CMS Price Transparency Data

Hepatitis B immune globulin

Facility: CHI St Alexius Health

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $131
Cash Discount Price: $74
vs. Medicare Baseline: 0.93x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at CHI St Alexius Health is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $74. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 0.93x the Medicare baseline. Located in 900 E Broadway, Bismarck, ND.

Cash / Self-Pay

$74

Average discount available for prompt cash payment at this facility.

Insurance Median

$131

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: $74 (53%)

Insurance Median: $131 (93%)

Cash: $74 (53% of Medicare)

Ins. Median: $131 (93% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medica	$99 - $131	71%
Health Partners	$100 - $124	71%
Multiplan	$120 - $149	86%
Humana	$131	93%
United	$131	93%
Sanford Health Plan	$133 - $157	95%
Blue Cross Blue Shield	$133 - $155	95%
Great Plains	$137	98%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $74.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90371.

Insurance In-Network Protection Plan

Contact your insurance company to confirm CHI St Alexius Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90371.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.