CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Harmon Memorial Hospital

Billing Code: 90371 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$187
about 1.3× the $140 Medicare rate · typically $95–$655
modeled estimate · not a bill or quote
What this hospital charges insurers
$84
Below the fair price — a good deal
about $103 under the fair price · 0.6× Medicare
Medicare pays $140 Fair price $187 This hospital $84 Cash price $346 Hospital's list price $346

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

A typical price — 5 charge more and 3 charge less, among the 9 OK hospitals compared.

Cheapest $71 Priciest $133

Black dot = this hospital, among the 9 OK 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 $187 (about 1.3× the $140 Medicare rate). Harmon Memorial Hospital charges insurers about $84, or about $346 in cash — below the fair price — a good deal. Located in Hollis, OK.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $84 60%
Aetnamajor $245 - $277 175%
Humanamajor $245 175%
+ 1 smaller / regional plan $245 - $294
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 400 East Chestnut Street, Hollis, OK 73550
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals