CMS Price Transparency Data
Hepatitis B immune globulin
Facility: Lodi Community Hospital
Billing Code: 90371 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$173
about 1.2× the $140 Medicare rate · typically $153–$659
modeled estimate · not a bill or quote
Medicare pays $140 Fair price $173 Cash price $382 Hospital's list price $588
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 | $140 - $1,808 | 100% |
| Blue Cross Blue Shieldmajor | $140 - $1,808 | 100% |
| Aetnamajor | $184 - $637 | 131% |
| Cignamajor | $350 - $411 | 250% |
| Humanamajor | $163 - $191 | 116% |
| AmeriHealth | $1,894 | 1351% |
| CareSource | $1,722 | 1228% |
| Molina | $1,808 | 1289% |
| Oscar Health | $163 - $245 | 116% |
| UPMC Health Plan | $325 - $382 | 232% |
| + 15 smaller / regional plans | $120 - $1,722 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Lodi Community Hospital
Compare: Hepatitis B immune globulin at other OH hospitals
- Wood County Hospital · Bowling Green $128
- University of Toledo Medical Center · Toledo $131
- Memorial Hospital · Marysville $138
- Adena Fayette Medical Center · Washington Ch $139
- Adena Pike Medical Center · Waverly $139
- University Hospitals Samaritan Medical Center · Ashland $140
- Southeastern Ohio Regional Medical Center · Cambridge $140
- Fisher-Titus Hospital · Norwalk $141
Insurance negotiated median for the same procedure, sorted lowest first.