CMS Price Transparency Data
Hepatitis B immune globulin
Facility: St Francis Hospital & Medical Center
Billing Code: 90371 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90371
- Insurance Median: $195
- Cash Discount Price: $1,061
- vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at St Francis Hospital & Medical Center is $195. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,061. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 1.39x the Medicare baseline. Located in 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT.
Cash / Self-Pay
$1,061
Average discount available for prompt cash payment at this facility.
Insurance Median
$195
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: $1,061 (757%)
Insurance Median: $195 (139%)
Cash: $1,061 (757% of Medicare)
Ins. Median: $195 (139% 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.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Geha | $115 - $937 | 82% |
| Harvard Pilgrim Healthcare | $115 - $937 | 82% |
| UnitedHealthcare | $115 - $940 | 82% |
| Blue Cross Blue Shield | $122 - $788 | 87% |
| Health New England | $128 - $1,042 | 91% |
| Connecticut Dept of Correction | $131 - $653 | 93% |
| Aetna | $135 - $848 | 96% |
| Medicare (plans) | $135 - $142 | 96% |
| Cca Senior Care Options | $138 | 98% |
| Cigna | $139 - $1,511 | 99% |
| Allied National Global Care | $158 - $1,285 | 113% |
| Asrm - Reliance Standard Life Insurance | $158 - $1,285 | 113% |
| Bcn Domestic | $158 - $788 | 113% |
| Blue Benefit Administrators of Massachusetts | $158 - $788 | 113% |
| Blue Care Network | $158 - $788 | 113% |
| Blue Distinction Transplant | $158 - $788 | 113% |
| Blue Shield - Ca | $158 - $788 | 113% |
| Blue Shield - Id (Regence) | $158 - $788 | 113% |
| Blue Shield - Ny Highmark Northeastern | $158 - $788 | 113% |
| Blue Shield - Ny Highmark Western | $158 - $788 | 113% |
| Blue Shield - PA (Highmark) | $158 - $788 | 113% |
| Blue Shield - Wa (Regence) | $158 - $788 | 113% |
| Christian Care Ministry | $158 - $1,285 | 113% |
| Dean Health | $158 - $1,285 | 113% |
| Family Life Insurance Company | $158 - $1,285 | 113% |
| Ghc Scw | $158 - $1,285 | 113% |
| Health Choices | $158 - $788 | 113% |
| International Benefit Administrators | $158 - $1,285 | 113% |
| Kaiser Domestic | $158 - $788 | 113% |
| Lifetime Benefit Solutions | $158 - $1,285 | 113% |
| Manhattan Life | $158 - $1,285 | 113% |
| Medi Share | $158 - $1,285 | 113% |
| Multiplan | $158 - $1,285 | 113% |
| Mvp | $158 - $1,285 | 113% |
| PHCS | $158 - $1,285 | 113% |
| Pai | $158 - $1,285 | 113% |
| Pan-American Life | $158 - $1,285 | 113% |
| Paramount HMO | $158 - $1,285 | 113% |
| Pre-Employment | $158 - $788 | 113% |
| Trinity Health Share | $158 - $1,285 | 113% |
| Unicare | $158 - $788 | 113% |
| Wc Domestic | $158 - $788 | 113% |
| Wellpoint | $158 - $788 | 113% |
| Prime Health Services | $163 - $1,322 | 116% |
| 1199 National Benefit Fund | $170 - $848 | 121% |
| Allied Benefit Systems | $170 - $848 | 121% |
| Gravie Admin Services | $170 - $848 | 121% |
| Hap | $170 - $848 | 121% |
| Luminare Health | $170 - $848 | 121% |
| Meritain | $170 - $848 | 121% |
| Nippon Life Ins | $170 - $848 | 121% |
| Webtpa | $170 - $848 | 121% |
| Fallon Health | $179 | 128% |
| Connecticare | $193 - $1,173 | 138% |
| Health Smart | $198 - $1,606 | 141% |
| Allegiance | $200 - $1,000 | 143% |
| Health Partners | $200 - $1,000 | 143% |
| Magnacare | $200 - $1,000 | 143% |
| Centivo | $276 | 197% |
| Innovative Health Plan II | $289 | 206% |