CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Mercyone North Iowa Medical Center

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$151

about 1.1× the $140 Medicare rate · typically $132–$238

modeled estimate · not a bill or quote

What this hospital charges insurers

$131

Below the fair price — a good deal

about $20 under the fair price · 0.9× Medicare

Medicare pays $140 Fair price $151 This hospital $131 Cash price $388 Hospital's list price $388

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Lowest price of the 9 IA hospitals we have prices for — a strong deal.

Cheapest $131 Priciest $143

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

A fair price for a Hepatitis B immune globulin is about $151 (about 1.1× the $140 Medicare rate). Mercyone North Iowa Medical Center charges insurers about $131, or about $388 in cash — below the fair price — a good deal. Located in Mason City, IA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

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	$138 - $388	98%
Blue Cross Blue Shieldmajor	$131 - $136	93%
Aetnamajor	$135 - $204	96%
Cignamajor	$271	193%
Kaiser Permanentemajor	$131	93%
Ambetter (Centene)	$232	165%
GEHA	$152	108%
HealthPartners	$259	185%
Medica	$271	193%
Medical Mutual	$204	145%
Oscar Health	$182	130%
+ 25 smaller / regional plans	$99 - $597

Government programs also on file: Medicare, Medicaid.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 388), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: 90371.

Insurance Before you use insurance

Call your insurance company to confirm Mercyone North Iowa Medical Center is in-network.
Ask your insurer whether prior approval is required for HCPCS code 90371.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercyone North Iowa Medical Center

Compare: Hepatitis B immune globulin at other IA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.