CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Sky Ridge Medical Center

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $4,594
  • Cash Discount Price: $14,195
  • vs. Medicare Baseline: 32.77x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Sky Ridge Medical Center is $4,594. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,195. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 32.77x the Medicare baseline. Located in 10101 Ridgegate Pkwy, Lone Tree, CO.
Cash / Self-Pay
$14,195

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,594

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: $14,195 (10124%)
Insurance Median: $4,594 (3277%)
Cash: $14,195 (10124% of Medicare)
Ins. Median: $4,594 (3277% 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 3277% of the Medicare baseline (a markup of 3177%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 - $13,576 116%
United $227 - $9,546 162%
Pinnacol Workers Comp $228 163%
Multiplan $238 - $19,091 170%
Rocky Mountain Health Plan $413 295%
Vail Health $1,091 - $3,224 778%
Kaiser $1,436 - $7,530 1024%
Bright Health $2,153 - $6,364 1536%
Western Plains Community Health $4,666 - $13,788 3328%
Northcare $5,025 - $14,849 3584%
Physician Health Partners $5,025 - $14,849 3584%
Blue Cross Blue Shield $5,312 - $15,697 3789%
Medical Development International $5,742 - $16,970 4095%
Prime Health $6,460 - $19,091 4607%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10101 Ridgegate Pkwy, Lone Tree, CO 80124
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals