CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Melrosewakefield Healthcare

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$149

about 1.1× the $140 Medicare rate · typically $136–$397

modeled estimate · not a bill or quote

What this hospital charges insurers

$138

About the fair price

about $11 under the fair price · 1.0× Medicare

Medicare pays $140 Fair price $149 This hospital $138 Cash price $348 Hospital's list price $497

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

One of the lower prices — 0 of 8 other MA hospitals charge more for the same procedure.

Cheapest $134 Priciest $138

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

A fair price for a Hepatitis B immune globulin is about $149 (about 1.1× the $140 Medicare rate). Melrosewakefield Healthcare charges insurers about $138, or about $348 in cash — about the fair price. Located in Melrose, MA.

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✓ Cigna HumanaKaiser 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	$138	98%
Blue Cross Blue Shieldmajor	$138 - $139	98%
Aetnamajor	$174 - $537	124%
Cignamajor	$143 - $248	102%
AmeriHealth	$174	124%
AvMed	$174	124%
GEHA	$174	124%
Harvard Pilgrim	$138	98%
Tufts Health Plan	$131 - $262	93%
+ 104 smaller / regional plans	$138 - $531

Government programs also on file: Medicare, Medicaid.

Excludes 12 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 348), 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 Melrosewakefield Healthcare 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 Melrosewakefield Healthcare

Compare: Hepatitis B immune globulin at other MA hospitals

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