CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Ira Davenport Memorial Hospital

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$162

about 1.2× the $140 Medicare rate · typically $145–$334

modeled estimate · not a bill or quote

What this hospital charges insurers

$163

About the fair price

about $1 over the fair price · 1.2× Medicare

Medicare pays $140 Fair price $162 This hospital $163 Cash price $194 Hospital's list price $194

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 $163

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 $162 (about 1.2× the $140 Medicare rate). Ira Davenport Memorial Hospital charges insurers about $163, or about $194 in cash — about the fair price. Located in Bath, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$146	104%
Blue Cross Blue Shieldmajor	$119 - $1,162	85%
Aetnamajor	$146 - $207	104%
Cignamajor	$121	86%
Humanamajor	$134 - $175	96%
AmeriHealth	$136	97%
Fidelis Care	$107 - $145	76%
Geisinger	$113	81%
Independent Health	$126	90%
MVP Health Care	$121	86%
UPMC Health Plan	$134	96%
+ 5 smaller / regional plans	$140 - $640

Government programs also on file: Military & VA.

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 194), 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 Ira Davenport Memorial Hospital 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 Ira Davenport Memorial Hospital

Compare: Hepatitis B immune globulin at other NY hospitals

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