CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Fishermen's Community Hospital

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $974
Cash Discount Price: $1,121
vs. Medicare Baseline: 6.95x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Fishermen's Community Hospital is $974. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,121. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 6.95x the Medicare baseline. Located in 3301 Overseas Hwy, Marathon, FL.

Cash / Self-Pay

$1,121

Average discount available for prompt cash payment at this facility.

Insurance Median

$974

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: $1,121 (800%)

Insurance Median: $974 (695%)

Cash: $1,121 (800% of Medicare)

Ins. Median: $974 (695% 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 695% of the Medicare baseline (a markup of 595%). 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	$177 - $8,272	126%
Medica Health Plan	$222 - $1,737	158%
Medicare (plans)	$222 - $2,345	158%
Leon Medical	$222 - $1,737	158%
UnitedHealthcare	$222 - $8,272	158%
Humana	$242 - $1,893	173%
Avmed	$244 - $6,849	174%
Aetna	$245 - $6,336	175%
Cigna	$253 - $6,618	180%
Non Contracted	$388 - $3,036	277%
Amerigroup	$588	419%
Medicaid / KanCare	$588 - $647	419%
Wellcare	$617	440%
Sunshine State	$623	444%
Vista	$635	453%
International	$688 - $5,377	491%
Dimension Health Plan	$794 - $7,445	566%
Amerihealth	$794 - $6,204	566%
Quality Health	$952 - $7,445	679%
Affordable	$952 - $7,445	679%
PHCS	$952 - $7,445	679%

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 $1,121.
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 Fishermen's Community 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.