CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Adventist Health Lodi Memorial

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$156

about 1.1× the $140 Medicare rate · typically $132–$319

modeled estimate · not a bill or quote

What this hospital charges insurers

$154

About the fair price

about $2 under the fair price · 1.1× Medicare

Medicare pays $140 Fair price $156 This hospital $154 Cash price $114 Hospital's list price $1,625

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $103 Priciest $154

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

A fair price for a Hepatitis B immune globulin is about $156 (about 1.1× the $140 Medicare rate). Adventist Health Lodi Memorial charges insurers about $154, or about $114 in cash — about the fair price. Located in Lodi, CA.

What each insurance company pays

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

6 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	$140 - $675	100%
Blue Cross Blue Shieldmajor	$90 - $546	64%
Aetnamajor	$662	472%
Cignamajor	$1,462	1043%
Humanamajor	$140	100%
Kaiser Permanentemajor	$140 - $666	100%
Bright Health	$280	200%
Health Net	$140 - $798	100%
+ 11 smaller / regional plans	$140 - $731

Government programs also on file: Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (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 114), 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 Adventist Health Lodi Memorial 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 Adventist Health Lodi Memorial

Compare: Hepatitis B immune globulin at other CA hospitals

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