CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Memorial Healthcare System, Inc

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$200

about 1.4× the $140 Medicare rate · typically $151–$295

modeled estimate · not a bill or quote

What this hospital charges insurers

$210

About the fair price

about $10 over the fair price · 1.5× Medicare

Medicare pays $140 Fair price $200 This hospital $210 Cash price $272 Hospital's list price $642

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $72 Priciest $210

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 $200 (about 1.4× the $140 Medicare rate). Memorial Healthcare System, Inc charges insurers about $210, or about $272 in cash — about the fair price. Located in Chattanooga, 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	$82 - $178	58%
Blue Cross Blue Shieldmajor	$61 - $262	44%
Aetnamajor	$450 - $546	321%
Cignamajor	$135 - $180	96%
Humanamajor	$136 - $450	97%
Ambetter (Centene)	$241	172%
Amerigroup	$137	98%
Health Net	$289	206%
+ 1 smaller / regional plan	$411 - $418

Government programs also on file: Medicaid.

Excludes 1 rental-network / third-party entry (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 272), 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 Memorial Healthcare System, Inc 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 Memorial Healthcare System, Inc

Compare: Hepatitis B immune globulin at other TN hospitals

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