CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Good Samaritan Hospital of Suffern

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$149

about 1.1× the $140 Medicare rate · typically $137–$398

modeled estimate · not a bill or quote

What this hospital charges insurers

$168

About the fair price

about $19 over the fair price · 1.2× Medicare

Medicare pays $140 Fair price $149 This hospital $168 Cash price $1,716 Hospital's list price $1,716

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $131 Priciest $168

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Hepatitis B immune globulin is about $149 (about 1.1× the $140 Medicare rate). Good Samaritan Hospital of Suffern charges insurers about $168, or about $1,716 in cash — about the fair price. Located in Suffern, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$215 - $1,940	153%
Blue Cross Blue Shieldmajor	$117 - $1,386	83%
Aetnamajor	$138 - $1,386	98%
Cignamajor	$215 - $1,940	153%
CDPHP	$154 - $1,386	110%
Geisinger	$463	330%
MagnaCare	$215 - $2,495	153%
Molina	$147	105%
MVP Health Care	$140 - $1,386	100%
+ 6 smaller / regional plans	$168 - $2,218

Government programs also on file: Medicare, Military & VA.

Excludes 5 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 1,716), 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 Good Samaritan Hospital of Suffern 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 Good Samaritan Hospital of Suffern

Compare: Hepatitis B immune globulin at other NY hospitals

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