CMS Price Transparency Data

Hepatitis B immune globulin

Facility: UPMC Chautauqua at Wca

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$143

about 1.0× the $140 Medicare rate · typically $134–$177

modeled estimate · not a bill or quote

What this hospital charges insurers

$134

About the fair price

about $9 under the fair price · 1.0× Medicare

Medicare pays $140 Fair price $143 This hospital $134 Cash price $1,156 Hospital's list price $1,927

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

One of the lower prices — 3 of 8 other NY hospitals charge more for the same procedure.

Cheapest $131 Priciest $138

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 $143 (about 1.0× the $140 Medicare rate). UPMC Chautauqua at Wca charges insurers about $134, or about $1,156 in cash — about the fair price. Located in Jamestown, 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✓ Humana CignaKaiser 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	$134 - $1,409	96%
Blue Cross Blue Shieldmajor	$337	240%
Aetnamajor	$140 - $1,409	100%
Humanamajor	$134 - $1,734	96%
Fidelis Care	$134	96%
Geisinger	$134	96%
HealthPartners	$15	11%
Independent Health	$134	96%
MagnaCare	$467 - $1,625	333%
UPMC Health Plan	$134 - $1,300	96%
WellCare	$138	98%
+ 3 smaller / regional plans	$132 - $1,734

Excludes 3 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 1,156), 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 UPMC Chautauqua at Wca 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 UPMC Chautauqua at Wca

Compare: Hepatitis B immune globulin at other NY hospitals

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