CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Novant Health Ballantyne Medical Center

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$141
about 1.0× the $140 Medicare rate · typically $131–$214
modeled estimate · not a bill or quote
What this hospital charges insurers
$131
About the fair price
about $10 under the fair price · 0.9× Medicare
Medicare pays $140 Fair price $141 This hospital $131

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

One of the lower prices — 0 of 8 other NC hospitals charge more for the same procedure.

Cheapest $126 Priciest $131

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

A fair price for a Hepatitis B immune globulin is about $141 (about 1.0× the $140 Medicare rate). Novant Health Ballantyne Medical Center charges insurers about $131 — about the fair price. Located in Charlotte, NC.

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 $128 - $159 91%
Blue Cross Blue Shieldmajor $128 91%
Aetnamajor $131 93%
Cignamajor $131 - $332 93%
Humanamajor $128 91%
+ 3 smaller / regional plans $128 - $255

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Facility Profile & Credentials

  • Address: 10905 Providence Road W, Charlotte, NC 28277
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals