HCPCS Q5104
Injection, infliximab-abda, biosimilar, (renflexis), 10 mg
Current codeInjection - Monoclonal Antibodies44 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $26.92 – $184 | — | — |
| Deaconess Medical Center | $26.80 – $217 | $67.59 – $119 | $169 – $298 |
| EvergreenHealth Medical Center | $30.58 – $4,297 | $3,696 | $4,620 |
| Harborview Medical Center | $28.62 – $58.63 | — | — |
| Highline Medical Center | $26.26 – $12,081 | $1,435 – $4,099 | $4,700 – $13,423 |
| Island Hospital | $27.75 – $56.77 | — | — |
| Kadlec Regional Medical Center | $31.50 – $101 | $927 – $1,153 | $1,325 – $1,647 |
| Legacy Salmon Creek Medical Center | $42.52 – $72.96 | — | — |
| Mary Bridge Children's Hospital | $26.80 – $4,164 | $97.77 | $244 |
| MultiCare Auburn Medical Center | $28.79 – $184 | — | — |
| MultiCare Covington Medical Center | $26.80 – $184 | $68.34 – $79.69 | $171 – $199 |
| MultiCare Good Samaritan Hospital | $26.80 – $184 | $91.34 – $96.59 | $228 – $241 |
| MultiCare Valley Hospital | $32.90 – $104 | — | — |
| Olympic Medical Center | $818 – $1,463 | $1,171 | $1,463 |
| Overlake Hospital Medical Center & Clinics | $23.63 – $277 | — | — |
| PeaceHealth Peace Island Medical Center | — | $728 – $2,892 | $1,120 – $4,449 |
| PeaceHealth Southwest Medical Cente | $11.10 – $90.03 | $728 – $3,994 | $1,120 – $6,145 |
| PeaceHealth St John Medical Center | $11.10 – $48.29 | $728 – $5,898 | $1,120 – $9,073 |
| PeaceHealth St Joseph Medical Center | $27.75 – $48.05 | $728 – $4,514 | $1,120 – $6,945 |
| PeaceHealth United General Medical Center | — | $728 | $1,120 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $24.57 – $102 | $1,011 – $1,257 | $1,445 – $1,796 |
| Providence Centralia Hospital | $29.91 – $174 | $1,280 | $2,462 |
| Providence Holy Family Hospital | $29.91 – $82.50 | $1,011 – $1,257 | $1,445 – $1,796 |
| Providence Mount Carmel Hospital | — | $1,011 | $1,445 |
| Providence Regional Medical Center Everett | $26.77 – $105 | — | — |
| Providence St Joseph Hospital | — | $1,011 | $1,445 |
| Providence St Mary Medical Center | $29.91 – $180 | $2,068 – $2,164 | $2,955 – $3,092 |
| Providence St Peter Hospital | $22.78 – $138 | $1,538 | $2,957 |
| Seattle Children's Hospital | $1,898 – $3,375 | $3,515 | $3,515 |
| St Anthony Hospital | $26.26 – $10,067 | $1,430 – $4,083 | $4,700 – $13,423 |
| St Clare Hospital | $26.26 – $10,067 | $1,355 – $3,869 | $4,700 – $13,423 |
| St Elizabeth Hospital | $31.50 – $12,081 | $1,661 – $4,743 | $4,700 – $13,423 |
| St Francis Community Hospital | $26.26 – $10,067 | $1,475 – $4,213 | $4,700 – $13,423 |
| St Joseph Medical Center | $26.26 – $10,067 | $1,557 – $4,446 | $4,700 – $13,423 |
| St Michael Medical Center | $32.90 – $12,081 | $2,074 – $5,924 | $4,700 – $13,423 |
| Swedish Edmonds Hospital | $39.11 – $102 | $941 – $984 | $1,960 – $2,051 |
| Swedish Issaquah | $39.11 – $134 | $1,224 | $2,549 |
| Swedish Medical Center | $29.91 – $134 | $984 | $2,051 |
| Swedish Medical Center / Cherry Hill | $29.91 – $134 | $1,224 | $2,549 |
| Tacoma General Allenmore Hospital | $26.80 – $167 | $67.89 – $91.44 | $170 – $229 |
| University of Washington Medical Ctr | $28.62 – $85.39 | — | — |
| Virginia Mason Medical Center | $27.00 – $219 | $140 | $274 |
| Wellfound Behavioral Health Hospital | $67.64 | — | — |
| Yakima Valley Memorial | $26.57 – $299 | $132 – $140 | $331 – $349 |
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)
- $25.65 (APC 9036)
- Surgery center payment (national)
- $25.65