HCPCS Q5158

Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg

Current codeChemotherapeutic Agent13 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 Q5158 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$28.72 – $54.023 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$28.72 – $1284 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$45.96 – $62.373 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$2261 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$28.72 – $1334 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$28.72 – $1334 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$28.72 – $1334 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$28.72 – $1284 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$28.72 – $1334 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$45.96 – $90.086 plans——
Virginia Mason Medical CenterSeattle$28.721 plan——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$75.191 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$46.72 – $79.843 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)
$28.70 (APC 0892)
Surgery center payment (national)
$28.70