CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Lewisgale Medical Center

Billing Code: 90371 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$213

about 1.5× the $140 Medicare rate · typically $135–$349

modeled estimate · not a bill or quote

What this hospital charges insurers

$134

Below the fair price — a good deal

about $79 under the fair price · 1.0× Medicare

Medicare pays $140 Fair price $213 This hospital $134 Cash price $4,705 Hospital's list price $4,705

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

A typical price — 3 charge more and 3 charge less, among the 9 VA hospitals compared.

Cheapest $125 Priciest $141

Black dot = this hospital, among the 9 VA 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 $213 (about 1.5× the $140 Medicare rate). Lewisgale Medical Center charges insurers about $134, or about $4,705 in cash — below the fair price — a good deal. Located in Salem, VA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Cigna✓ Humana Blue Cross Blue ShieldAetnaKaiser 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	$413 - $8,240	295%
Cignamajor	$540 - $8,057	385%
Humanamajor	$139	99%
Health Net	$129 - $13,002	92%
+ 13 smaller / regional plans	$122 - $16,481

Government programs also on file: Military & VA.

Excludes 5 rental-network / third-party entries (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 4,705), 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 Lewisgale Medical Center 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 Lewisgale Medical Center

Compare: Hepatitis B immune globulin at other VA hospitals

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