HCPCS Q5136

Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg

Current codeInjection - Monoclonal Antibodies23 hospitals with prices

Description from CMS's HCPCS Level II code file.

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.

Prices for HCPCS Q5136 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
EvergreenHealth Medical CenterKirkland	—	$7,861	$9,826
EvergreenHealth MonroeMonroe	$28.361 plan	$7,861	$9,826
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27	—	$39.31	$98.26
Olympic Medical CenterPort AngelesFile dated 2026-06-24	$907 – $9935 plans	$6,807	$8,509
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$27.04	$52.00
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27	—	$39.06 – $39.31	$97.63 – $98.26

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): $26.99 (APC 0872)
Surgery center payment (national): $26.99