CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Saint Alphonsus Medical Center Ontario

Billing Code: 90371 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$241

about 1.7× the $140 Medicare rate · typically $126–$481

modeled estimate · not a bill or quote

What this hospital charges insurers

$292

Above the fair price

about $51 over the fair price · 2.1× Medicare

Medicare pays $140 Fair price $241 This hospital $292 Cash price $388 Hospital's list price $388

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Highest price of the 9 OR hospitals we have prices for — worth calling around.

Cheapest $91 Priciest $292

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

A fair price for a Hepatitis B immune globulin is about $241 (about 1.7× the $140 Medicare rate). Saint Alphonsus Medical Center Ontario charges insurers about $292, or about $388 in cash — above the fair price. Located in Ontario, OR.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $241. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$116 - $372	83%
Blue Cross Blue Shieldmajor	$116 - $330	83%
Aetnamajor	$116 - $367	83%
Cignamajor	$116 - $364	83%
Humanamajor	$116 - $341	83%
Ambetter (Centene)	$116	83%
Dean Health Plan	$349	249%
GEHA	$367 - $372	262%
Health Net	$116 - $326	83%
HealthPartners	$116 - $302	83%
Meridian	$116	83%
Moda Health	$139 - $376	99%
Molina	$116	83%
PacificSource	$186 - $364	133%
Paramount	$116 - $349	83%
Presbyterian	$116	83%
Priority Health	$364	260%
SelectHealth	$213 - $349	152%
Tufts Health Plan	$116	83%
WellSense	$116	83%
+ 93 smaller / regional plans	$116 - $368

Government programs also on file: Medicare, Medicaid.

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 388), 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 Saint Alphonsus Medical Center Ontario 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 Saint Alphonsus Medical Center Ontario

Compare: Hepatitis B immune globulin at other OR hospitals

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