CMS Price Transparency Data

Hepatitis B immune globulin

Facility: CHI St Lukes Lakeside Hospital

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $433
  • Cash Discount Price: $230
  • vs. Medicare Baseline: 3.09x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at CHI St Lukes Lakeside Hospital is $433. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $230. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 3.09x the Medicare baseline. Located in 17400 St Lukes Way, The Woodlands, TX.
Cash / Self-Pay
$230

Average discount available for prompt cash payment at this facility.

Insurance Median
$433

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: $230 (164%)
Insurance Median: $433 (309%)
Cash: $230 (164% of Medicare)
Ins. Median: $433 (309% 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 309% of the Medicare baseline (a markup of 209%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $84 - $1,188 60%
United $99 - $1,745 71%
Renaissance $103 73%
UnitedHealthcare $103 - $3,067 73%
Bright Health $125 - $1,225 89%
Tchpchip $133 - $1,634 95%
Cigna $137 - $2,599 98%
Blue Cross Blue Shield $140 - $418 100%
Humana $143 - $2,413 102%
Kelsey $143 102%
Selectcare $143 102%
Amerivantage $148 106%
Devoted $153 109%
Scanhealth $153 109%
Kindred $158 113%
Kelseycare $186 - $1,819 133%
Chc $209 - $2,042 149%
Texastruechoice $209 - $2,042 149%
Ambetter / Centene $215 153%
Community Health Choice $215 153%
Harris Health $215 153%
Wellpoint $215 153%
Independent Med System $228 - $2,228 163%
Coventry $247 - $2,413 176%
First Health $247 - $2,413 176%
Healthsmart $266 - $2,599 190%
Interlink $266 - $2,599 190%
PHCS $266 - $2,599 190%
PHCS Savility $266 - $2,599 190%
Multiplan $285 - $2,784 203%
USA Health Network $323 - $3,156 230%
Mhealth Network $380 - $3,712 271%
Nx Health $466 332%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 17400 St Lukes Way, The Woodlands, TX 77384
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals