CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Covenant Childrens Hospital

Billing Code: 90371 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$440

about 3.1× the $140 Medicare rate · typically $201–$756

modeled estimate · not a bill or quote

Medicare pays $140 Fair price $440 Cash price $1,241 Hospital's list price $2,955

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.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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	$524	374%
Blue Cross Blue Shieldmajor	$481 - $487	343%
Cignamajor	$457	326%
Baylor Scott & White	$514 - $622	367%

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 1,241), 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 Covenant Childrens 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 Covenant Childrens Hospital

Compare: Hepatitis B immune globulin at other TX hospitals

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