CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Indiana University Health White Memorial Hospital

Billing Code: 90371 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$294

about 2.1× the $140 Medicare rate · typically $165–$500

modeled estimate · not a bill or quote

What this hospital charges insurers

$266

About the fair price

about $28 under the fair price · 1.9× Medicare

Medicare pays $140 Fair price $294 This hospital $266 Cash price $1,533 Hospital's list price $4,916

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 $266

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Hepatitis B immune globulin is about $294 (about 2.1× the $140 Medicare rate). Indiana University Health White Memorial Hospital charges insurers about $266, or about $1,533 in cash — about the fair price. Located in Monticello, 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✓ 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	$166 - $4,604	118%
Blue Cross Blue Shieldmajor	$166 - $266	118%
Aetnamajor	$336 - $4,642	240%
Cignamajor	$1,151 - $5,043	821%
CareSource	$166	118%
Health Net	$676 - $5,763	482%
+ 9 smaller / regional plans	$166 - $7,364

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

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 1,533), 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 Indiana University Health White Memorial Hospital 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 Indiana University Health White Memorial Hospital

Compare: Hepatitis B immune globulin at other IN hospitals

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