CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Saint Thomas Highlands Hospital

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$151

about 1.1× the $140 Medicare rate · typically $135–$155

modeled estimate · not a bill or quote

What this hospital charges insurers

$150

About the fair price

about $1 under the fair price · 1.1× Medicare

Medicare pays $140 Fair price $151 This hospital $150

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 $150

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 $151 (about 1.1× the $140 Medicare rate). Saint Thomas Highlands Hospital charges insurers about $150 — about the fair price. Located in Sparta, 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	$143 - $309	102%
Blue Cross Blue Shieldmajor	$64 - $176	46%
Aetnamajor	$146	104%
Cignamajor	$260	185%
Humanamajor	$143	102%
Ambetter (Centene)	$186	133%
Amerigroup	$143	102%
Cigna HealthSpring	$143	102%
Oscar Health	$201	143%
+ 6 smaller / regional plans	$57 - $201

Government programs also on file: Medicare.

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, 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 Saint Thomas Highlands 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 Saint Thomas Highlands Hospital

Compare: Hepatitis B immune globulin at other TN hospitals

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