CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Samaritan Lebanon Community Hospital

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$154

about 1.1× the $140 Medicare rate · typically $126–$250

modeled estimate · not a bill or quote

What this hospital charges insurers

$154

About the fair price

1.1× Medicare

Medicare pays $140 Fair price $154 This hospital $154 Cash price $734 Hospital's list price $917

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

A typical price — 0 charge more and 5 charge less, among the 9 OR hospitals compared.

Cheapest $91 Priciest $154

Black dot = this hospital, among the 9 OR 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 $154 (about 1.1× the $140 Medicare rate). Samaritan Lebanon Community Hospital charges insurers about $154, or about $734 in cash — about the fair price. Located in Lebanon, OR.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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	$168 - $1,148	120%
Aetnamajor	$179 - $1,213	128%
Cignamajor	$164 - $1,239	117%
Humanamajor	$154	110%
Devoted Health	$154 - $426	110%
Health Net	$154 - $1,239	110%
Moda Health	$174	124%
PacificSource	$148 - $415	106%
+ 4 smaller / regional plans	$134 - $1,239

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 734), 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 Samaritan Lebanon Community Hospital 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 Samaritan Lebanon Community Hospital

Compare: Hepatitis B immune globulin at other OR hospitals

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