CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Penobscot Valley Hospital

Billing Code: 90371 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$245
about 1.8× the $140 Medicare rate · typically $168–$796
modeled estimate · not a bill or quote
Medicare pays $140 Fair price $245 Cash price $1,531 Hospital's list price $1,914

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $881 - $1,531 628%
Blue Cross Blue Shieldmajor $908 - $1,419 648%
Aetnamajor $899 - $1,837 641%
Cignamajor $1,799 1283%
Humanamajor $890 635%
Harvard Pilgrim $1,828 1304%
WellCare $890 635%
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 7 Transalpine Road, Po Box 368, Lincoln, ME 04457
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals