CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Jay Hospital

Billing Code: 90371 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$159
about 1.1× the $140 Medicare rate · typically $116–$378
modeled estimate · not a bill or quote
Medicare pays $140 Fair price $159 Cash price $151 Hospital's list price $1,007

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $222 - $941 158%
Aetnamajor $222 - $614 158%
Cignamajor $419 - $1,007 299%
Humanamajor $133 - $645 95%
Simply Healthcare $614 438%
WellCare $29 - $222 21%
+ 9 smaller / regional plans $242 - $1,007
Government programs also on file: Medicare.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 14114 Alabama St, Jay, FL 32565
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals