Every billing code / HCPCS Q5104 / PeaceHealth St John Medical Center
HCPCS Q5104 at PeaceHealth St John Medical Center
Injection, infliximab-abda, biosimilar, (renflexis), 10 mg
PeaceHealth St John Medical Center, Longview
Description from CMS's HCPCS Level II code file.
What PeaceHealth St John Medical Center publishes for this code: as an outpatient
PeaceHealth St John Medical Center’s prices for HCPCS Q5104, as an outpatient| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $11.10 – $48.294 plans | — |
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| Medicare AdvantageInsurer rates | $21.64 – $30.5314 plans | — |
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| Medicaid managed careInsurer rates | $21.64 – $29.143 plans | — |
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| UnknownInsurer rates | $172 – $1972 plans | — |
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| Cash pricePaying yourself, without insurance | $728 – $5,898 | — |
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| List priceBefore any discount; few people pay it | $1,120 – $9,073 | — |
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Lowest and highest amounts PeaceHealth St John Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.
Bills to expect
The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.
Bills to expect for HCPCS Q5104 at PeaceHealth St John Medical Center| Bill | What it’s for | Original Medicare allows | Private plan estimate |
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| Hospital's feeThe hospital | The drug, per billing unit | — | The price above |
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Drug prices are per billing unit (the unit is in the code's name, such as "per 10 mg"). Your dose decides how many units you're billed, so the total depends on your prescription, and giving the drug may be billed separately.
Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.
Compare HCPCS Q5104 at every Washington hospital, with Medicare’s reference amounts.