HCPCS Q5133

Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg

Current codeInjection - Monoclonal Antibodies36 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 Q5133 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Highline Medical CenterBurienFile dated 2026-02-28$1,190 – $12,4566 plans$845 – $4,226$2,768 – $13,840
Seattle Children's HospitalSeattle$1,146 – $4,91598 plans$2,123 – $5,120$2,123 – $5,120
St Anthony HospitalGig HarborFile dated 2026-02-28$1,522 – $10,3804 plans$842 – $4,209$2,768 – $13,840
St Clare HospitalLakewoodFile dated 2026-02-28$1,522 – $10,3804 plans$798 – $3,989$2,768 – $13,840
St Elizabeth HospitalEnumclawFile dated 2026-02-28$996 – $12,4569 plans$978 – $4,891$2,768 – $13,840
St Francis Community HospitalFederal WayFile dated 2026-02-28$1,522 – $10,3804 plans$869 – $4,343$2,768 – $13,840
St Joseph Medical CenterTacomaFile dated 2026-02-28$1,522 – $10,3804 plans$917 – $4,584$2,768 – $13,840
St Michael Medical CenterSilverdaleFile dated 2026-02-28$1,744 – $12,45610 plans$1,222 – $6,108$2,768 – $13,840
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$11.75 – $14.713 plans$7.97 – $8.07$19.92 – $20.16
Virginia Mason Medical CenterSeattle$14.22 – $17.764 plans$11.32$22.20

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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)
$4.71 (APC 0786)
Surgery center payment (national)
$4.71