CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Children's Healthcare of Atlanta at Scottish Rite

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $1,143
Cash Discount Price: $2,892
vs. Medicare Baseline: 8.15x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Children's Healthcare of Atlanta at Scottish Rite is $1,143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,892. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 8.15x the Medicare baseline. Located in 1001 Johnson Ferry Road, Atlanta, GA.

Cash / Self-Pay

$2,892

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,143

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: $2,892 (2063%)

Insurance Median: $1,143 (815%)

Cash: $2,892 (2063% of Medicare)

Ins. Median: $1,143 (815% 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 815% of the Medicare baseline (a markup of 715%). 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
Peachstate [43]	$154	110%
Caresource [61]	$154	110%
Amerigroup [102]	$178	127%
Cigna	$805 - $3,017	574%
Blue Cross Blue Shield	$808 - $4,456	576%
United [5]	$808 - $3,029	576%
Ambetter / Centene	$815 - $3,056	581%
Oscar [228]	$816 - $3,059	582%
Aetna	$820 - $3,072	585%
Caresource Marketplace Bronze/Silver/Gold [60]	$828 - $3,102	591%
Kaiser [6]	$829 - $3,108	591%
Sidecar Health [236]	$840 - $3,150	599%
Direct Employer Agreements [72]	$853 - $3,880	608%
Coventry [9]	$855 - $3,204	610%
First Health [74]	$914 - $3,426	652%
Veracity Benefits [809]	$914 - $3,424	652%
Northeast Georgia Heatlh System [808]	$914 - $3,424	652%
Secure Health [340]	$1,035 - $3,880	738%
PHCS [93]	$1,035 - $3,880	738%
Beech Street [71]	$1,096 - $4,108	782%
Multiplan [92]	$1,194 - $4,474	852%
Novanet [41]	$1,218 - $4,565	869%

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 $2,892.
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 Children's Healthcare of Atlanta at Scottish Rite 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.