CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Methodist Mansfield Medical Center

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $227
  • Cash Discount Price: $604
  • vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Methodist Mansfield Medical Center is $227. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $604. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 1.62x the Medicare baseline. Located in 2700 E Broad Street, Mansfield, TX.
Cash / Self-Pay
$604

Average discount available for prompt cash payment at this facility.

Insurance Median
$227

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: $604 (431%)
Insurance Median: $227 (162%)
Cash: $604 (431% of Medicare)
Ins. Median: $227 (162% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
UnitedHealthcare $24 - $149 17%
Medicaid / KanCare $90 - $669 64%
Aetna $138 - $223 98%
Blue Cross Blue Shield $138 - $3,134 98%
Covid19 Hrsa Uninsured Testing and Treatment Fund [6005] $138 98%
Medicare (plans) $138 - $147 98%
Ust Health Proof [1005] $138 98%
Wellcare [7016] $138 98%
American Health Advantage of Texas [7099] $145 103%
Cigna $145 - $1,558 103%
Globalhealth [1003] $145 103%
Procare Advantage [7018] $145 103%
Humana $146 104%
Southwestern Health Resources Swhr [7015] $146 104%
Provider Partners Health Plan [7025] $149 106%
Alternative Service Concepts [8005] $172 123%
Oscar Insurance Company [2057] $179 128%
Bright Healthcare [2222] $193 138%
Molina [3017] $200 143%
Wellpoint Marketplace Exchange [3071] $214 153%
Kempton Group Administrators, Tower Extrusions [3061] $221 158%
90 Degree Benefit [3057] $227 162%
Allied National [2031] $227 162%
Entrust/90 Degree [2058] $227 162%
Friday Health Plan [2061] $234 167%
Ambetter / Centene $236 168%
Imperial Insurance Companies [3073] $248 177%
Web Tpa [3049] $254 - $1,558 181%
Department of Labor [8004] $276 197%
Evry Health [1013] $276 197%
Generic Workers Comp Tx Non Par [9010] $276 197%
Generic Workers Comp Tx Par [8002] $276 197%
Generic Workers Comp Tx Par [9011] $276 197%
Sana Benefits [3069] $276 197%
Tristar Risk Management [8006] $276 197%
Velocity [3070] $276 197%
Health Plans Inc [5017] $345 246%
Medical Cost Containment Professionals [3059] $345 246%
Dart Member Care [3039] $372 265%
Healthscope Benefits [2052] $372 265%
Healthscope Benefits [3063] $372 265%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2700 E Broad Street, Mansfield, TX 76063
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals