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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS Q5158 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$29.20 – $32.126 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$29.20 – $32.128 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$28.72 – $31.595 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$29.20 – $32.127 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$29.20 – $32.127 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$29.20 – $32.127 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$29.20 – $32.127 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$30.08 – $32.127 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$29.20 – $32.127 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$28.72 – $31.595 plans——
Virginia Mason Medical CenterSeattle$20.10 – $30.169 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$29.20 – $32.718 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