CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Intermountain Health Delta Community Hospital

Billing Code: 90371 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$137
about 1.0× the $140 Medicare rate · typically $128–$499
modeled estimate · not a bill or quote
What this hospital charges insurers
$128
About the fair price
about $9 under the fair price · 0.9× Medicare
Medicare pays $140 Fair price $137 This hospital $128

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

One of the lower prices — 0 of 8 other UT hospitals charge more for the same procedure.

Cheapest $128 Priciest $128

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 $137 (about 1.0× the $140 Medicare rate). Intermountain Health Delta Community Hospital charges insurers about $128 — about the fair price. Located in Delta, UT.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 91%
Blue Cross Blue Shieldmajor $128 91%
Aetnamajor $128 91%
Humanamajor $128 91%
HealthPartners $128 91%
Molina $128 91%
SelectHealth $128 91%
+ 3 smaller / regional plans $128

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Facility Profile & Credentials

  • Address: 126 South White Sage Avenue, Delta, UT 84624
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals