CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Roane Medical Center

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$139

about 1.0× the $140 Medicare rate · typically $135–$177

modeled estimate · not a bill or quote

What this hospital charges insurers

$140

About the fair price

about $1 over the fair price · 1.0× Medicare

Medicare pays $140 Fair price $139 This hospital $140 Cash price $145 Hospital's list price $469

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $72 Priciest $140

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

A fair price for a Hepatitis B immune globulin is about $139 (about 1.0× the $140 Medicare rate). Roane Medical Center charges insurers about $140, or about $145 in cash — about the fair price. Located in Harriman, TN.

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	$55 - $155	39%
Blue Cross Blue Shieldmajor	$68 - $140	48%
Aetnamajor	$111 - $877	79%
Cignamajor	$123 - $1,124	88%
Humanamajor	$138	98%
Ambetter (Centene)	$142 - $1,124	101%
Devoted Health	$140	100%
WellCare	$140	100%
+ 10 smaller / regional plans	$126 - $1,979

Government programs also on file: Military & VA.

Excludes 3 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 145), 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 Roane 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 Roane Medical Center

Compare: Hepatitis B immune globulin at other TN hospitals

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