CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Russell County Hospital

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $166
Cash Discount Price: $1,023
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Russell County Hospital is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,023. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 1.18x the Medicare baseline. Located in 58 Carroll Street, Lebanon, VA.

Cash / Self-Pay

$1,023

Average discount available for prompt cash payment at this facility.

Insurance Median

$166

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: $1,023 (730%)

Insurance Median: $166 (118%)

Cash: $1,023 (730% of Medicare)

Ins. Median: $166 (118% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$102 - $1,217	73%
Aetna	$138 - $5,458	98%
Amerigroup	$138	98%
Blue Cross Blue Shield	$138 - $1,254	98%
Managed Medicaire	$138	98%
Medicare (plans)	$138	98%
Sentara Health	$138 - $2,485	98%
United Mine Workers of America	$138	98%
Humana	$140	100%
Molina Healthcare	$143 - $1,266	102%
Cigna	$145 - $414	103%
Devoted Health Plan	$145	103%
Nhc Advantage	$145	103%
Ambetter / Centene	$300	214%
Optima Health	$1,217	868%
Medcost	$2,388	1703%
First Health Coventry	$6,822	4866%
Seven Corners, Inc.	$6,822	4866%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,023.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90371.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Russell County Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90371.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.