CMS Price Transparency Data

Hepatitis B immune globulin

Facility: West Valley Medical Center

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $677
Cash Discount Price: $1,134
vs. Medicare Baseline: 4.83x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at West Valley Medical Center is $677. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,134. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 4.83x the Medicare baseline. Located in 1717 Arlington Street, Caldwell, ID.

Cash / Self-Pay

$1,134

Average discount available for prompt cash payment at this facility.

Insurance Median

$677

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: $1,134 (809%)

Insurance Median: $677 (483%)

Cash: $1,134 (809% of Medicare)

Ins. Median: $677 (483% 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 483% of the Medicare baseline (a markup of 383%). 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	$126 - $5,071	90%
Molina	$126	90%
Select Health Idaho (Eirmc Only)	$130 - $1,703	93%
Corizon Health	$151 - $1,975	108%
True Blue	$161 - $2,108	115%
Cigna	$191	136%
United	$227 - $3,186	162%
St Luke's Health Partners	$234	167%
Pacificsource Health	$243 - $3,186	173%
Moda	$254 - $3,325	181%
Regence	$288	205%
Aetna	$322 - $4,222	230%
Multiplan	$326 - $4,270	233%
Four Rivers Hospice	$326 - $4,270	233%
Humana	$342 - $4,483	244%
Geha PPO USA	$346 - $4,537	247%
Coventry First Health	$367 - $4,804	262%
St Alphonsus Health	$367 - $4,804	262%

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 $1,134.
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 West Valley Medical Center 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.