CMS Price Transparency Data
Hepatitis B immune globulin
Facility: Susan B Allen Memorial Hospital
Billing Code: 90371 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$169
about 1.2× the $140 Medicare rate · typically $148–$313
modeled estimate · not a bill or quote
Medicare pays $140 Fair price $169 Cash price $50 Hospital's list price $77
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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 | $350 | 250% |
| + 1 smaller / regional plan | $757 |
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Other Procedures at Susan B Allen Memorial Hospital
Compare: Hepatitis B immune globulin at other KS hospitals
- Mercy Hospital Pittsburg, Inc · Pittsburg $132
- St. Catherine Hospital - Garden City · Garden City $132
- Centura St. Catherine-Dodge City · Dodge City $132
- Lmh · Lawrence $141
- Labette Health · Parsons $144
- Grisell Memorial Hospital · Ransom $144
- Ascension Via Christi Hospitals Wichita, Inc. · Wichita $146
- Via Christi Hospital Wichita St Teresa, Inc · Wichita $146
Insurance negotiated median for the same procedure, sorted lowest first.