CMS Price Transparency Data

Hepatitis B immune globulin

Facility: HCA Healthone Rose

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $1,073
Cash Discount Price: $3,572
vs. Medicare Baseline: 7.65x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at HCA Healthone Rose is $1,073. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,572. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 7.65x the Medicare baseline. Located in 4567 E 9Th Ave, Denver, CO.

Cash / Self-Pay

$3,572

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,073

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$140.21

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $140.21 (100%)

Cash / Self-Pay: $3,572 (2548%)

Insurance Median: $1,073 (765%)

Cash: $3,572 (2548% of Medicare)

Ins. Median: $1,073 (765% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $140.21 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 765% of the Medicare baseline (a markup of 665%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Cigna	$162 - $3,618	116%
Vail Health	$226 - $859	161%
United	$227 - $2,544	162%
Pinnacol Workers Comp	$228	163%
Multiplan	$238 - $5,088	170%
Kaiser	$298 - $1,470	213%
Rocky Mountain Health Plan	$413	295%
Bright Health	$447 - $1,696	319%
Colorado Program for Children With Special Needs	$670 - $2,544	478%
Western Plains Community Health	$968 - $3,674	690%
Physician Health Partners	$1,043 - $3,957	744%
Northcare	$1,043 - $3,957	744%
Blue Cross Blue Shield	$1,103 - $4,183	787%
Medical Development International	$1,192 - $4,522	850%
Rocky Mtn Planned Parenthood	$1,266 - $4,805	903%
Prime Health	$1,341 - $5,088	956%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,572.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90371.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Healthone Rose is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90371.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.