CMS Price Transparency Data

Hepatitis B immune globulin

Facility: American Fork Hospital

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$140
about 1.0× the $140 Medicare rate · typically $132–$169
modeled estimate · not a bill or quote
What this hospital charges insurers
$138
About the fair price
about $2 under the fair price · 1.0× Medicare
Medicare pays $140 Fair price $140 This hospital $138 Cash price $275 Hospital's list price $367

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

Highest price of the 9 UT hospitals we have prices for — worth calling around.

Cheapest $128 Priciest $138

Black dot = this hospital, among the 9 UT hospitals with a price for this procedure. Full list below.

A fair price for a Hepatitis B immune globulin is about $140 (about 1.0× the $140 Medicare rate). American Fork Hospital charges insurers about $138, or about $275 in cash — about the fair price. Located in American Fork, UT.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $128 - $312 91%
Blue Cross Blue Shieldmajor $128 - $279 91%
Aetnamajor $128 - $312 91%
Cignamajor $231 - $312 165%
Humanamajor $128 - $145 91%
HealthPartners $128 - $138 91%
Molina $128 - $152 91%
SelectHealth $97 - $186 69%
+ 31 smaller / regional plans $89 - $330
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 170 North 1100 East, American Fork, UT 84003
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals