CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Memorial Hospital Miramar

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $1,390
  • Cash Discount Price: $1,613
  • vs. Medicare Baseline: 9.91x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Memorial Hospital Miramar is $1,390. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,613. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 9.91x the Medicare baseline. Located in 1901 Sw 172Nd Ave, Miramar, FL.
Cash / Self-Pay
$1,613

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,390

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: $1,613 (1150%)
Insurance Median: $1,390 (991%)
Cash: $1,613 (1150% of Medicare)
Ins. Median: $1,390 (991% 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 991% of the Medicare baseline (a markup of 891%). 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
Wellcare $146 - $150 104%
Florida Community Care $147 105%
Aetna $149 - $153 106%
Humana $149 106%
Solis Health Plan $156 111%
Avmed $157 - $379 112%
Health Sun $157 - $8,282 112%
Florida Pace Centers $158 113%
UnitedHealthcare $165 - $252 118%
Align Senior Care $168 120%
Longevity $172 123%
Sunshine $186 - $4,638 133%
Cigna $208 - $6,714 148%
Community Care Plan $266 - $3,479 190%
Molina $266 - $3,534 190%
Amerihealth Caritas $266 - $3,644 190%
Employers Health Network $467 - $4,086 333%
Broward County $718 - $2,726 512%
Emerging Therapy Solutions $786 - $6,626 561%
Worldwide Managed Care Partners $851 - $7,178 607%
Axis $851 - $7,178 607%
Desjardins Financial Security Life Assurance Company $851 - $7,178 607%
Quebec Inc $851 - $7,178 607%
Plotkin $851 - $7,178 607%
National Healthcare Solutions $851 - $7,178 607%
World Medical Care $851 - $7,178 607%
Global Reach Health $851 - $7,178 607%
Star Healthcare Network $851 - $7,178 607%
Global Medical Management $851 - $7,178 607%
Worldwide Medical Assurance $851 - $7,178 607%
Allianz $851 - $7,178 607%
Global Health Claims $851 - $9,387 607%
Quality Health Management $851 - $7,178 607%
Dimension Health $884 - $7,454 630%
Gallagher Bassett $1,048 - $8,835 747%
Prime Health Services $1,077 768%
First Health $1,077 768%
Employers Choice Network $1,077 768%
Corvel $1,077 768%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 Sw 172Nd Ave, Miramar, FL 33029
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals