CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Samaritan Hospital of Troy, New York

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$163

about 1.2× the $140 Medicare rate · typically $121–$347

modeled estimate · not a bill or quote

What this hospital charges insurers

$303

Well above the fair price

about $140 over the fair price · 2.2× Medicare

Medicare pays $140 Fair price $163 This hospital $303 Cash price $690 Hospital's list price $1,061

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 $303

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

A fair price for a Hepatitis B immune globulin is about $163 (about 1.2× the $140 Medicare rate). Samaritan Hospital of Troy, New York charges insurers about $303, or about $690 in cash — well above the fair price. Located in Troy, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $163. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$93 - $1,889	66%
Blue Cross Blue Shieldmajor	$135 - $854	96%
Aetnamajor	$146 - $1,516	104%
Cignamajor	$207 - $1,034	148%
Fidelis Care	$248	177%
GEHA	$303 - $1,516	216%
Harvard Pilgrim	$216 - $1,078	154%
HealthPartners	$207 - $1,034	148%
Independent Health	$198 - $1,606	141%
MagnaCare	$198 - $1,606	141%
Medical Mutual	$303 - $1,516	216%
MVP Health Care	$146 - $730	104%
Priority Health	$207 - $1,034	148%
Tufts Health Plan	$207 - $1,034	148%
UniCare	$152 - $758	108%
+ 22 smaller / regional plans	$116 - $1,889

Government programs also on file: Medicare, Medicaid.

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 690), 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 Samaritan Hospital of Troy, New York 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 Samaritan Hospital of Troy, New York

Compare: Hepatitis B immune globulin at other NY hospitals

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