CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Franciscan Health Lafayette

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$229

about 1.6× the $140 Medicare rate · typically $144–$360

modeled estimate · not a bill or quote

What this hospital charges insurers

$227

About the fair price

about $2 under the fair price · 1.6× Medicare

Medicare pays $140 Fair price $229 This hospital $227 Cash price $136 Hospital's list price $614

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Highest price of the 9 IN hospitals we have prices for — worth calling around.

Cheapest $138 Priciest $227

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

A fair price for a Hepatitis B immune globulin is about $229 (about 1.6× the $140 Medicare rate). Franciscan Health Lafayette charges insurers about $227, or about $136 in cash — about the fair price. Located in Lafayette, IN.

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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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	$227	162%
Aetnamajor	$204 - $299	145%
Cignamajor	$342 - $583	244%
Humanamajor	$336 - $492	240%
+ 5 smaller / regional plans	$166 - $729

Government programs also on file: Medicaid.

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 136), 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 Franciscan Health Lafayette 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 Franciscan Health Lafayette

Compare: Hepatitis B immune globulin at other IN hospitals

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