CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Wilson Memorial Hospital

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$155
about 1.1× the $140 Medicare rate · typically $135–$389
modeled estimate · not a bill or quote
Medicare pays $140 Fair price $155 Cash price $478 Hospital's list price $956

How we calculate the fair BaseRate →

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 $241 - $1,207 172%
Blue Cross Blue Shieldmajor $189 - $1,417 135%
Aetnamajor $206 - $1,303 147%
Cignamajor $235 - $1,485 168%
Medical Mutual $146 - $921 104%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 915 West Michigan Street, Sidney, OH 45365
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals