CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Holy Cross Hospital-Jordan Valley

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$141

about 1.0× the $140 Medicare rate · typically $133–$196

modeled estimate · not a bill or quote

What this hospital charges insurers

$170

Above the fair price

about $29 over the fair price · 1.2× Medicare

Medicare pays $140 Fair price $141 This hospital $170 Cash price $401 Hospital's list price $1,001

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 $170

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 $141 (about 1.0× the $140 Medicare rate). Holy Cross Hospital-Jordan Valley charges insurers about $170, or about $401 in cash — above the fair price. Located in West Jordan, UT.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $141. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$244 - $4,801	174%
Blue Cross Blue Shieldmajor	$183 - $2,881	131%
Aetnamajor	$134 - $4,057	96%
Cignamajor	$190 - $3,841	136%
Humanamajor	$132 - $135	94%
Molina	$134 - $2,062	96%
SelectHealth	$351 - $3,178	250%
+ 12 smaller / regional plans	$134 - $4,801

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 401), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: 90371.

Insurance Before you use insurance

Call your insurance company to confirm Holy Cross Hospital-Jordan Valley is in-network.
Ask your insurer whether prior approval is required for HCPCS code 90371.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Holy Cross Hospital-Jordan Valley

Compare: Hepatitis B immune globulin at other UT hospitals

Insurance negotiated median for the same procedure, sorted lowest first.