CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Grisell Memorial Hospital

Billing Code: 90371 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$201
about 1.4× the $140 Medicare rate · typically $139–$736
modeled estimate · not a bill or quote
What this hospital charges insurers
$144
Below the fair price — a good deal
about $57 under the fair price · 1.0× Medicare
Medicare pays $140 Fair price $201 This hospital $144 Cash price $144 Hospital's list price $151

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

A typical price — 3 charge more and 4 charge less, among the 9 KS hospitals compared.

Cheapest $132 Priciest $146

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

A fair price for a Hepatitis B immune globulin is about $201 (about 1.4× the $140 Medicare rate). Grisell Memorial Hospital charges insurers about $144, or about $144 in cash — below the fair price — a good deal. Located in Ransom, KS.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $113 - $151 81%
Blue Cross Blue Shieldmajor $144 103%
Humanamajor $151 108%
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 210 South Vermont Avenue, Ransom, KS 67572
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals