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

Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

Prices for HCPCS Q5103 by hospital
HospitalOther government program rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27———
Cascade Valley HospitalArlington—$11,068$13,834
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$69.48$174
Harborview Medical CenterSeattleFile dated 2026-04-01———
Highline Medical CenterBurienFile dated 2026-02-28—$1,833 – $5,235$6,003 – $17,145
Island HospitalAnacortes$23.35 – $24.583 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$1,080$1,543
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$85.41 – $103$214 – $257
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27———
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$69.86 – $70.24$175 – $176
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27———
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27———
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$1,337$1,671
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$2,706 – $9,922$5,412 – $19,844
PeaceHealth Peace Island Medical CenterFriday Harbor—$5,227$8,041
PeaceHealth Southwest Medical CenteVancouver—$3,067$4,718
PeaceHealth St John Medical CenterLongview—$3,067$4,718
PeaceHealth St Joseph Medical CenterBellingham—$3,787$5,826
PeaceHealth United General Medical CenterSedro Woolley—$5,227$8,041
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 Regional Medical Center EverettEverettFile dated 2026-04-01———
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$1,7971 plan$4,383$4,383
Skagit Valley HospitalMount Vernon—$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—$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—$1,703$1,703
University of Washington Medical CtrSeattleFile dated 2026-04-01———
Virginia Mason Medical CenterSeattle—$102 – $107$199 – $209
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27—$69.68 – $72.48$174 – $181

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