CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Mahnomen Health Center

Billing Code: 90371 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$157
about 1.1× the $140 Medicare rate · typically $132–$467
modeled estimate · not a bill or quote
What this hospital charges insurers
$137
Below the fair price — a good deal
about $20 under the fair price · 1.0× Medicare
Medicare pays $140 Fair price $157 This hospital $137

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

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

Cheapest $82 Priciest $138

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

A fair price for a Hepatitis B immune globulin is about $157 (about 1.1× the $140 Medicare rate). Mahnomen Health Center charges insurers about $137 — below the fair price — a good deal. Located in Mahnomen, MN.

What each insurance company pays

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

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

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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 $137 98%
Sanford Health Plan $131 93%
UCare $137 98%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 414 W Jefferson Po Box 396, Mahnomen, MN 56557
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Rural Emergency Hospital