Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
inFLIXimab-dyyb 100 mg Solr 1 each VIAL
Ulm, MN
See all hospitals reporting HCPCS Q5103 →Price type
Allina Health Systems’s median price of $875 is 1247% above the median hospital's median price ($65), higher than 77% of the 1,975 hospitals reporting HCPCS Q5103. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Mn bc pmap (n) facility · other · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Bcbs Mn bc premier(n) facility · other · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 3 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 4 | Aetna allina aetna medicare (n) facility · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 5 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 6 | Medicare medicare (n) facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 7 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 8 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $340 | $340 | — | — | — | $340 – $340 |
| 9 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $537 | $537 | — | — | — | $537 – $537 |
| 10 | Medicaid medicaid ma (n) facility · other · outpatient | $739 | $739 | — | — | — | $739 – $739 |
| 11 | Medica medica medicare (r) facility · fee schedule · outpatient | $750 | $750 | — | — | — | $750 – $750 |
| 12 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $760 | $760 | — | — | — | $760 – $760 |
| 13 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $785 | $785 | — | — | — | $785 – $785 |
| 14 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 16 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Cigna hpi cigna (n) facility · other · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 22 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 23 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 24 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 25 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
Last updated: Jun 16, 2026
See Infliximab-dyyb (Inflectra) injection, per 10 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.