CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Texas Health Harris Methodist Hospital Alliance

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $212
Cash Discount Price: $191
vs. Medicare Baseline: 1.51x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Texas Health Harris Methodist Hospital Alliance is $212. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $191. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 1.51x the Medicare baseline. Located in 10864 Texas Health Trail, Fort Worth, TX.

Cash / Self-Pay

$191

Average discount available for prompt cash payment at this facility.

Insurance Median

$212

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: $191 (136%)

Insurance Median: $212 (151%)

Cash: $191 (136% of Medicare)

Ins. Median: $212 (151% 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.

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
Amerigroup	$31 - $141	22%
Blue Cross Blue Shield	$31 - $1,199	22%
Cook Childrens	$31 - $54	22%
UnitedHealthcare	$31 - $529	22%
Superior Wellcare	$32 - $148	23%
Molina	$33 - $141	24%
Aetna	$34 - $370	24%
Fort Worth Firefighters	$132 - $322	94%
American Health	$134	96%
Healthspring	$137	98%
Humana	$140	100%
City of Fort Worth	$141 - $248	101%
Cigna	$166 - $497	118%
Quick Trip	$180 - $333	128%
PHCS	$209 - $393	149%
Healthsmart	$225 - $444	160%
Multiplan	$261 - $459	186%
Galaxy	$264 - $465	188%
USA	$264 - $465	188%

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 $191.
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 Texas Health Harris Methodist Hospital Alliance 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.