CMS Price Transparency Data

Hepatitis B immune globulin

Facility: T J Samson Community Hospital

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$140

about 1.0× the $140 Medicare rate · typically $124–$189

modeled estimate · not a bill or quote

What this hospital charges insurers

$140

About the fair price

1.0× Medicare

Medicare pays $140 Fair price $140 This hospital $140 Cash price $402 Hospital's list price $619

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

On the higher side — 7 of 8 other KY hospitals charge less.

Cheapest $134 Priciest $141

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

A fair price for a Hepatitis B immune globulin is about $140 (about 1.0× the $140 Medicare rate). T J Samson Community Hospital charges insurers about $140, or about $402 in cash — about the fair price. Located in Glasgow, KY.

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	$481	343%
Blue Cross Blue Shieldmajor	$121 - $526	86%
Aetnamajor	$153	109%
Humanamajor	$140 - $153	100%
CareSource	$210	150%
Devoted Health	$147	105%
Molina	$143 - $210	102%
WellCare	$137 - $140	98%
+ 2 smaller / regional plans	$142 - $526

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 402), 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 T J Samson Community 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 T J Samson Community Hospital

Compare: Hepatitis B immune globulin at other KY hospitals

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