CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Bob Wilson Memorial Hospital

Billing Code: 90371 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$199
about 1.4× the $140 Medicare rate · typically $145–$672
modeled estimate · not a bill or quote
What this hospital charges insurers
$160
Below the fair price — a good deal
about $39 under the fair price · 1.1× Medicare
Medicare pays $140 Fair price $199 This hospital $160 Cash price $401 Hospital's list price $1,001

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

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

Cheapest $132 Priciest $160

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 $199 (about 1.4× the $140 Medicare rate). Bob Wilson Memorial Hospital charges insurers about $160, or about $401 in cash — below the fair price — a good deal. Located in Ulysses, KS.

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✓ Humana CignaKaiser 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 $170 - $4,004 121%
Blue Cross Blue Shieldmajor $160 114%
Aetnamajor $170 - $3,841 121%
Humanamajor $170 - $1,536 121%
HealthPartners $499 - $4,513 356%
+ 3 smaller / regional plans $170 - $4,561
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 415 N Main Street, Ulysses, KS 67880
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals