CMS Price Transparency Data

Hepatitis B immune globulin

Facility: UPMC Children's Hospital of Pittsburgh

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $441
Cash Discount Price: $1,407
vs. Medicare Baseline: 3.15x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at UPMC Children's Hospital of Pittsburgh is $441. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,407. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 3.15x the Medicare baseline. Located in One Children's Hospital Drive, Pittsburgh, PA.

Cash / Self-Pay

$1,407

Average discount available for prompt cash payment at this facility.

Insurance Median

$441

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$140.21

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $140.21 (100%)

Cash / Self-Pay: $1,407 (1003%)

Insurance Median: $441 (315%)

Cash: $1,407 (1003% of Medicare)

Ins. Median: $441 (315% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $140.21 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 315% of the Medicare baseline (a markup of 215%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Health Partners Plans (Jefferson Health Plan)	$39	28%
UnitedHealthcare	$40 - $1,220	29%
Geisinger	$41 - $1,167	29%
Highmark Wholecare (Prev Gateway)	$134	96%
Health Plan of Upper Ohio Valley	$134 - $1,687	96%
Blue Cross Blue Shield	$142 - $1,216	101%
Cigna	$145 - $1,428	103%
Amerihealth Caritas	$145 - $1,064	103%
Aetna	$148 - $1,428	106%
UPMC Health Plan	$148 - $201	106%
PA Health & Wellness	$178 - $1,038	127%
Intergroup	$290 - $2,207	207%
Coventry/First Health	$357 - $2,077	255%
Saudi Armed Forces	$357 - $2,077	255%
Health Payors Organization	$379 - $2,207	270%
Multiplan	$379 - $2,207	270%
National Provider Network	$401 - $2,336	286%
Private Health Care Systems	$401 - $2,336	286%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,407.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90371.

Insurance In-Network Protection Plan

Contact your insurance company to confirm UPMC Children's Hospital of Pittsburgh is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90371.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.