HCPCS Q5121
Injection, infliximab-axxq, biosimilar, (avsola), 10 mg
Current codeInjection - Monoclonal Antibodies35 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 | $27.48 – $30.23 | — | — |
| Deaconess Medical Center | $27.48 – $30.23 | — | — |
| Harborview Medical Center | $20.40 – $22.45 | — | — |
| Highline Medical Center | $23.25 – $26.74 | $947 – $2,704 | $3,100 – $8,854 |
| Island Hospital | $23.84 – $25.27 | — | — |
| Kadlec Regional Medical Center | $28.04 – $33.65 | — | — |
| Legacy Salmon Creek Medical Center | $28.88 – $31.40 | — | — |
| Mary Bridge Children's Hospital | $27.48 – $30.23 | — | — |
| MultiCare Auburn Medical Center | $27.48 – $30.23 | — | — |
| MultiCare Covington Medical Center | $27.48 – $30.23 | $77.16 | $193 |
| MultiCare Good Samaritan Hospital | $27.48 – $30.23 | — | — |
| MultiCare Valley Hospital | $28.30 – $30.23 | — | — |
| Olympic Medical Center | $25.03 – $32.18 | — | — |
| Overlake Hospital Medical Center & Clinics | $28.04 – $29.16 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $28.04 – $33.65 | — | — |
| Providence Centralia Hospital | $28.04 – $44.86 | — | — |
| Providence Holy Family Hospital | $28.04 – $30.84 | — | — |
| Providence Regional Medical Center Everett | $28.04 – $30.84 | — | — |
| Providence St Mary Medical Center | $28.04 – $30.84 | — | — |
| Providence St Peter Hospital | $28.04 – $44.86 | — | — |
| St Anthony Hospital | $23.67 – $27.22 | $943 – $2,693 | $3,100 – $8,854 |
| St Clare Hospital | $22.38 – $25.74 | $894 – $2,552 | $3,100 – $8,854 |
| St Elizabeth Hospital | $558 – $1,948 | $1,095 – $3,129 | $3,100 – $8,854 |
| St Francis Community Hospital | $23.25 – $26.74 | $973 – $2,778 | $3,100 – $8,854 |
| St Joseph Medical Center | $23.67 – $41.99 | $1,027 – $2,932 | $3,100 – $8,854 |
| St Michael Medical Center | $24.34 – $26.45 | $1,368 – $3,908 | $3,100 – $8,854 |
| Swedish Edmonds Hospital | $28.04 – $33.65 | $981 | $2,043 |
| Swedish Issaquah | $28.04 – $33.65 | $981 | $2,043 |
| Swedish Medical Center | $28.04 – $33.65 | $981 | $2,043 |
| Swedish Medical Center / Cherry Hill | $28.04 – $33.65 | $981 | $2,043 |
| Tacoma General Allenmore Hospital | $27.48 – $30.23 | $76.16 – $76.41 | $190 – $191 |
| University of Washington Medical Ctr | $20.40 – $22.45 | — | — |
| Virginia Mason Medical Center | $14.29 – $21.43 | $92.71 | $182 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $27.48 – $30.78 | — | — |
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