CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Lewisgale Hospital Alleghany

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90371
Insurance Median: $2,694
Cash Discount Price: $3,794
vs. Medicare Baseline: 19.21x Medicare

The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Lewisgale Hospital Alleghany is $2,694. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,794. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 19.21x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.

Cash / Self-Pay

$3,794

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,694

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: $3,794 (2706%)

Insurance Median: $2,694 (1921%)

Cash: $3,794 (2706% of Medicare)

Ins. Median: $2,694 (1921% 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 1921% of the Medicare baseline (a markup of 1821%). 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
Triatlantic	$122	87%
Health Net	$129	92%
Humana	$139	99%
United	$365 - $1,707	260%
Virginia Health Network	$1,328 - $2,694	947%
Aetna	$2,049	1461%
Greenvbrier Sporting Club	$2,276	1623%
Cigna	$2,348	1675%
Corvel	$2,732	1949%
Csx Hotels	$3,035	2165%
Occunet Workers Comp	$3,035	2165%
Health Payors Organization	$3,225	2300%
4Most	$3,414	2435%
Alleghany Highland Community	$3,414	2435%
American Postal Workers Union	$3,414	2435%
C&O Employees Hospital Assn	$3,414	2435%
Community Care Network	$3,414	2435%
Multiplan	$3,414	2435%
One Health Plan	$3,414	2435%

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 $3,794.
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 Alleghany 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.