allenmore Hospital | $1,179 – $1,273 | $69.70 – $70.98 | $174 – $177 |
| Three Rivers Hospital | $1,192 | $1,703 | $1,703 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $102 – $107 | $199 – $209 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,127 – $1,309 | $69.68 – $72.48 | $174 – $181 |
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