CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Memorial Hospital and Health Care Center

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$160

about 1.1× the $140 Medicare rate · typically $128–$167

modeled estimate · not a bill or quote

What this hospital charges insurers

$167

About the fair price

about $7 over the fair price · 1.2× Medicare

Medicare pays $140 Fair price $160 This hospital $167 Cash price $233 Hospital's list price $778

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 $167

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 $160 (about 1.1× the $140 Medicare rate). Memorial Hospital and Health Care Center charges insurers about $167, or about $233 in cash — about the fair price. Located in Jasper, IN.

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✓ Humana Kaiser 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	$403 - $2,211	287%
Blue Cross Blue Shieldmajor	$134 - $288	96%
Aetnamajor	$134 - $2,450	96%
Cignamajor	$491 - $1,976	350%
Humanamajor	$134	96%
Ambetter (Centene)	$174 - $1,769	124%
CareSource	$134 - $1,769	96%
+ 12 smaller / regional plans	$166 - $2,506

Government programs also on file: Military & VA.

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 233), 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 Memorial Hospital and Health Care 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 Memorial Hospital and Health Care Center

Compare: Hepatitis B immune globulin at other IN hospitals

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