CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Lewisgale Hospital Pulaski

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $5,568
Cash Discount Price: $7,733
vs. Medicare Baseline: 39.71x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Lewisgale Hospital Pulaski is $5,568. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,733. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 39.71x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.

Cash / Self-Pay

$7,733

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,568

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: $7,733 (5515%)

Insurance Median: $5,568 (3971%)

Cash: $7,733 (5515% of Medicare)

Ins. Median: $5,568 (3971% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 3971% of the Medicare baseline (a markup of 3871%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Humana	$107	76%
Triatlantic	$122	87%
Health Net	$129	92%
United	$365 - $3,480	260%
Virginia Health Network	$2,707 - $5,490	1931%
Cigna	$3,209	2289%
Aetna	$3,480	2482%
Greenvbrier Sporting Club	$4,640	3309%
Corvel	$5,568	3971%
Richfield Nursing Center	$5,800	4137%
Richfield Retirement Community	$5,800	4137%
Multiplan	$5,954	4246%
Community Care Network	$6,186	4412%
One Health Plan	$6,186	4412%
Occunet Workers Comp	$6,186	4412%
Graham-White Manufacturing	$6,186	4412%
Patients Choice	$6,805	4853%
Star Transportation	$6,960	4964%
PHCS	$6,960	4964%
American Postal Workers Union	$6,960	4964%
4Most	$6,960	4964%

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 $7,733.
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 Lewisgale Hospital Pulaski 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.