CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Griffin Hospital

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $429
  • Cash Discount Price: $171
  • vs. Medicare Baseline: 3.06x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Griffin Hospital is $429. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $171. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 3.06x the Medicare baseline. Located in 130 Division St, Derby, CT.
Cash / Self-Pay
$171

Average discount available for prompt cash payment at this facility.

Insurance Median
$429

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: $171 (122%)
Insurance Median: $429 (306%)
Cash: $171 (122% of Medicare)
Ins. Median: $429 (306% 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 306% of the Medicare baseline (a markup of 206%). 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
Aetna $156 - $338 111%
Blue Cross Blue Shield $156 - $1,124 111%
Carepartners of Connecticut $156 111%
Cigna $156 - $951 111%
Connecticare $156 111%
UnitedHealthcare $156 - $577 111%
Oxford $577 412%
Connecticare (Cbi) $790 563%
Connecticare (Cci) $790 563%
Centivo $990 706%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 Division St, Derby, CT 06418
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals