CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Elliot Hospital

Billing Code: 90371 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$213
about 1.5× the $140 Medicare rate · typically $163–$554
modeled estimate · not a bill or quote
What this hospital charges insurers
$179
Below the fair price — a good deal
about $34 under the fair price · 1.3× Medicare
Medicare pays $140 Fair price $213 This hospital $179 Cash price $505 Hospital's list price $1,364

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

A typical price — 5 charge more and 3 charge less, among the 9 NH hospitals compared.

Cheapest $135 Priciest $237

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

A fair price for a Hepatitis B immune globulin is about $213 (about 1.5× the $140 Medicare rate). Elliot Hospital charges insurers about $179, or about $505 in cash — below the fair price — a good deal. Located in Manchester, NH.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $134 - $768 96%
Aetnamajor $137 98%
Cignamajor $373 266%
Ambetter (Centene) $174 124%
WellSense $140 100%
+ 1 smaller / regional plan $141

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1 Elliot Way, Manchester, NH 03103
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals