CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Primary Children's Hospital

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$129
about 0.9× the $140 Medicare rate · typically $115–$175
modeled estimate · not a bill or quote
What this hospital charges insurers
$128
About the fair price
about $1 under the fair price · 0.9× Medicare
Medicare pays $140 Fair price $129 This hospital $128 Cash price $912 Hospital's list price $1,216

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.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Hepatitis B immune globulin is about $129 (about 0.9× the $140 Medicare rate). Primary Children's Hospital charges insurers about $128, or about $912 in cash — about the fair price. Located in Salt Lake City, 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 $105 - $1,827 75%
Blue Cross Blue Shieldmajor $187 - $1,871 133%
Aetnamajor $181 - $1,849 129%
Cignamajor $181 - $1,827 129%
Humanamajor $181 - $1,827 129%
Health Net $207 - $1,762 148%
Molina $128 - $1,827 91%
SelectHealth $102 - $1,827 73%
+ 31 smaller / regional plans $92 - $1,914
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: 100 North Mario Capecchi Drive, Salt Lake City, UT 84113
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens