CMS Price Transparency Data

Hepatitis B immune globulin

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $445
Cash Discount Price: $780
vs. Medicare Baseline: 3.17x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at HCA Florida Fort Walton-Destin Hospital is $445. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $780. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 3.17x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$780

Average discount available for prompt cash payment at this facility.

Insurance Median

$445

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: $780 (556%)

Insurance Median: $445 (317%)

Cash: $780 (556% of Medicare)

Ins. Median: $445 (317% 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 317% of the Medicare baseline (a markup of 217%). 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
Blue Cross Blue Shield	$48 - $1,113	34%
Simply	$67 - $662	48%
United	$90 - $1,934	64%
Aetna	$131 - $1,289	93%
Humana	$139	99%
Molina Healthcare	$140 - $1,375	100%
Avmed	$218 - $2,149	155%
Plotkin Health	$218 - $2,149	155%
Prime Health Sheriff	$218 - $2,149	155%
Naphcare	$284 - $2,794	203%
Evolutions Healthcare	$284 - $3,868	203%
Multiplan	$340 - $3,653	242%
Evernorth	$349 - $3,438	249%
PPO Next	$371 - $3,653	265%
Novanet	$393 - $3,868	280%
Beacon Health Options	$436 - $4,298	311%
Corvel Corporation	$990	706%
Prime Health	$1,011	721%
Careworks (Rockport Community)	$1,042	743%

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 $780.
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 Florida Fort Walton-Destin Hospital 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.