CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Methodist Hospital Stone Oak

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $338
Cash Discount Price: $2,412
vs. Medicare Baseline: 2.41x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Methodist Hospital Stone Oak is $338. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,412. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 2.41x the Medicare baseline. Located in 1139 E Sonterra Blvd,, San Antonio, TX.

Cash / Self-Pay

$2,412

Average discount available for prompt cash payment at this facility.

Insurance Median

$338

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: $2,412 (1720%)

Insurance Median: $338 (241%)

Cash: $2,412 (1720% of Medicare)

Ins. Median: $338 (241% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 241% of the Medicare baseline (a markup of 141%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Superior Health	$20 - $243	14%
Community First Health Plans	$47 - $582	34%
Amerigroup	$55 - $679	39%
United	$96 - $2,184	68%
Blue Cross Blue Shield	$116 - $1,432	83%
Triwest Health Alliance	$138	98%
Value Options	$138	98%
Aetna	$196 - $2,427	140%
National Choicecare	$196 - $2,427	140%
Texas Healthcare Foundation Heb	$196 - $2,427	140%
Tx Healthcare Foundation	$196 - $2,427	140%
Healthsmart Preferred Care	$215 - $2,669	153%
Independent Medical Systems	$215 - $2,669	153%
Physician Cooperative of Texas	$215 - $2,669	153%
Haa Preferred Partners	$235 - $2,912	168%
Coastal Comp Health Networks	$255 - $3,155	182%
National Healthcare Solutions	$255 - $3,155	182%
Tml Intergovernmental Ebp	$274 - $3,397	195%
Multiplan	$294 - $4,125	210%
USA Managed Care	$294 - $3,640	210%
Cigna	$297 - $393	212%
Blue Bell	$313 - $3,883	223%
Directcare America	$313 - $3,883	223%
Managed Healthcare	$333 - $4,125	238%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,412.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90371.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Methodist Hospital Stone Oak is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90371.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.