CMS Price Transparency Data

Hepatitis B immune globulin

Facility: St Francis Hospital

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $386
  • Cash Discount Price: $1,148
  • vs. Medicare Baseline: 2.75x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at St Francis Hospital is $386. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,148. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 2.75x the Medicare baseline. Located in 7Th and Clayton Sts, Wilmington, DE.
Cash / Self-Pay
$1,148

Average discount available for prompt cash payment at this facility.

Insurance Median
$386

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: $1,148 (819%)
Insurance Median: $386 (275%)
Cash: $1,148 (819% of Medicare)
Ins. Median: $386 (275% 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 275% of the Medicare baseline (a markup of 175%). 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
Saint Francis Life $135 96%
Pace-Trinity Health $135 96%
Blue Cross Blue Shield $138 - $901 98%
Cigna $139 - $1,169 99%
Medicare (plans) $141 - $145 101%
Highmark Health Options Dual Plan $142 101%
Blue Shield - De (Highmark) Medciare Advantage $142 101%
Aetna $146 - $1,228 104%
Medicaid / KanCare $152 - $758 108%
Amerihealth $165 - $825 118%
Coventry $165 118%
Blue Shield - PA (Highmark) $180 - $901 128%
Blue Shield - Ny Highmark Western $180 - $901 128%
Blue Care Network $180 - $901 128%
Blue Shield - Wa (Regence) $180 - $901 128%
Blue Benefit Administrators of Massachusetts $180 - $901 128%
Blue Shield - Id (Regence) $180 - $901 128%
Blue Shield - Ny Highmark Northeastern $180 - $901 128%
Blue Distinction Transplant $180 - $901 128%
Blue Shield - Ca $180 - $901 128%
Trustmark Small Business Benefits $264 - $1,228 188%
Meritain $264 - $1,228 188%
Devon Health Services $386 - $1,795 275%
Multiplan $386 - $1,795 275%
Prime Health Services $386 - $1,795 275%
Wc Corvel $386 - $1,795 275%
Galaxy Health Network $386 - $1,795 275%
Three Rivers Provider Network $386 - $1,795 275%
Geha $390 - $1,814 278%
UnitedHealthcare $390 - $1,814 278%
Delaware First Health $409 - $1,903 292%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7Th and Clayton Sts, Wilmington, DE 19805
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals