CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Northwest Medical Center Sahuarita

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$141

about 1.0× the $140 Medicare rate · typically $134–$209

modeled estimate · not a bill or quote

What this hospital charges insurers

$138

About the fair price

about $3 under the fair price · 1.0× Medicare

Medicare pays $140 Fair price $141 This hospital $138 Cash price $103 Hospital's list price $363

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

One of the lower prices — 2 of 8 other AZ hospitals charge more for the same procedure.

Cheapest $108 Priciest $145

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a Hepatitis B immune globulin is about $141 (about 1.0× the $140 Medicare rate). Northwest Medical Center Sahuarita charges insurers about $138, or about $103 in cash — about the fair price. Located in Sahuarita, AZ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$86 - $141	61%
Blue Cross Blue Shieldmajor	$48 - $138	34%
Aetnamajor	$102 - $138	73%
Cignamajor	$103 - $138	73%
Humanamajor	$138	98%
Ambetter (Centene)	$138 - $194	98%
Banner Health	$145	103%
Clover Health	$139	99%
Devoted Health	$142	101%
WellCare	$145	103%
+ 5 smaller / regional plans	$106 - $262

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 103), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: 90371.

Insurance Before you use insurance

Call your insurance company to confirm Northwest Medical Center Sahuarita is in-network.
Ask your insurer whether prior approval is required for HCPCS code 90371.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Northwest Medical Center Sahuarita

Compare: Hepatitis B immune globulin at other AZ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.