CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Adirondack Medical Center - Saranac Lake

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $723
Cash Discount Price: $1,176
vs. Medicare Baseline: 5.16x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Adirondack Medical Center - Saranac Lake is $723. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,176. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 5.16x the Medicare baseline. Located in 2233 State Route 86, Po Box 471, Saranac Lake, NY.

Cash / Self-Pay

$1,176

Average discount available for prompt cash payment at this facility.

Insurance Median

$723

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: $1,176 (839%)

Insurance Median: $723 (516%)

Cash: $1,176 (839% of Medicare)

Ins. Median: $723 (516% 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 516% of the Medicare baseline (a markup of 416%). 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
Tricare	$631	450%
Medicare (plans)	$651 - $723	464%
Aetna	$723	516%
Blue Cross Blue Shield	$723 - $1,882	516%
Capital District Physicians Health Plan Cdphp	$723	516%
Capital District Physicians Health Plan McR Adv	$723	516%
Wellcare Health Plan Inc McR Adv	$738	526%
Cigna	$1,366	974%
Mvp Healthplan of Ny	$1,366	974%

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 $1,176.
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 Adirondack Medical Center - Saranac Lake 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.