CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Medstar Saint Mary's Hospital

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $225
  • Cash Discount Price: $221
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Medstar Saint Mary's Hospital is $225. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $221. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 1.60x the Medicare baseline. Located in 25500 Point Lookout Road, Leonardtown, MD.
Cash / Self-Pay
$221

Average discount available for prompt cash payment at this facility.

Insurance Median
$225

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: $221 (158%)
Insurance Median: $225 (160%)
Cash: $221 (158% of Medicare)
Ins. Median: $225 (160% 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.

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
Carefirst Blue Choice Inc $121 - $881 86%
Carefirst Advantage Inc $121 - $881 86%
First Health $121 - $881 86%
Ncppo Healthlink PPO $121 - $881 86%
United Behavioral Health Inc $121 - $881 86%
Hscsn $121 - $881 86%
Amerihealth Caritas District of Columbia $121 - $881 86%
Cigna $121 - $881 86%
Aetna $121 - $881 86%
Medstar Family Choice Inc $121 - $881 86%
Tricare $121 - $881 86%
Kaiser Permanente $121 - $881 86%
Amerigroup $121 - $881 86%
UnitedHealthcare $121 - $881 86%
Humana $121 - $881 86%
Medstar Family Choice $121 - $881 86%
Pfc $121 - $881 86%
Mamsi $121 - $881 86%
Private Healthcare Systems (PHCS) $121 - $881 86%
Magellan Behavioral Health Inc $121 - $881 86%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 25500 Point Lookout Road, Leonardtown, MD 20650
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals