CMS Price Transparency Data

Hepatitis B immune globulin

Facility: St Luke's McCall

Billing Code: 90371 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$181
about 1.3× the $140 Medicare rate · typically $129–$571
modeled estimate · not a bill or quote
Medicare pays $140 Fair price $181 Cash price $981 Hospital's list price $981

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✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $170 - $1,714 121%
Blue Cross Blue Shieldmajor $104 - $1,571 74%
Aetnamajor $113 - $1,696 81%
Cignamajor $156 - $1,660 111%
GEHA $170 - $1,714 121%
Moda Health $156 - $1,571 111%
PacificSource $166 - $1,678 118%
+ 2 smaller / regional plans $103 - $1,714
Government programs also on file: Medicare, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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

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Facility Profile & Credentials

  • Address: 1000 State Street, McCall, ID 83638
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals