CMS Price Transparency Data

Hepatitis B immune globulin

Facility: St Charles Madras

Billing Code: 90371 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$314
about 2.2× the $140 Medicare rate · typically $159–$643
modeled estimate · not a bill or quote
Medicare pays $140 Fair price $314 Hospital's list price $1,774

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.

6 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 $177 - $1,137 126%
Blue Cross Blue Shieldmajor $195 - $1,299 139%
Aetnamajor $177 - $2,445 126%
Cignamajor $177 - $1,771 126%
Humanamajor $177 - $675 126%
Kaiser Permanentemajor $145 - $2,434 103%
Devoted Health $177 - $675 126%
Health Net $177 - $2,642 126%
Moda Health $634 - $2,417 452%
PacificSource $295 - $1,538 210%
Providence Health Plan $516 - $2,459 368%
UniCare $177 - $675 126%
WellCare $177 - $675 126%
+ 64 smaller / regional plans $145 - $2,811
Government programs also on file: Medicare, Medicaid, Military & VA.
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

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 470 Ne A Street, Madras, OR 97741
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals