CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Adena Pike Medical Center

Billing Code: 90371 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$189

about 1.4× the $140 Medicare rate · typically $138–$827

modeled estimate · not a bill or quote

What this hospital charges insurers

$139

Below the fair price — a good deal

about $50 under the fair price · 1.0× Medicare

Medicare pays $140 Fair price $189 This hospital $139 Cash price $2,000 Hospital's list price $3,999

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

A typical price — 4 charge more and 3 charge less, among the 9 OH hospitals compared.

Cheapest $128 Priciest $143

Black dot = this hospital, among the 9 OH 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 $189 (about 1.4× the $140 Medicare rate). Adena Pike Medical Center charges insurers about $139, or about $2,000 in cash — below the fair price — a good deal. Located in Waverly, OH.

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	$685 - $6,194	489%
Blue Cross Blue Shieldmajor	$139 - $6,050	99%
Aetnamajor	$191 - $5,863	136%
Cignamajor	$576 - $5,214	411%
Humanamajor	$191 - $6,842	136%
Medical Mutual	$191 - $5,428	136%
Molina	$191 - $2,835	136%
+ 9 smaller / regional plans	$191 - $6,770

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 2,000), 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 Adena Pike Medical Center 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 Adena Pike Medical Center

Compare: Hepatitis B immune globulin at other OH hospitals

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