CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Texas Health Hospital Mansfield

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $468
  • Cash Discount Price: $327
  • vs. Medicare Baseline: 3.34x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Texas Health Hospital Mansfield is $468. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $327. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 3.34x the Medicare baseline. Located in 2300 Lone Star Road, Mansfield, TX.
Cash / Self-Pay
$327

Average discount available for prompt cash payment at this facility.

Insurance Median
$468

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: $327 (233%)
Insurance Median: $468 (334%)
Cash: $327 (233% of Medicare)
Ins. Median: $468 (334% 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 334% of the Medicare baseline (a markup of 234%). 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
Blue_Cross_Blue_Shield_Of_Kansas $117 - $793 83%
United_Healthcare $126 - $1,239 90%
Aetna $200 - $503 143%
Cigna $208 - $1,203 148%
Amerigroup $1,180 842%
Blue_Cross_Blue_Shield $1,239 884%
Molina $1,239 884%
Wellcare $1,298 926%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2300 Lone Star Road, Mansfield, TX 76063
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals