CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Boston Medical Center

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $143
Cash Discount Price: $134
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Boston Medical Center is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $134. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 1.02x the Medicare baseline. Located in 1 Boston Medical Center Place, Boston, MA.

Cash / Self-Pay

$134

Average discount available for prompt cash payment at this facility.

Insurance Median

$143

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$140.21

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $140.21 (100%)

Cash / Self-Pay: $134 (96%)

Insurance Median: $143 (102%)

Cash: $134 (96% of Medicare)

Ins. Median: $143 (102% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $140.21 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Medicaid / KanCare	$96 - $117	68%
Uphams Corner Esp [1213]	$107 - $130	76%
Workers Comp [5002]	$115 - $140	82%
Zzzbu Employee Work Comp [5004]	$115 - $140	82%
Zzzcity of Boston Work Comp [5003]	$115 - $140	82%
Aetna	$131 - $159	93%
Meritain Health [1023]	$131 - $159	93%
Tufts [8002]	$136 - $148	97%
Zzzunited [1008]	$138 - $143	98%
Oxford Health [1007]	$138	98%
UnitedHealthcare	$138	98%
Blue Cross Blue Shield	$138	98%
Medicare (plans)	$138 - $145	98%
Ubh Hphc [8016]	$138	98%
Zzzcovid19 Hrsa Uninsured Testing and Treatment Fund [500010]	$138	98%
Oxford Health [2024]	$138	98%
United [2025]	$138 - $143	98%
Wellcare [1240]	$143	102%
Health Plans Inc [2027]	$143	102%
Harvard Pilgrim Health Care [8001]	$143	102%
Zzzhealth Plans Inc [1013]	$143	102%
Mass General Brigham Health Plan Commercial [8009]	$144 - $176	103%
Zzzcca Onecare [1216]	$145	103%
Cca [1215]	$145	103%
Corrections [9001]	$145 - $172	103%
Eternalhealth [1227]	$146	104%
Cigna	$148 - $277	106%
Unicare [8004]	$152	108%
Wellpoint [2034]	$152	108%
Fallon Sco [1126]	$152	108%
Senior Whole Health [1210]	$165	118%
Fallon [8008]	$179	128%
Tufts Conncare/Qhp [8020]	$196 - $431	140%
Hsn Bad Debt [4003]	$513	366%
Hsn [4001]	$513	366%
Hsn Partial [4002]	$513	366%
Hsn Dental [4006]	$513	366%
Hsn Confidential [4007]	$513	366%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $134.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90371.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Boston Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90371.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.