CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Lafayette Regional Health Center

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $254
  • Cash Discount Price: $1,289
  • vs. Medicare Baseline: 1.81x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Lafayette Regional Health Center is $254. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,289. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 1.81x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$1,289

Average discount available for prompt cash payment at this facility.

Insurance Median
$254

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: $1,289 (919%)
Insurance Median: $254 (181%)
Cash: $1,289 (919% of Medicare)
Ins. Median: $254 (181% 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
Ambetter / Centene $52 - $427 37%
Healthyblue $56 - $459 40%
United $71 - $1,033 51%
Aetna $73 - $2,009 52%
Universal Healthcare $73 - $597 52%
Humana $95 - $987 68%
Blue Cross Blue Shield $107 - $1,469 76%
Oscar $141 - $1,148 101%
Oha Network $141 - $1,148 101%
Cigna $161 - $1,639 115%
Wppa Providrs Care Network $211 - $1,722 150%
Multiplan $220 - $1,790 157%
Coventry Kc Mo $225 - $1,832 160%
Coventry $225 - $1,832 160%
Cco, Inc. $239 - $1,951 170%
Corvel Corporation $239 - $1,951 170%
Focus Healthcare Mgmt, Inc $254 - $2,066 181%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 State Street, Lexington, MO 64067
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals