HCPCS Q5121

Injection, infliximab-axxq, biosimilar, (avsola), 10 mg

Current codeInjection - Monoclonal Antibodies35 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS Q5121 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$19.70 – $21316 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$27.76 – $91.839 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$21.63 – $44.313 plans——
Highline Medical CenterBurienFile dated 2026-02-28$19.83 – $7,96816 plans$947 – $2,704$3,100 – $8,854
Island HospitalAnacortes$23.81 – $42.916 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$25.56 – $11611 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$32.14 – $56.084 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$21.67 – $6,6069 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$21.07 – $21317 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$21.07 – $21320 plans$77.16$193
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$27.76 – $21312 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$24.08 – $91.6310 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$17.85 – $32012 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$19.93 – $11814 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$21.89 – $14913 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$21.89 – $86.3111 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$21.72 – $12112 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$21.89 – $12810 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$21.89 – $16014 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28$19.83 – $6,64017 plans$943 – $2,693$3,100 – $8,854
St Clare HospitalLakewoodFile dated 2026-02-28$19.83 – $6,64017 plans$894 – $2,552$3,100 – $8,854
St Elizabeth HospitalEnumclawFile dated 2026-02-28$24.08 – $7,96813 plans$1,095 – $3,129$3,100 – $8,854
St Francis Community HospitalFederal WayFile dated 2026-02-28$19.83 – $6,64017 plans$973 – $2,778$3,100 – $8,854
St Joseph Medical CenterTacomaFile dated 2026-02-28$19.83 – $6,64017 plans$1,027 – $2,932$3,100 – $8,854
St Michael Medical CenterSilverdaleFile dated 2026-02-28$24.08 – $7,96818 plans$1,368 – $3,908$3,100 – $8,854
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$31.16 – $11812 plans$981$2,043
Swedish IssaquahIssaquahFile dated 2026-04-01$31.16 – $15511 plans$981$2,043
Swedish Medical CenterSeattleFile dated 2026-04-01$21.89 – $15516 plans$981$2,043
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$21.89 – $15513 plans$981$2,043
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$21.07 – $15820 plans$76.16 – $76.41$190 – $191
University of Washington Medical CtrSeattleFile dated 2026-04-01$21.63 – $63.998 plans——
Virginia Mason Medical CenterSeattle$20.41 – $14510 plans$92.71$182
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$70.761 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$26.57 – $16613 plans——

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)
$34.69 (APC 9381)
Surgery center payment (national)
$34.69