CMS Price Transparency Data

Hepatitis B immune globulin

Facility: St Luke's Wood River Medical Center

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$395
about 2.8× the $140 Medicare rate · typically $193–$527
modeled estimate · not a bill or quote
Medicare pays $140 Fair price $395 Cash price $209 Hospital's list price $209

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 $106 - $1,616 76%
Blue Cross Blue Shieldmajor $102 - $1,464 73%
Aetnamajor $111 - $1,696 79%
Cignamajor $156 - $1,660 111%
GEHA $160 - $1,616 114%
Moda Health $156 - $1,571 111%
PacificSource $166 - $1,678 118%
+ 2 smaller / regional plans $101 - $1,732
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: 100 Hospital Drive, Ketchum, ID 83340
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals