CMS Price Transparency Data

Hepatitis B immune globulin

Facility: CHI Health Midlands

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$358

about 2.6× the $140 Medicare rate · typically $188–$508

modeled estimate · not a bill or quote

Medicare pays $140 Fair price $358 Cash price $332 Hospital's list price $791

How we calculate the fair BaseRate →

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✓ Humana AetnaCignaKaiser 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	$68 - $654	48%
Blue Cross Blue Shieldmajor	$122 - $163	87%
Humanamajor	$127	91%
Ambetter (Centene)	$68 - $654	48%
Amerigroup	$134 - $597	96%
Medica	$127 - $1,889	91%
Molina	$391 - $609	279%
+ 6 smaller / regional plans	$105 - $2,179

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 332), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: 90371.

Insurance Before you use insurance

Call your insurance company to confirm CHI Health Midlands is in-network.
Ask your insurer whether prior approval is required for HCPCS code 90371.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at CHI Health Midlands

Compare: Hepatitis B immune globulin at other NE hospitals

Insurance negotiated median for the same procedure, sorted lowest first.