CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Children's Hosp of Los Angeles

Billing Code: 90371 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$163
about 1.2× the $140 Medicare rate · typically $72–$345
modeled estimate · not a bill or quote
Medicare pays $140 Fair price $163 Cash price $19 Hospital's list price $19

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $15 - $19 11%
Blue Cross Blue Shieldmajor $19 - $184 14%
Aetnamajor $19 14%
Cignamajor $19 14%
Health Net $19 - $24 14%
Presbyterian $19 14%
Sentara $19 - $142 14%
+ 59 smaller / regional plans $14 - $38
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 4650 Sunset Blvd, Ms 108, Los Angeles, CA 90027
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens