HCPCS Q5104
Injection, infliximab-abda, biosimilar, (renflexis), 10 mg
Current codeInjection - Monoclonal Antibodies44 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $26.27 – $28.89 | — | — |
| Deaconess Medical Center | $26.27 – $28.89 | $67.59 – $119 | $169 – $298 |
| EvergreenHealth Medical Center | $31.50 – $32.11 | $3,696 | $4,620 |
| Harborview Medical Center | $27.00 – $29.70 | — | — |
| Highline Medical Center | $27.88 – $32.06 | $1,435 – $4,099 | $4,700 – $13,423 |
| Island Hospital | $31.54 – $33.43 | — | — |
| Kadlec Regional Medical Center | $26.80 – $32.16 | $927 – $1,153 | $1,325 – $1,647 |
| Legacy Salmon Creek Medical Center | $27.61 – $30.02 | — | — |
| Mary Bridge Children's Hospital | $26.27 – $28.89 | $97.77 | $244 |
| MultiCare Auburn Medical Center | $26.27 – $28.89 | — | — |
| MultiCare Covington Medical Center | $26.27 – $28.89 | $68.34 – $79.69 | $171 – $199 |
| MultiCare Good Samaritan Hospital | $26.27 – $28.89 | $91.34 – $96.59 | $228 – $241 |
| MultiCare Valley Hospital | $27.05 – $28.89 | — | — |
| Olympic Medical Center | $33.12 – $42.58 | $1,171 | $1,463 |
| Overlake Hospital Medical Center & Clinics | $26.80 – $27.88 | — | — |
| PeaceHealth Peace Island Medical Center | — | $728 – $2,892 | $1,120 – $4,449 |
| PeaceHealth Southwest Medical Cente | $27.75 – $31.91 | $728 – $3,994 | $1,120 – $6,145 |
| PeaceHealth St John Medical Center | $21.64 – $30.52 | $728 – $5,898 | $1,120 – $9,073 |
| PeaceHealth St Joseph Medical Center | $27.75 – $30.53 | $728 – $4,514 | $1,120 – $6,945 |
| PeaceHealth United General Medical Center | — | $728 | $1,120 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $26.80 – $32.16 | $1,011 – $1,257 | $1,445 – $1,796 |
| Providence Centralia Hospital | $26.80 – $42.88 | $1,280 | $2,462 |
| Providence Holy Family Hospital | $26.80 – $29.48 | $1,011 – $1,257 | $1,445 – $1,796 |
| Providence Mount Carmel Hospital | — | $1,011 | $1,445 |
| Providence Regional Medical Center Everett | $26.80 – $29.48 | — | — |
| Providence St Joseph Hospital | — | $1,011 | $1,445 |
| Providence St Mary Medical Center | $26.80 – $29.48 | $2,068 – $2,164 | $2,955 – $3,092 |
| Providence St Peter Hospital | $26.80 – $42.88 | $1,538 | $2,957 |
| Seattle Children's Hospital | — | $3,515 | $3,515 |
| St Anthony Hospital | $28.40 – $32.66 | $1,430 – $4,083 | $4,700 – $13,423 |
| St Clare Hospital | $31.56 – $36.29 | $1,355 – $3,869 | $4,700 – $13,423 |
| St Elizabeth Hospital | $846 – $2,953 | $1,661 – $4,743 | $4,700 – $13,423 |
| St Francis Community Hospital | $27.88 – $32.06 | $1,475 – $4,213 | $4,700 – $13,423 |
| St Joseph Medical Center | $28.40 – $56.99 | $1,557 – $4,446 | $4,700 – $13,423 |
| St Michael Medical Center | $29.20 – $33.77 | $2,074 – $5,924 | $4,700 – $13,423 |
| Swedish Edmonds Hospital | $26.80 – $32.16 | $941 – $984 | $1,960 – $2,051 |
| Swedish Issaquah | $26.80 – $32.16 | $1,224 | $2,549 |
| Swedish Medical Center | $26.80 – $32.16 | $984 | $2,051 |
| Swedish Medical Center / Cherry Hill | $26.80 – $32.16 | $1,224 | $2,549 |
| Tacoma General Allenmore Hospital | $26.27 – $28.89 | $67.89 – $91.44 | $170 – $229 |
| University of Washington Medical Ctr | $27.00 – $29.70 | — | — |
| Virginia Mason Medical Center | $18.90 – $28.35 | $140 | $274 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $26.27 – $29.42 | $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