CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Legacy Good Samaritan Medical Center

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$197

about 1.4× the $140 Medicare rate · typically $148–$310

modeled estimate · not a bill or quote

Medicare pays $140 Fair price $197 Cash price $50 Hospital's list price $76

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✓ Kaiser Permanente CignaHumana

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	$322	230%
Blue Cross Blue Shieldmajor	$148 - $174	106%
Aetnamajor	$147	105%
Kaiser Permanentemajor	$140 - $280	100%
Health Net	$149	106%
Moda Health	$157 - $542	112%
PacificSource	$211 - $245	150%
+ 3 smaller / regional plans	$144 - $154

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 50), 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 Legacy Good Samaritan 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 Legacy Good Samaritan Medical Center

Compare: Hepatitis B immune globulin at other OR hospitals

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