HCPCS Q5104
Injection, infliximab-abda, biosimilar, (renflexis), 10 mg
Current codeInjection - Monoclonal Antibodies44 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 | — | — |
| Deaconess Medical Center | $1,134 – $1,201 | $67.59 – $119 | $169 – $298 |
| EvergreenHealth Medical Center | — | $3,696 | $4,620 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $1,435 – $4,099 | $4,700 – $13,423 |
| Island Hospital | $1,170 – $1,270 | — | — |
| Kadlec Regional Medical Center | — | $927 – $1,153 | $1,325 – $1,647 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $1,173 – $1,267 | $97.77 | $244 |
| MultiCare Auburn Medical Center | $1,152 – $1,244 | — | — |
| MultiCare Covington Medical Center | $1,152 – $1,244 | $68.34 – $79.69 | $171 – $199 |
| MultiCare Good Samaritan Hospital | $1,178 – $1,273 | $91.34 – $96.59 | $228 – $241 |
| MultiCare Valley Hospital | $1,126 – $1,192 | — | — |
| Olympic Medical Center | $1,450 – $1,588 | $1,171 | $1,463 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $728 – $2,892 | $1,120 – $4,449 |
| PeaceHealth Southwest Medical Cente | $28.86 | $728 – $3,994 | $1,120 – $6,145 |
| PeaceHealth St John Medical Center | $21.64 – $29.14 | $728 – $5,898 | $1,120 – $9,073 |
| PeaceHealth St Joseph Medical Center | $29.14 | $728 – $4,514 | $1,120 – $6,945 |
| PeaceHealth United General Medical Center | — | $728 | $1,120 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,011 – $1,257 | $1,445 – $1,796 |
| Providence Centralia Hospital | — | $1,280 | $2,462 |
| Providence Holy Family Hospital | — | $1,011 – $1,257 | $1,445 – $1,796 |
| Providence Mount Carmel Hospital | — | $1,011 | $1,445 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Joseph Hospital | — | $1,011 | $1,445 |
| Providence St Mary Medical Center | — | $2,068 – $2,164 | $2,955 – $3,092 |
| Providence St Peter Hospital | — | $1,538 | $2,957 |
| Seattle Children's Hospital | $904 – $1,143 | $3,515 | $3,515 |
| St Anthony Hospital | — | $1,430 – $4,083 | $4,700 – $13,423 |
| St Clare Hospital | — | $1,355 – $3,869 | $4,700 – $13,423 |
| St Elizabeth Hospital | $799 – $2,779 | $1,661 – $4,743 | $4,700 – $13,423 |
| St Francis Community Hospital | — | $1,475 – $4,213 | $4,700 – $13,423 |
| St Joseph Medical Center | — | $1,557 – $4,446 | $4,700 – $13,423 |
| St Michael Medical Center | — | $2,074 – $5,924 | $4,700 – $13,423 |
| Swedish Edmonds Hospital | — | $941 – $984 | $1,960 – $2,051 |
| Swedish Issaquah | — | $1,224 | $2,549 |
| Swedish Medical Center | — | $984 | $2,051 |
| Swedish Medical Center / Cherry Hill | — | $1,224 | $2,549 |
| Tacoma General Allenmore Hospital | $1,179 – $1,273 | $67.89 – $91.44 | $170 – $229 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $140 | $274 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,127 – $1,309 | $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