CMS Price Transparency Data

Hepatitis B immune globulin

Facility: S E Lackey Memorial Hospital

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$143
about 1.0× the $140 Medicare rate · typically $113–$310
modeled estimate · not a bill or quote
What this hospital charges insurers
$152
About the fair price
about $9 over the fair price · 1.1× Medicare
Medicare pays $140 Fair price $143 This hospital $152 Cash price $170 Hospital's list price $170

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

Highest price of the 9 MS hospitals we have prices for — worth calling around.

Cheapest $132 Priciest $152

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

A fair price for a Hepatitis B immune globulin is about $143 (about 1.0× the $140 Medicare rate). S E Lackey Memorial Hospital charges insurers about $152, or about $170 in cash — about the fair price. Located in Forest, MS.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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 $135 - $205 96%
Blue Cross Blue Shieldmajor $100 71%
Cignamajor $169 121%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 330 N Broad Street, Forest, MS 39074
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals