CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Riverview Medical Center

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $403
Cash Discount Price: $131
vs. Medicare Baseline: 2.87x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Riverview Medical Center is $403. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $131. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 2.87x the Medicare baseline. Located in One Riverview Plaza, Red Bank, NJ.

Cash / Self-Pay

$131

Average discount available for prompt cash payment at this facility.

Insurance Median

$403

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: $131 (93%)

Insurance Median: $403 (287%)

Cash: $131 (93% of Medicare)

Ins. Median: $403 (287% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 287% of the Medicare baseline (a markup of 187%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Clover	$104 - $145	74%
Horizon	$111 - $650	79%
Blue Cross Blue Shield	$131	93%
Vaccn	$131	93%
United Community/Americhoice	$137	98%
Aetna	$142 - $631	101%
UnitedHealthcare	$157 - $474	112%
Amerihealth	$169 - $256	121%
Karna	$180	128%
Wellcare	$261 - $362	186%
Qualcare	$271 - $415	193%
Cigna	$287 - $644	205%
Amerigroup	$290 - $403	207%
Seoul Medical Group	$290 - $403	207%
Oxford	$291	208%
Bergen Risk	$348 - $483	248%
Activecare First McO	$493 - $685	352%
Multiplan - PHCS	$493 - $685	352%
Brighton Health Plan	$522 - $725	372%

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 $131.
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 Riverview Medical Center 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.