Code: Q5104

Description:
Description: Injection, infliximab-abda, biosimilar, (renflexis), 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
RENFLEXIS BS 10 MG INJ
INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION
Injection, Renflexis
INFLIXIMAB+AC0-ABDA 10 MG. INJ.
RENFLEXIS BS 10 MG INJJW
Related codes:
Code: Q5101
ZARXIO BS 480 MCG INJ
Code: Q5102
Description: Injection, infliximab, biosimilar, 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q5103
INFLECTRA BS 10 MG INJ
Code: Q5105
RETACRIT BS 100U ESRD
Code: Q5106
RETACRIT BS 3000U NESRD
Code: Q5107
MVASI BS 100 MG INJ
Code: Q5108
FULPHILA BS 6 MG INJ
Code: Q5109
Description: Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Florida
Hospital Address Code Price Last Updated
Capital Regional Medical Center 2626 Capital Medical Blvd, Tallahassee Q5104 $317 [source] 3 years ago
Mercy Miami Hospital 3663 S Miami Ave, Miami Q5104 $408 [source] 3 years ago
University Hospital & Medical Center 7201 North University Dr, Fort Lauderdale Q5104 $895 [source] 3 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City Q5104 $1,298 [source] 3 years ago
Gulf Breeze Hospital 1110 Gulf Breeze Parkway, Gulf Breeze Q5104 $1,345 [source] 3 years ago
Baptist Hospital 1000 West Moreno St, Pensacola Q5104 $1,345 [source] 3 years ago
Adventhealth Daytona Beach 301 Memorial Medical Pkwy, Daytona Beach Q5104 $1,386 [source] 3 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland Q5104 $1,480 [source] 3 years ago
West Florida Hospital 8383 N Davis Hwy, Pensacola Q5104 $1,538 [source] 3 years ago
Orange Park Medical Center 2001 Kingsley Avenue, Orange Park Q5104 $1,543 [source] 3 years ago
Osceola Regional Medical Center 700 West Oak St, Kissimmee Q5104 $1,841 [source] 3 years ago
Blake Medical Center 2020 59Th St West, Bradenton Q5104 $2,009 [source] 3 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach Q5104 $2,048 [source] 3 years ago
Putnam Community Medical Center 611 Zeagler Dr, Palatka Q5104 $2,095 [source] 3 years ago
North Florida Regional Medical Center 6500 W Newberry Rd, Gainesville Q5104 $2,109 [source] 3 years ago
Jay Hospital 14114 Alabama Street, Jay Q5104 $2,124 [source] 3 years ago
Memorial Hospital Of Tampa 2901 W. Swann Avenue, Tampa Q5104 $2,180 [source] 3 years ago
Medical Center Of Trinity 9330 State Rd 54, New Port Richey Q5104 $2,185 [source] 3 years ago
Gulf Coast Regional Medical Center 449 W 23Rd St, Panama City Q5104 $2,438 [source] 3 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa Q5104 $2,543 [source] 3 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa Q5104 $2,543 [source] 3 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa Q5104 $2,543 [source] 3 years ago
Cleveland Clinic Florida - Weston 2950 Cleveland Clinic Boulevard, Fort Lauderdale Q5104 $2,713 [source] 3 years ago
Adventhealth Palm Coast 10987 Sheldon Rd Ste 100, Tampa Q5104 $2,970 [source] 3 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares Q5104 $2,970 [source] 3 years ago
Oak Hill Hospital 11375 Cortez Blvd, Brooksville Q5104 $3,271 [source] 3 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills Q5104 $3,372 [source] 3 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills Q5104 $3,390 [source] 3 years ago
Rmc Bayonet Point (Level Ii Trauma Center) 14000 Fivay Rd, Hudson Q5104 $3,530 [source] 3 years ago
Ocala Health 1431 Sw 1St Ave, Ocala Q5104 $3,616 [source] 3 years ago
Plantation General Hospital 401 Nw 42 Ave, Fort Lauderdale Q5104 $4,351 [source] 3 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs Q5104 $4,374 [source] 3 years ago
Northwest Medical Center 2801 North State Rd 7, Pompano Beach Q5104 $4,699 [source] 3 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City Q5104 $5,234 [source] 3 years ago
Twin Cities Hospital 2190 Hwy 85 N, Niceville Q5104 $5,504 [source] 3 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala Q5104 $5,599 [source] 3 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula Q5104 $6,060 [source] 3 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring Q5104 $6,060 [source] 3 years ago
Aventura Hospital & Medical Center 20900 Biscayne Blvd, Miami Q5104 $7,599 [source] 3 years ago
Lawnwood Medical Center & Heart Institute 1700 S 23Rd St, Fort Pierce Q5104 $7,674 [source] 3 years ago
St. Lucie Medical Center 1800 Se Tiffany Ave, Port Saint Lucie Q5104 $7,823 [source] 3 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.